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How do I know if its my period or postpartum bleeding?

Understanding the Differences: Postpartum Bleeding vs. Menstrual Period
Navigating the changes in your body after childbirth can be both exciting and confusing. One of the most common concerns for new mothers is distinguishing between postpartum bleeding and the return of their menstrual period. Understanding these two types of bleeding is crucial for your health and peace of mind.
Postpartum Bleeding: What to Expect
Postpartum bleeding, medically known as lochia, is a natural process that occurs after giving birth. This bleeding is your body’s way of shedding the uterine lining, blood, and mucus that accumulated during pregnancy. Lochia typically lasts for six to eight weeks and goes through several stages, changing in color and consistency over time. Initially, it may be bright red and heavy, resembling a menstrual period, but it will gradually lighten to a pinkish or yellowish discharge as the weeks progress.
It’s important to monitor the amount and type of bleeding. If you experience heavy bleeding that soaks through a pad in an hour or less, or if you pass large clots, it could be a sign of postpartum hemorrhage, which requires immediate medical attention.
When Does Your Period Return?
The return of your menstrual cycle can vary significantly among women. For those who are not breastfeeding, menstruation may resume as early as six to eight weeks postpartum. However, breastfeeding can delay the return of your period due to hormonal changes that suppress ovulation.
When your period does return, it may not resemble your pre-pregnancy cycles. Many women report changes in flow, duration, and symptoms such as cramps. It’s also possible for your first few periods to be irregular as your body readjusts.
Key Differences to Note
1. Timing: Lochia begins immediately after childbirth and can last up to two months, while your first period may not return for several weeks or even months, depending on breastfeeding.

2. Color and Consistency: Lochia starts bright red and may contain clots, transitioning to pink and then yellowish. In contrast, menstrual blood is typically a darker red and may have a more consistent flow.
3. Volume: Postpartum bleeding can be heavier initially but should taper off. If you notice a sudden increase in bleeding or large clots, it’s essential to consult a healthcare provider.
4. Associated Symptoms: While both types of bleeding can be accompanied by cramps, postpartum bleeding may also involve other symptoms related to recovery from childbirth, such as uterine contractions.
Conclusion
Understanding the differences between postpartum bleeding and your menstrual period is vital for new mothers. If you’re ever in doubt about the nature of your bleeding, especially if it seems excessive or unusual, don’t hesitate to reach out to your healthcare provider. They can provide guidance tailored to your specific situation, ensuring that you navigate this new chapter of motherhood with confidence and care.

What color is postpartum period blood?

Bright red bleeding that occurred immediately after delivery will slowly change to a darker color and eventually green and yellow. This is all a normal part of the postpartum transition of the uterus. Occasionally, a week or two after your bleeding seems to have stopped, you may have a sudden gush of bright red blood.

How can you tell the difference between period blood and bleeding?

The color of the blood also is different. Blood produced during your period often is darker than the blood that appears when you’re spotting. Another good indicator the bleeding may be due to spotting, is if you don’t have any other menstrual symptoms, like breast tenderness or cramping.

How will I know if it’s my period after giving birth?

Lochia isn’t usually bright red in color beyond the first week postpartum. It’s usually lighter and can be watery or white in appearance. Bright red bleeding that occurs six or more weeks after delivery is more likely to be your period. Pregnancy-related bleeding can increase with increased exertion or activity.

Is it my period or am I bleeding out?

Menstrual blood is usually red: The color can help differentiate a period from spotting, although the blood may be brown at the beginning or end of the period. Some women see large clots or strings of blood with their monthly period, which is less common with spotting.

Is it postpartum bleeding or my period?

It is possible to mistake lochia for a period or to think a period is lochia. While both lochia and menstruation begin with bright red blood, lochia tends to get lighter in color as the days pass, while the blood from a period darkens over time.

What is the maximum delay in periods if not pregnant?

If you don’t have any known condition affecting your menstrual cycle, your period should start within 24 to 38 days of your last period, depending on your usual cycle. If you’re 7 days past your expected due date, it is considered late. After 6 weeks, you can consider your late period a missed period.

What are the signs that the period is coming?

Most women experience minor symptoms just before and during their periods.

  • Tender breasts.
  • Bloating, fluid retention.
  • Muscle aches.
  • Joint pain.
  • Headaches.
  • Acne.
  • Abdominal cramps.
  • Diarrhea or constipation.

What does period blood look like after birth?

During the first four weeks postpartum, you will notice a pink-brown discharge called lochia. This is totally normal. Even though it might look like a period, it isn’t—just the natural process of your uterus shedding blood, mucus, and tissue after birth. Just be sure to wear a pad and change it often.

What is the first postpartum period like?

Your first postpartum period may be met with a heavy cycle, pelvic pressure, achiness and a return to tampons – which might be suddenly slightly more uncomfortable (ouch!). So, if no one has told you, I’ll be the first to tell you – your first postpartum period might look like a crime scene.

How do I know if my uterus has gone back to normal?

For the first couple of days after giving birth, you’ll be able to feel the top of your uterus near your belly button. In a week, your uterus will be half the size it was just after you gave birth. After two weeks, it will be back inside your pelvis. By about four weeks, it should be close to its pre-pregnancy size.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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