So, you - mom! A warm, pink baby is now all the time near you, and your body gradually begins to return to its usual state. after 9 months of pregnancy. After giving birth, your body is exposed physical and hormonal changes: the uterus begins to contract, the breasts prepare for feeding, the mood is constantly changing ...
Today, the site for moms Supermams.ru will talk about one aspect of the postpartum recovery of the body - recovery of the menstrual cycle. And in fact - when will menstruation appear after childbirth ?!
In the first weeks after birth, you will observe bloody discharge from the genital tract. But this is not menstruation, as you might think. After separation of the placenta during labor, an extensive wound surface forms on the wall of the uterus, which bleeds. These postpartum secretions are called lochia(from the Greek word meaning "purification after childbirth"). They consist of blood, mucus and non-viable tissues.
Gradually lochia change Colour from bright red in the first days after childbirth to yellowish and very bright at 2-4 weeks after delivery. When the uterine lining fully recovered, lochia disappear.
It's all about hormones
As soon as the hormonal background of the female body after birth returns to its original state, will return to normal and menstrual cyclewhich directly depends on the mentioned background. But the hormonal status, and hence, the restoration of the cycle is influenced by another, very important process: how much and how much are you breastfeeding your baby, and it depends on how soon menstruation comes and fertility is restored, that is, the ability to conceive.
Can I get pregnant when breastfeeding?
One of the common misconceptions about which we can not help but say: if a woman is breastfeeding, then she can not be protected during intimate contact, since she cannot become pregnant.
The fact of the matter is that pregnancy MAY occur while breastfeeding. How many moms babies- "mom" can tell that they too were convinced of it earlier!
The fact is that protection from pregnancy gives ONLY feeding "on demand", no graphics, about 15-20 times a day (including night feeds), without other complementary foods. In other words, if you breastfeed your baby as much as he wants, at any time of the day, and he gets only breast milk.
It is on this feeding model and a woman's body is calculated to prevent new conception, while she nurses one child.
And then, doctors say that this method does not provide 100% protection from pregnancy!
As soon as mom begins to introduce feed and reduce the number of feedingsThis protection is becoming more conditional. It is impossible to get pregnant until the cycle has recovered, but the maturation of the first egg can occur at any time, and You can get pregnant during the first ovulation.
If a child from the first days of life received and breast milk and mixtures, then the recovery of the menstrual cycle at the mother is possible 3-4 months after the birth.
If you are not breastfeeding at all, then the menstrual cycle, and, consequently, the possibility of becoming pregnant, are restored approximately in 10-12, and from someone 6-8 weeks after birth. As a rule, this time is enough for the reverse changes to occur in the body.
2. Painful menstruation after childbirth
Be mentally prepared for the fact that the first few periods after childbirth will be more difficult - more painful and prolonged.
The resumption of the menstrual cycle marks the end of the postpartum period and the ability of a woman to a new conception. So be on the lookout! 😉
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What does it depend on?
Changes in the body of a woman begin immediately after childbirth and continue up to 2 months. During childbirth, a hormone called progesterone is produced intensively. The ovaries produce their own hormone (corpus luteum) at the site of the egg. But now it has become unnecessary - and follicles with ovules ripen. This is the restoration of the menstrual cycle.
To start menstruation, you need synchronous work of the uterus and ovaries. During the first 1.5–2 weeks, the uterus intensively descends to its previous place, and in 2 months its size becomes normal or even less if the mother is breastfeeding. The cervical canal with the internal uterus is also transformed gradually, and in 21 days it acquires a completely new slit-like shape instead of a cylindrical one. These processes are called involution, their temporary course depends on the age of the young mother, breastfeeding, features of pregnancy. Slowdown can occur in women who have given birth many times, who have a weakened body, when the regime is down and if the first person has been born for more than 30 years.
When do they start?
Changes occur due to hormonal adjustment, only another hormone acts: prolactin. Yes, yes, this is the “milk hormone” responsible for producing food for the baby. And it also inhibits the activity of hormones in the ovaries. And because the egg does not mature - and there is no ovulation.
After how much time after birth begins menstruation - the question is not simple. This process may be early or late. It all depends on the individuality of the female body, hormonal preparations that stimulate gestation and are used for contraception, medicines during childbirth.
Early and late offensive
The onset of menstruation will be early 6–7 weeks after delivery, and this is the norm. The reason may be the refusal of breastfeeding for any reason. True, if the feeding method is mixed, then 3-4 months will pass.
Late terms are difficult to predict, since the main cause of the appearance of menstruation is breastfeeding.
With artificial and breastfeeding
In order to produce smoothly the “milk hormone”, the mother must feed the baby on demand. More often, it is better for both the child and mother: there is more milk, it does not disappear, and menstruation does not occur. If the milk becomes less or it disappears altogether - the hormonal system comes to its former norm, and the period begins. In other words, the beginning of the cycle coincides with the beginning of the feeding of the child.
