Many women are frightened by the appearance of menstruation after childbirth after 2 months, they consider this phenomenon abnormal and in a panic try to find their cause. In most moments there is no cause for alarm, but it is worth finding out when the appearance of menstruation is natural, and under what circumstances it is better to consult a doctor immediately.
Is it good or bad
The female body begins to recover and return to the prenatal period after removing the afterbirth. The uterus immediately begins to contract with varying intensity, this process depends on many circumstances. But after 2 months, it reaches the usual size and weight, returns to its usual place. During this period, the ovaries are ready to perform their functions, the hormonal background of the woman’s body stabilizes. This process is not affected in any way by the mode of delivery; even with caesarean section, menstruation can begin on an individual schedule.
The occurrence of menstruation 2 months after delivery refers to the normal regenerative process under certain conditions:
intensity of discharge does not exceed the norm and time.
- a woman does not suffer from severe pain in the abdomen and back.
- blood discharge does not have an unpleasant odor.
- overall health is satisfactory.
To the bad factors of early onset of menstruation can be attributed to the probability of becoming pregnant. Therefore, women should avoid unprotected sex, use available contraceptives.
Starts during breastfeeding
Young mothers are worried when they have monthly periods after childbirth during lactation, they believe that because of this, the amount of milk will decrease. And there is some truth in this. The fact is that in the body of a woman with the advent of menstruation, the level of prolactin decreases. If the mother improperly applies the baby to the breast, skips the nightly feedings and finishes with bottled water, then the probability of the appearance of menstruation increases. Therefore, menstruation can begin 2 months after birth.
When breastfeeding, periods can mean serious health problems for women. Some chronic diseases, reduced immunity and hormonal disorders affect the process of prolactin production.
With the appearance of menstruation during lactation without any unusual painful symptoms, you should not panic. Nursing mothers extra stress will not benefit. Doctors do not consider this situation as a pathological deviation, a woman should calm down and continue to feed the child. And on a free day, quietly go on a consultation with a gynecologist in order to dispel all doubts.
Can monthly go one month after childbirth
Immediately after childbirth, women experience heavy bleeding, and the medical name is lochia. The spotting is abundant for the first 5 days, then 3-4 weeks insignificant. Moms notice the appearance of pain in the lumbar region and abdomen at the time of feeding the baby. With its sucking action, it stimulates the uterus, which begins to actively get rid of bloody mucus.
If the postpartum bleeding has not stopped even 40 days after delivery, and the pain does not allow for a normal life and care for the newborn, then the woman should think about going to the doctor. Abundant discharge with a strong odor and increased body temperature can be symptoms of an inflammatory process in the uterus. This condition of a young mother requires immediate treatment.
There are cases when the uterus is reduced and cleaned in the first 2-3 weeks after birth. Therefore, by the first month of her baby’s life, a woman begins to have full menstrual periods after childbirth. At the same time their cycle is also quickly adjusted. This phenomenon, though rare, does not apply to something abnormal. More often periods at this time appear in women who have easily passed the tests of the pregnant period.
The absence of the menstrual cycle during lactation is a normal and regular phenomenon. When the baby actively and regularly sucks the breast, the hormone prolactin dominates in the female body, it just suppresses the work of the ovaries. The possibility of egg maturation is absent, and the period does not occur. Restoration of the female body can take a lot of time: from six months to 2 years. It is important to visit the gynecologist every 2-3 months to exclude pathological changes in the female genital organs and the selection of individual contraception.
If you express milk
Many mothers are confident that periods after childbirth mean the end of breastfeeding. Some of them complain about the refusal of the baby to take the breast because of the spoiled taste of milk. But the monthly does not affect the quality of milk, it also contains all the nutrients needed baby. Women are looking for a way to prolong natural feeding and use a method of expressing milk. On the one hand, there are cases when menstruation does not affect the amount of breast milk, and on the other, it disappears altogether.
Of course, you can try to express milk and thereby provide the crumbs with food, but the nipple stimulation mechanisms are completely different, and prolactin is unlikely to be produced with the same intensity. Squeezing milk in combination with the usual attachment to the breast can delay the arrival of the month for a couple of months.
If you are not breastfeeding
Artificial feeding from the very birth of a child affects the body of a woman. In it, the level of prolactin rapidly falls immediately, due to this, the eggs begin to produce and the appearance of menstruation can be expected immediately after the end of the removal of lochia from the uterus. When the mother does not breastfeed, the first menstruation begins most often 2 months after delivery. By this time, the lining of the uterus is already restored and comes to normal.
