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It is during the regenerative and resting period after labor efforts that puerperium bleeding occurs.
This bleeding is unavoidable after delivery. Since the uterus contracts after delivery and wounds caused by placental abruption or childbirth also need time to heal.
The period of time that passes between the delivery of the placenta after delivery and the complete recovery of the uterus is called the puerperium or quarantine.
At the same time, the body undergoes various changes during this period. The uterus heals and contracts, the breasts begin to produce breast milk and the hormonal balance is transformed again adapting to lactation.
At the beginning of the puerperium (week one of pregnancy), new mothers need plenty of rest, time for themselves and for the new member of the family. But it is important to take care of yourself until the end of quarantine so as not to interfere with the recovery and wound healing processes. Recovery gymnastics and specific pelvic floor training promote physical regeneration after childbirth.
All women bleed during the puerperium, regardless of whether their child was born naturally or by cesarean section. As the placenta detaches, a wound forms in the uterus causing lochia (postpartum discharge).
The lochia come out of the place where the placenta was attached to the uterus during pregnancy. They are made up of blood, wound discharge, mucosa, and tissue debris from the placenta. Due to bleeding during the puerperium, they are initially light red in color, as the internal wound heals they become pinkish, brownish, and yellowish white towards the end of the puerperium. Rest during the puerperium or the first days after delivery is crucial, as bleeding may return.
Even if there are no health problems or postpartum complications, this type of (light) bleeding is a sign that the body needs more rest.
You will need to see a doctor if bleeding during the puerperium exceeds a certain intensity, for example:
In the period just after delivery, this bleeding can also be caused by perineal fissures or incisions, vaginal tears, bleeding in the vaginal area, blood clotting disorders and, in the worst cases, uterine ruptures.
Atonias are also common. These occur because the uterus does not contract enough, especially in multiple births or when the uterus is “tired” because labor has lasted too long or too much oxytocin has been used.