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Keeping New Mums safe; bleeding after delivery - Pt 2

By Fisayo Aturamu

Here, in the second part of the series on bleeding after delivery (postpartum haemorrhage), we look at abnormal bleeding compared to the normal, that is, lochia .

Pregnant lady silhouette showing bleeding after delivery
Image by DigitalMarketingAgency from Pixabay

Events After the Baby's Delivery

Bleeding after birth occurs because, following the delivery of the baby, the placenta separates from the uterus.

This leaves the blood vessels where the placenta was attached open and so, they bleed into the uterus.[6]

After the delivery of the placenta, the womb (a muscular organ) continues to 'contract'.

The same way muscles in the arm relax and stiffen, this contraction is important.

And this makes the womb release blood from its blood vessels and push out any leftover tissue in it.

This is its natural way the womb restores itself and may take up to 6 weeks to happen in most women after birth.

What is Lochia?

Lochia is the vaginal discharge of the period immediately following delivery - also known as the 'postpartum' period.

It may (initially) be bright red and heavy with a few blood clots.

Now, the clots may range from the size of a small coin to a cotton wool ball for the first 2 to 4 days, resembling menstrual flow.

Lochia should not be confused with postpartum haemorrhage, PPH.

PPH is a term that describes abnormal, excessive bleeding that happens from the time of delivery to 6 weeks afterward.

On the other hand, lochia is a result of the uterus replacing its lining after birth and delivery. It contains some blood and mucus discharge from the womb.[8]

The appearance of lochia changes over time.

Other Ways Lochia differs from Postpartum Haemorrhage

Therefore, by the 4th day after delivery, lochia is either pink or brown with little or no blood clots, and then a yellowish-white discharge by the 10th day.

Althought initially it is heavy, its amount also decreases gradually during this time.

Adequate hygiene must be maintained throughout this period to prevent infections.

Also, we advise ladies to avoid using tampons as they make an infection more likely, and it's harder to monitor blood loss.

Sanitary towels are preferable.[8]

Factors That Affect Normal Blood Loss After Delivery

In addition, breastfeeding mothers may notice a little increase in bleeding when breastfeeding - this is normal.

During breastfeeding, the brain releases a hormone called Oxytocin which causes the uterus to contract and release blood from its vessels.[8]

And lastly, exercising or strenuous activities soon after pregnancy may also cause a slight increase in lochia bleeding.[4],[9]

In the final part of the series, we look at symptoms which suggest Postpartum haemorrhage as well as problems which increase the risk of PPH happening.

More Reading:

References (accessed 7th January 2019)

Editing by AskAwayHealth Team


All AskAwayHealth articles are written by practicing Medical Practitioners on a wide range of health care conditions to provide evidence based guidance and to help promote quality health care. The advice in our material is not meant to replace management of your specific condition by a qualified health care practitioner.
To discuss your condition, please contact a health practitioner or reach us directly through

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