The situation when there is no breastfeeding, and menstruation does not come, is dangerous. There is a possibility of inflammatory processes in the female organs, endometriosis and even cancer tumors.
If profuse bleeding has begun - what to do?
After birth, the stabilization of the menstrual cycle may take more than one month. A woman may be disturbed by heavy discharge, which lasts up to 7 days. This is considered normal if their color, smell and texture have not changed, and gaskets last for 4–5 hours.
When menstruation after childbirth goes more than 10 days, their intensity increases, and unnatural clots are noticeable in the secretions, then we can talk about the beginning of heavy bleeding. In this case, you should promptly visit the doctor for timely assistance. He will conduct a study of the pelvic organs on the ultrasound apparatus, to detect postpartum complications, inflammation of the uterus, or other problems that have caused heavy bleeding. After identifying the causes of a woman can be hospitalized and even appoint curettage of the uterus, if excessive bleeding caused by the remnants of the placenta.
In case of heavy bleeding, especially if they began immediately after the discharge of lochia or 2 months after birth, it is important to compensate for the lack of iron in the body. After all, iron deficiency anemia affects the overall health of a woman. Fatigue, drowsiness, and rapid heartbeat appear, and the young mother is also experiencing psychological difficulties - irritability, a sudden change of mood. To help the body during heavy bleeding, it is not enough to simply enter into the diet foods saturated with iron. Medications of iron are required, and it is better to use specimens intended for oral administration. They should also contain other minerals that help the hematopoietic system to function properly.
A woman needs to carefully monitor her health and respond promptly if her periods after childbirth cause concern. It is worth checking once again at the gynecologist, than for a long time to treat the effects of delayed timely assistance. After all, the well-being and mood of the baby depend on the health of the young mother.
Monthly during lactation: timing and effects on the child
Pediatrician Zinovyeva N.A. 07.16.2015
Is it normal, if the monthly during breastfeeding occurs already in the first six weeks after birth? What if there are no more than a year? What are the terms obstetricians consider physiological, and when should see a doctor? How do mom's menstruations affect the quality, composition, taste of milk and baby's health?
The arrival of menstruation during lactation means that the woman is again ready to conceive and bear a child. The "standard period" for their occurrence is considered the second half of the year after childbirth. According to statistics, at this time begin to menstruate ... 37% of women. What about the other 63%? When do menstruations occur in more young mothers?
Physiological readiness for childbirth
In the modern world, breastfeeding is perceived as a temporary phenomenon, often causing discomfort to the woman. Mom needs to go to work soon, she cannot be near the child all the time, which is why the introduction of complementary foods moved up to six months, and various breast substitutes appeared in the “arsenal” of women - nipples and bottles.
This form of feeding is called “cultural”, that is, dictated by modern realities. She does not allow prolonged and frequent breastfeeding. And it is she who creates the conditions when during breastfeeding menstruation takes place, even if irregular or already for 3 months. And this is considered the norm.
Two hundred years ago, the arrival of menstruation in the first six months after birth was perceived as nonsense. Moreover, women of many nations of the world, far from civilization, continue to raise children and menstruate as laid down by nature, that is, much later than six months.
In the eighties of the last century, Canadian scientist Otto Schaffer studied the timing of menstruation in Eskimo women of Canada. Some of them lived in natural conditions, far from cities, practicing frequent and prolonged breastfeeding. The timing of the conception of the next child from them was 20-30 months after a previous birth. Women "civilized", using bottle feeding, got pregnant in the second or third month. Based on the data obtained, Otto Schaffer concluded that it is the frequency of breastfeeding by the infant that is the main regulatory mechanism of natural family planning.
The research was continued by John and Sheila Kippley, the founders of the League of married couples in the United States. They introduced the term “ecological breastfeeding,” meaning the abandonment of any framework in the process of feeding, nipples and regimes. Based on long-term observations, the Kipppus spouses have published a report that allows an accurate assessment of the relationship between breastfeeding and menstruation with an “environmental approach”.
- 9-20 months. The total period of arrival of the month in 71% of women practicing ecological breastfeeding (or “on demand” mode).
- 14.6 months. The average time of arrival of the first menstruation in a woman. Provides a minimum time interval between the birth of children in 2 years.
Even more impressive data led American scientists Connor and Wortman. They conducted research in the American Kung tribe, whose life is not very different from the primitive society. The first arrival of menstruation after childbirth in the women of the tribe began after 35 months, which made it possible to withstand the time interval between births for at least three and a half years.
