Abundant month after childbirth, why the early menstruation is very strong, with clots

After giving birth naturally or by caesarean section cycle is restored immediately, especially if the woman starts to breastfeed. Abundant month after childbirth - lochia - can not be called menstruation. Discharge of blood after delivery due to reverse involution of the uterus. Physiological Regula at GW occur not earlier than after 5-6 months, and even later.

When the cycle is restored after childbirth

After delivery, recovery of sexual system of the woman has been slow. When a child is birth of the placenta rejected - this stage is considered to be final. The result strongly damaged blood vessels, excessive bleeding starts (250-300 ml), which is the norm. Allocation immediately after birth can not be considered the first menstruation.

The first month after birth through breastfeeding begins, depending on the characteristics of the female organism.

Milk production is carried out under the action of prolactin secreted by the pituitary. This same hormone slows down the reproductive function, is the absence of menstruation. This state of medicine is called postpartum amenorrhea.

Over time, the synthesis of prolactin gradually decreases breast milk for lactation is becoming smaller. After 4-6 months at GW or some time after its termination at an earlier period there is a restoration of the menstrual cycle.

Thus, the timing of the return of the critical days depend on the intensity of postpartum recovery of the body and the availability of lactation in women:

1. One month after the birth of the child can already start month in the absence of breastfeeding. they are usually immediately follow the lochia - 3-4 weeks postpartum blood separation decreases, but begins the classical periods. Such a situation is extremely rare. Usually after child birth in women occurs lactation amenorrhea.
2. 8-10 weeks is considered normal menstruation, in the absence of feeding from the first day after birth. If breastfeeding is not available, a woman is not decanted, prolactin hormone is no longer produced, reproductive function is restored.
3. At the end of 3-4 months can restore the physiological menstrual even with lactation. Regula may occur if a child is in a mixed diet and / or receives the first complementary foods. In this case, for the feeding of milk requires less prolactin synthesis is also reduced.
4. The most common period when renewed monthly, is a period of 6-8 months. In addition to mother's milk, the baby of this age are actively fed other foods. The main time for feeding is the day and night sleep. The larger intervals between feedings, the less prolactin levels observed in women. It enhances the activity of sex hormones, intensively produced eggs provoking the onset of menstruation.

The first menses after delivery may not be as as before. Under the action of the same amount of hormone prolactin changed monthly (they may be scarce smearing or, conversely, too heavy), the cycle duration.

Abundant first month after childbirth

Lochia lasts an average of 40 days. During this time, the uterus is fully restored structure, which is why the first month after birth is very abundant. Secretions are particles of dead endometrial residues placental blood and fluid.

Uterine movements are not only isolation, more abundant, but also typical cramping. The volume of blood leaving and unpleasant sensations more intense in the first week after birth, gradually reduced until complete involution of the organ.

Bleeding may be longer - up to 8 weeks. Their duration is influenced by several factors:

1. childbirth view - either naturally or by Caesarean section. After cesarean selection last longer.
2. Age mothers. As a rule, women over 30 years, especially in nulliparous, bleeding stops later.
3. Multiple pregnancy, difficult birth. In this case, a significant amount of damaged blood vessels during pregnancy double or triple the volume of fluid and placenta greater, respectively, bleeding also last longer.

In general, it depends on the state, what should be the allocation of a woman after childbirth. After two months, any allocation of blood stopped, at this time should visit a gynecologist.

Very rarely it happens that within the first 8 weeks of regular menses begins.

The causes of severe and prolonged menstruation

Very heavy periods after childbirth, do not stop after 6-8 weeks, it can be caused by:

1. Features of the structure of the uterus. Lohiometra - a pathology that occurs on a background of hematoma formation. It prevents the exit of the endometrium and blood, causes accumulation of mucus, stagnant isolation acquire an unpleasant odor, can cause inflammation. Characterized by the appearance of red blood 5-7 days sparse brownish spotting immediately after birth.
2. Slow uterine contractions. Also serves as a factor profusion of postpartum discharge. In this case the possible occurrence of pain, sometimes fever. Detect body size can be enlarged by means of ultrasound, in which case the prescribers for its reduction.
3. Against the background of hormonal imbalance. Spin-blood may also be too abundant. For example, prolactin, a hormone secreted for full breastfeeding, produced more slowly in poor suckling child. This causes extensive bleeding immediately after delivery.
4. The shape of the uterus. Pear-shaped organ is reduced faster than two-horned or with a bend.
5. Multiple pregnancies and subsequent obstructed labor. Cause intense stretching of the uterus, causing it decreases much more slowly, prolonging the duration of bleeding.

Also abundant selection, does not turn into a yellowish ichor 8-10 days after birth, may observed in diseases of the uterus, leaving incomplete fetal membranes, atopic development bleeding.

The duration of blood secretions affect the reproductive system disease, such as endometriosis or erosion.

When an urgent need to go to the gynecologist

Menstruation can occur and breastfeeding, if it lasts for more than 6-9 months: the number of feedings is gradually reduced in the background of the introduction of complementary foods or mixed infant feeding.

Sometimes appearing after childbirth heavy menses with clots may be abnormal and indicative of bleeding. You should consult your doctor in the following cases:

• fever;
• abnormal discharge is not replaced by a transparent yellowish ichor with a splash of blood after 8-10 days after birth;
• Reserved intense cramping;
• have nausea, vomiting, drowsiness, apathy;
• on the background of bleeding observed deterioration of health - headedness, dizziness at lower hemoglobin levels, loss of consciousness;
• exacerbated or other inflammatory disease.

The most frequent reason for abundant lochia - insufficient purification of the uterus and placenta yield incomplete particles. In the absence of action recommended medication doctor may need scraping body.

Practical advice to see a doctor

Calling an ambulance is necessary if:

• after a significant reduction in discharges has increased bleeding, the blood became bright scarlet;
• were dizziness, vomiting, loss of consciousness;
• significantly increased temperature;
• have strong cramping pain in the lower abdomen.

If too strong monthly do not cause deterioration of state of health, you must make an appointment with a gynecologist and take the following actions up to this point:

1. When the intense pain should take antispasmodic and / or analgesics to alleviate the condition. Hemostatic agents should be appointed expert. The most popular are Tranexam, Vikasol and Dicynone. Of traditional medicines used decoctions yarrow, nettle and shepherd's purse.
2. To eliminate uterine contractions, it is necessary to lie down on a flat surface on one side, pull your legs to the stomach.
3. Immediately after birth using a heating pad with ice.

Any treatment, especially reception hemostatic agents should be administered by your doctor. To spend the planned inspection after delivery, it is desirable not later than 2 months. If isolation acquire an unpleasant odor, worse after remission, cause pain and other variations in health status, it is necessary to consult a specialist before.