In normal menstruation after birth, breastfeeding is not and will not be, as long as the young mother’s body has the hormone prolactin and there is milk for the baby. If there are no months for a whole year or more, and you breastfeed your baby, there is nothing to worry about.
If the baby's nutrition is mixed from the very beginning, then the resumption occurs normally after 3-4 months.
When initially feeding the baby artificial, then the monthly come even a month after childbirth.
Features of the restoration of the menstrual cycle
The first periods after childbirth are called anovulatory because often there are no ovulation, which is the release of an egg from the ovary. The follicle in which the egg cell develops is wrong, while the mucous membrane in the uterus is rejected. This is the first menstruation.
After the first 2-3 periods, the cycle is usually restored. Otherwise, the doctor will help you, because there are many causes of failure: inflammation, ovarian or uterine tumors, endometriosis, and more.
The resumption of the menstrual cycle depends on:
- complications during pregnancy and childbirth,
- young mothers age
- chronic diseases
- diet and rest, sleep,
- mental state.
It comes immediately, but it can be installed for 4-6 months. That is, the time between menstruations may jump more than 3 days. The standard cycle will be 21–35 days. No need to worry if it becomes new and will be different before it was before pregnancy: for example, if before it it was within 21 or 31 days, then now there may be 25.
The normal duration of menstruation after childbirth is up to 1 week, that is, not less than 3 and not more than 5 days.
The first postpartum menses are often abundant, and this is also the norm. When the cycle is normalized, the volume can be 50–150 ml. Deviations are closer to the beginning of the recovery process, but can not exceed the rate of 4-5 hours per sanitary pad.
Monthly after childbirth: when to see a doctor?
A visit to the doctor may be necessary during lohii. It happens that blood clots linger in the uterus due to its bending or when the internal pharynx is blocked. Then medication and washing the uterus is required.
The doctor should conduct an examination if during menstruation annoyance: dizziness, weakness, rapid heartbeat.
The pain of menstruation can be the reason for the visit to the doctor as well, although sometimes this is considered normal. But it happens that pain is an echo of inflammation after childbirth, for example, of the uterus and appendages. Or the reason lies in the immaturity of the body, the active contractions of the walls of the uterus, or the psychological features of a woman. In general, menstruation by itself is a process that aggravates chronic female diseases.
Spotting with blood and an unpleasant smell is not normal, especially if it lasts a long time. They can be a consequence of inflammation: endometriosis or endometritis, salpingoophoritis (inflammation of the appendages).
In case of severe pains, the life rhythm breaks down and the intake of antispasmodics is inevitable. It is necessary to find out from the doctor whether these are symptoms of algomenorrhea.
If the regularity of the menstrual cycle does not recover after 0.5 years after the first menstrual period - also be friends with the doctor.
In addition, there may be ovarian dysfunction due to failure of the pituitary gland. Oocytes develop abnormally due to hormonal disruption, so delays with unanticipated bleeding can also occur. The doctor should know about it immediately.
All diseases of the endocrine system can worsen in the postpartum period, which adversely affects the recovery of the body. Therefore, the recommendations of the endocrinologist about the treatment also do not interfere.
Subsequently, a cesarean section recovery cycle may also be delayed in time due to the prolonged resumption of the uterus. A suture was made on it during the operation. In parallel, the ovaries may not function properly due to the concomitant inflammatory postoperative process.
If menstruation lasts a long time, profuse - the cause can be uterine fibroids or endometriosis.
Sometimes mommies are plagued by premenstrual syndrome, when everything around is annoying and annoying, even to tears, with concomitant painful sensations in the chest, head and joints, with swelling, insomnia, allergies, absent-mindedness. Here it is difficult to understand the reasons even for a doctor, but he can prescribe medicines that alleviate such symptoms.
A young mother should carefully monitor the recovery of the body, because in the first months after birth, ovulation is possible and a new pregnancy too. And the monthly will not always precede this. Immediately after giving birth, the doctor must explain how to avoid unwanted pregnancy.
Personal hygiene when restoring menstruation
A woman should be especially attentive to her own hygiene. It is worth taking care to avoid complications associated with inflammation.
Hygiene products after childbirth mother can choose to your taste. This also applies to tampons. Although it is better not to choose them, as well as gaskets with an absorbent mesh, especially during lohii. You can consult with your doctor, but a good solution would be to prefer smooth surfaces of hygiene products. They should be changed frequently, within 3-4 hours. During the recovery period, the secretions may be different, and sometimes unpredictable in terms of abundance, and in this case it is desirable to procure funds with varying degrees of liquid absorption.
It is important to bathe more often, and you can use soap or household (72%), or solid children.
Sex after childbirth is undesirable for up to 1.5 months.
The doctor in the process of recovery of body functions in the postpartum period must keep abreast of your problems regarding the restoration of the menstrual cycle. Be a healthy mother to your baby!