hii dr.i have delivered july7th now 53 days completed but now also I have bleeding mam from 5 days heavy bleeding mam 1week stop bleeding and after start bleeding dr is any problem and why please tell me dr

Question

hii dr.i have delivered july7th now 53 days completed but now also I have bleeding mam from 5 days heavy bleeding mam 1week stop bleeding and after start bleeding dr  is any problem and why please tell me dr

Accepted Answer

It is not uncommon for postpartum bleeding to vary in the first several weeks after delivery. After giving birth, most women experience **lochia**, which is a mixture of blood, mucus, and tissue that comes from the uterus as it heals. Lochia typically lasts for about 4 to 6 weeks, and it can change from red to pink to brown over time, becoming lighter as the weeks progress. However, since you are experiencing **heavy bleeding** again at 53 days postpartum, there could be a few reasons for this:

### Possible Causes of Postpartum Bleeding at 53 Days:

1. **Normal Postpartum Bleeding (Lochia):** Sometimes lochia can stop and start again, especially if you have been more active or if there are retained placental fragments that need to be expelled.

2. **Subinvolution of the Uterus:** This is when the uterus does not return to its pre-pregnancy size as quickly as expected, which can cause prolonged or heavy bleeding.

3. **Retained Placental Tissue:** Sometimes, small pieces of the placenta may remain in the uterus after delivery. This can lead to continued or heavy bleeding and requires medical attention.

4. **Hormonal Changes:** Your body is adjusting to hormonal changes postpartum, and if you are breastfeeding, this can also affect your bleeding patterns. Some women might experience irregular bleeding as their menstrual cycle tries to regulate itself.

5. **Infection:** An infection in the uterus (endometritis) can cause heavy bleeding, fever, pain, and a foul-smelling discharge. This condition requires prompt medical treatment.

6. **Postpartum Hemorrhage:** Although rare, some women can experience secondary postpartum hemorrhage, which is heavy bleeding occurring between 24 hours and 12 weeks postpartum. It can be due to retained tissue, infection, or other causes.

7. **Start of Menstruation:** If you are not breastfeeding exclusively, your period might return sooner, and the first period can be heavier than usual.

### When to Seek Medical Attention:

- **Heavy Bleeding:** If you are soaking through a pad every hour or two or passing large clots (larger than a golf ball), this is considered heavy bleeding.
- **Prolonged Bleeding:** If bleeding continues heavily beyond a few weeks or suddenly gets heavier after it had lightened.
- **Other Symptoms:** If you experience dizziness, fatigue, shortness of breath, fever, severe abdominal pain, or foul-smelling discharge.

### What You Should Do:

- **Contact Your Healthcare Provider:** It's important to speak to your doctor or midwife as soon as possible to determine the cause of the bleeding and to receive appropriate treatment.
- **Monitor Your Symptoms:** Keep track of your bleeding patterns, the color, and the amount of blood, as well as any other symptoms like pain or fever.
- **Rest and Stay Hydrated:** Avoid strenuous activities, get plenty of rest, and drink plenty of fluids.

Given the heavy bleeding you're describing, it is crucial to seek medical advice promptly to rule out any serious complications and to ensure proper postpartum recovery.