When menstruation comes during lactation depends solely on the regularity of breastfeeding. The “on demand” mode with refusal to supplement, supplementary food, bottles and nipples provides the longest time interval - up to two or more years after delivery.
Borders of the norm
However, the opinions of obstetricians and gynecologists on this issue often differ. Sometimes women are advised to “roll out” breastfeeding after a year in order to “restore” the natural reproductive cycle. These recommendations have nothing to do with women's health, said breastfeeding counselor, expert of the International Council of Lactation Consultant Examiners (IBCLC), Natalia Razakhatskaya.
She cites the following “boundaries of the norm” for the arrival of menstruation for nursing mothers.
- "I feed on breast milk, they went monthly." Normally, when menstruation occurs in the first six months after birth. This happens in about seven percent of women. It is also normal when this happens in the second half of the year after childbirth, which happens in 37% of women. During the second year of breastfeeding, 48% of mothers receive menstruation. And about 8% of women do not menstruate for two or more years, which is also a variant of the norm.
- "I feed on breast milk, no menstruation." The timing of the onset of menstruation depends on the hormonal background of the woman. Menstruation is absent due to the high level of the hormone prolactin in the body, which blocks the work of the ovaries and the production of eggs. The more often you breastfeed, the higher the level of prolactin, and the lower the risk of another pregnancy. The contraceptive method of lactational aminoca is based on this fact, which excludes the probability of conception by 98% while maintaining breastfeeding “on demand” without supplementation and supplementation.
The prevalence of the situation when during breastfeeding go monthly in the second half of the year or one year after delivery, is associated with the introduction of complementary foods and a reduction in the number of attachments of the child to the breast. But even if after two years the period did not start, you should not worry!
“Breastfeeding can be considered a deterrent to the onset of menstruation,” says Natalia Razakhatskaya. - But it does not in any way have a negative impact on the subsequent possibility of getting pregnant. Monthly come as soon as you finish breastfeeding. It is better to do it in the terms recommended by WHO, that is, when a child reaches two years. ”
Also, do not worry in the following situations.
- Lactation and monthly "coincided" a month after childbirth or after cesarean. This suggests that the standard postnatal period, usually taking 6-8 weeks, you have passed faster. And of course, that you are not breastfeeding often enough. Usually, such an early arrival of menstruation is characteristic of women who are feeding children with an artificial mixture.
- They went monthly during breastfeeding, but there was a delay. This situation is likely when changing the mode of feeding. For example, you began to breastfeed your baby less often due to the introduction of complementary foods. But during teething or disturbance of the crumbs for another reason, they began to apply it more often. The level of prolactin in the body increased again, which led to a "blocking" of the mechanism of ovulation.
To perceive the long absence of menstruation during lactation as a “defect”, to feel because of this inferior is fundamentally wrong. Nature laid in us this natural mechanism for the regulation of the reproduction of the species. What to do in this situation? Do not be nervous while waiting, but enjoy the “respite” in the work of the reproductive system.
Impact on the child
There are many myths about how periods during breastfeeding affect the baby’s stool, its behavior, taste and composition of milk. Consider the most common.
- During the "critical days" the smell of milk changes, its taste, because of which the baby may refuse to breast. Studies conducted on this issue have not confirmed changes in taste and other characteristics of breast milk. The nervous or agitated state of the child is usually associated with the similar state of the mother, who is experiencing whether the baby will take the breast. There are no grounds for refusal on the part of the crumbs, so you should not worry.
- It is impossible to feed during menstruation, as there are a lot of hormones in milk. In breast milk, women hormones are always present, and during menstruation, their level absolutely does not change. Moreover, their presence is necessary for the child's body for proper development.
- Milk becomes worse due to menstruation, changing its composition. Breast milk at every stage of the baby’s life fits perfectly with its needs. During the period of menstruation, its composition does not change at all, it does not become either worse or better. Breastfeeding should not be stopped due to the restoration of the reproductive system of the mother.
- Milk becomes less, you need to enter supplementation. Another misconception that can cause a breakdown of breastfeeding. Supplemental feeding during the “critical days” of the mother is not allowed. If there is less milk (which is probably due to hormonal changes), it is important to feed the baby more often, and other dietary adjustments are not required. Reducing lactation is temporary, its level is restored within one to two days.
You should not perceive the arrival of menstruation as an extraordinary event, because of which you need to "change something." По сути, оно не обозначает ничего, кроме возможности наступления новой беременности. И заставляет женщину задуматься о дополнительной контрацепции, если она не планирует рождение малышей-погодков.
