What Does It Mean When You Start to Bleed Again Going on Your 4th Week After Giving Birth

What to Look After Your Vaginal Delivery?

1. Bleeding:  Blood loss at the time of delivery does not terminate immediately after delivery.  While in the hospital, yous may accept noticed that you have had heavier vaginal haemorrhage than ever before.  This volition slowly taper down over the course of the next few weeks.  Bright red bleeding that occurred immediately subsequently commitment will slowly change to a darker color and eventually dark-green and yellow.  This is all a normal part of the postpartum transition of the uterus.  Occasionally, a week or 2 after your bleeding seems to have stopped, you lot may take a sudden gush of bright ruby-red blood.  This is the normal procedure of the placental site scab coming off.  This also will taper off over a few days.  Bleeding more a pad an hour for more than three hours is not appropriate and we would similar y'all to contact us immediately.
2. Pain:  The well-nigh significant hurting that most patients experience afterwards delivery is related to uterine cramping.  This may feel similar to contractions while in labor.  This likewise is associated with the uterus returning dorsum to its normal, non-pregnant size.  Oft times, cramping is worse after a breastfeeding session.  The best pain medication to ease the discomfort of uterine cramping is ibuprofen (600 mg every vi hours or 800mg every viii hours).  Though we do not suggest the apply of ibuprofen during pregnancy, information technology is completely rubber during the postpartum period and while breastfeeding.
3. Restrictions:  Considering yous had a vaginal birth, the but real restriction is to avoid sexual intercourse until you lot are evaluated at your 6-weeks postpartum visit.  Once yous feel up to it, feel free to exercise and drive.
4. Vaginal Tear:  Nigh women volition have some fierce of the vagina during vaginal commitment, especially with delivery of your get-go infant.  The postpartum nurses volition teach y'all almost caring for your bottom in the first few days afterwards delivery.  Nosotros advise the use of witch hazel pads, dermoplast spray and frequent cleansing of the surface area with the peri-bottle.  Because urine is very acidic, it frequently volition sting a fresh wound.  A good way to alleviate this hurting is to go on the urine very dilute by being well hydrated.  Y'all tin besides gently sprinkle water over the perineum while voiding.  By and large, it is better to blot your bottom than to employ toilet paper to wipe.  The stitches that we use to repair any vaginal lacerations volition deliquesce on their own; they do not take to be removed.
5. Hemorrhoids:  Like to vaginal tearing, most women will develop hemorrhoids during pregnancy and commitment.  Most hemorrhoids will resolve on their own as your body recovers from commitment.  Care of hemorrhoids can be accomplished with use of witch hazel pads, dermoplast and other over-the-counter hemorrhoid treatments.  Again, cleansing your bottom with h2o after a bowel movement and blotting to dry will alleviate a great deal of discomfort associated with hemorrhoids.
6. Breast Pain:  Shortly after your discharge from the infirmary, you probable will observe your breasts becoming sore, tender and difficult.  This is engorgement, or your breasts filling with milk.  Engorgement is a normal procedure that provides milk for your baby.  Using a hand held pump before latching your baby on to the breast can help relieve some of the discomfort.  You can also hand limited a small corporeality of milk while in the shower to salvage some of the force per unit area.  The amount of milk you produce will eventually match upwards to the amount of milk your baby drinks, only it may take a few weeks for you and your new baby to reach this balance.  Ibuprofen is likewise a good selection for management of breast discomfort acquired past engorgement.  Yous may as well notice that your nipples are painful at the time of latching, and this too is normal.  The tender skin overlying the nipple takes a fleck of time to go toughened up.  A small corporeality of lanolin practical sparingly can be very soothing.

   If you notice redness or streaking of the chest or develop fever, chills or flu similar symptoms yous may be developing mastitis, an infection of the breast tissue.  We would like for you to call the office correct away.

   If you choose not to breastfeed, it is of import that for the outset few days after commitment yous keep your breasts tightly compressed, either with a tight sports bra or an ace bandage.  Try to avoid emptying any milk from your breasts equally this will stimulate your breasts to produce more milk and take longer to dry upward.

7. Fatigue:  The first few weeks and months of caring for a newborn can be some of the near exhausting of a new mom'due south life.  Fatigue is very normal in the postpartum flow.  Almost moms (and dads) will be operation on a lot less sleep than they are used to.  It is very important that you sleep when the baby sleeps.  Though it may feel like there are many other things you demand to do, residue is very important to a successful recovery.  If you have a baby that is awake multiple times through the night, endeavour to take turns with your partner, so each of yous tin can get a little uninterrupted sleep.
8. Swelling:  Swelling of the legs after delivery is very common.  This happens because of the redistribution of the fluid and blood volume of your body from the meaning state to the not-significant state.  This may take two weeks or longer to resolve.  Y'all can help decrease the swelling past walking, elevating your legs and drinking a lot of water.  Rarely, subsequently delivery, a claret clot tin can grade in the legs.  Signs of a blood clot include warmth, swelling and redness of only one leg.  If yous doubtable yous accept a blood clot, delight contact the part immediately.

If you have whatever questions or concerns, delight experience complimentary to contact the office.  Once you are home and settled in, please call the office to conform your postpartum visit for six weeks later delivery.

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Source: https://www.kmobgyn.com/what-to-expect-after-your-vaginal-delivery/

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