Тщательно взвешивайте информацию, поступающую из разных источников, о влиянии критических дней на грудное вскармливание. Месячные в период лактации так же естественны, как и их отсутствие. The timing of their offensive is strictly individual and depends on the hormonal levels. Attempts to "fit" them under some framework usually become the cause of additional experiences of a woman with no real reason.
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When do menstruation begin after childbirth with HB?
The duration and frequency of the menstrual cycle, as well as the nature of the menstruation themselves, are derivatives of the hormonal background of the woman. Thus, nature provides a very long period of rehabilitation after childbirth - at this time all the forces and resources of a woman should be directed at feeding the baby. This happens due to the active production of prolactin. This hormone enhances the secretion of milk and simultaneously blocks the function of the ovaries, thereby preventing the maturation of the egg. Thus, it turns out that lactation is a kind of protection against repeated pregnancy.
However, gynecologists do not recommend relying on this method of contraception. For example, many women note that they suddenly began menstruating after childbirth during breastfeeding. Most often, this fact is stated before the deadline by moms who feed the baby with the mixture. Of course, there is nothing paradoxical about this - without putting a crumb to the breast on demand, the amount of milk produced gradually decreases, respectively, the level of prolactin falls. This, in turn, leads to the speedy recovery of the menstrual cycle.
There is a direct dependence on the type of feeding and the beginning of menstruation. Menstruation begins almost immediately after childbirth, if the baby is an artificialist, feeding according to the regimen implies a delay of several months, the same fate awaits the mummies who feed or feed the newborn from the bottle.
However, even women who feed a baby on demand are not insured from the onset of menstruation earlier than expected, because the introduction of complementary foods at six months can accelerate the process.
From the foregoing, the conclusion follows, if during lactation Mommy began menstruating, then breastfeeding is no longer a reliable method of contraception. Moreover, it should be noted that at first the cycle may be unstable, therefore it is extremely difficult to calculate the days favorable for conception. It is also important to understand that the onset of menstruation is not a reason for the cessation of lactation, since this in no way affects the quality and taste of milk.
Any medicine is extremely undesirable during the period of feeding the baby, and it can be very dangerous, especially such a group of medicines as antibiotics. Whether it is worth saying that only the doctor has the right to choose which drug to choose. We will review the most frequently used tools.
The drug No-shpa has a strong effect and is able to seriously help in different situations. And although the instructions indicate that during lactation the drug is prohibited, in practice, doctors, at times, prescribe it to lactating. Let's discuss whether it is really possible to use it for young mothers.
Sometimes serious diseases, the treatment of which does not cost antibiotics, occur in nursing mothers. Then a serious question arises, which of them are allowed during breastfeeding, and should lactation be stopped?
Often, women in the postpartum period have problems going to the toilet, and they often develop hemorrhoids. In such cases, young mothers are interested in an effective remedy that is permitted when feeding.
After giving birth, the uterus becomes a solid wound. The duration of tissue healing is different. The inner surface heals a month after childbirth, the place of attachment of the placenta at least 6-8 weeks. While the internal tissues are restored, the body rejects the excess, is cleared of lochia. Women are confused with this process of menstruation. In the absence of pathologies, the discharge ends in 4-6 weeks. Further, the onset of a new cycle.
Can monthly begin one month after birth? Yes, 90% of non-nursing moms. Menstruation in a month comes from women who use complementary foods from birth. The hormones responsible for the maturation of the egg, under the action of prolactin (lactation hormone) are suppressed, so the nursing mother will not start menstruation early.
Why did monthly begin one month after birth?
- reducing the amount of milk
- introduction of complementary foods
- child's complete failure of the breast,
- feeding by the hour
- Mom's age is 20-25 years old with no complications at birth,
- correct diet, daily routine,
- hormonal disorders,
- individual characteristics.
There are at least 10% of breastfeeding women who say that a month has passed after childbirth, and menstruation has already begun. Conversely, the absence of lactation does not always guarantee the beginning of the cycle, perhaps the body is still weak, not ready for a new pregnancy.
Birth is important if the process was without complications and surgery, swelling, hyperemia in the uterus disappear faster. Normalization of the contraction of the walls. Work of the ovaries is getting better, the ability to stimulate the maturation of the follicles, followed by menstruation, returns. It is important to distinguish lochia from menstruation, because if the postpartum discharge from the uterus lasts more than 2 months, there is a possibility of uterine bleeding.
Difference from bleeding
If the uterus bleeds a month after birth, it is a normal discharge, which decreases gradually. The consistency and color of lohii change. At first they are thick, bright red in color, at 2-3 weeks the discharge becomes lighter, mucus appears, at 4-6 week the amount becomes minimal or disappears completely. The break between lochia and menstruation is 14-30 days.
If monthly after childbirth came a month later, are not relevant in 90% of cases, the first menstruation passes anovulatory type. The egg cell is ripening, but, due to the lack of hormones, it does not leave the ovary, does not cling to the uterus. Mucous tissues that were preparing to attach an egg are rejected in the form of menstruation.
If the uterus after childbirth is weakly reduced, there is a danger of severe uterine bleeding. This is due to the lack of oxytocin, prolonged delivery, multiple pregnancy.
It is required to know the differences between uterine bleeding from menstruation or lochia. If time does not respond to changes, there are risks of complications and death.
- full gasket for an hour
- color is deep red,
- blood is abundantly pushed,
- pulling pain in the lower abdominal circumference,
- dizziness, weakness,
- nausea, clouding of consciousness,
- lowering blood pressure.
When bleeding condition worsens gradually, with each passing day. With menstruation, on the contrary, the state of health does not change dramatically; by the end of discharge, it returns to normal in terms of indicators. Patients with chronic diseases of the genitourinary system, after cesarean section, have a greater risk of pathology. Ignoring the doctor's recommendations for compliance with the postpartum regime also provokes the risk of bleeding.
The onset of menstruation after childbirth a month later, may be pathological. The risk is big, so you should not check and wait for several cycles. At first doubts, you need to go to the gynecologist.
- sudden stop of lochia - the probability of neck bending, accumulations of tissues inside,
- non-terminating periods 5 weeks after delivery and later
- scanty discharge 3-4 cycles in a row, talking about hormonal failure or endometritis,
- heavy bleeding six weeks after childbirth, or earlier, indicates the inferiority of the uterus,
- duration of menstruation more than 8 days,
- dizziness, hypotension,
- long heavy bleeding every 2 weeks
- severe aching pain, fever, fever means the development of infection,
- unpleasant smell, muddy composition - inflammation or bacterial infection,
- prolonged spotting - endometriosis,
- itchy crotch, white curdled inclusions speak of candidiasis,
If the lochia discharge has stopped, and a month later the blood has gone again, it is in most cases menstrual. The state of health during menstruation remains normal, the nature of the discharge is different from the postpartum, there is no pain and pulling sensations.
The third most common complication of bleeding after childbirth is endometriosis. This proliferation of tissues of the uterine mucosa on the internal organs. Consequences of the disease: cysts, the development of infertility or menstrual disorders with the ability to conceive. With endometriosis on artificial feeding, blood can flow within three months after delivery. The disease is characteristic of women after cesarean section.
After cesarean section
The consequences of the operation are felt from day one to six months. Painful, long healing seams affect the nature of menstruation. Explicit pain and abundant discharge, similar to bleeding, accompany the first menstruation after childbirth. No need to wait for wound healing in the uterus in a month or two. The body is still injured and weak, because during the operation, tissues, blood vessels are cut, a long, deep incision.
The cycle during artificial delivery is restored longer. If a woman went monthly after a month and a half or much later, it is considered the norm. Timing depends on the mode of feeding and the difficulties during the birth of the child.
- recovery occurs later due to the long healing of injuries on the uterus, complicated labor,
- prolonged renewal of ovarian functional, lack of ovulation,
- abundant thick discharge 3-4 cycle,
- pain, if there are chronic diseases of the genitourinary system or post-natal complications,
- intensified during exercise, feeding and effects on the stomach,
- the duration of menstruation increases,
- the cycle may become smaller
- weakness, dizziness, pallor of the skin, against the background of the risk of iron deficiency anemia.
A woman after abdominal cesarean section needs to monitor the condition during menstruation. If the gasket is filled in less than 1 hour, you feel much worse, there is a risk of the onset of uterine bleeding or other complications. It is important to pay attention not only to the color and nature of the discharge, but also to the duration of the process. Mom 4 weeks after cesarean need to visit a gynecologist.
At birth, the body undergoes a strong load. Menstruation will return to a normal cycle only when the urinary, endocrine, immune and nervous systems are restored. Sharply increases the need for vitamins, good sleep.
It is recommended to observe the diet, rest more, attract assistants to care for the baby, try not to be nervous. A return to the former rhythm of life will pass faster, problems with the cycle will be bypassed. If there is scarlet blood a month after delivery, medical care is required.