[DISCLAIMER]

I originally wrote about postnatal bleeding some time ago, and I’m revisiting this topic again due to ongoing interest. As a mum who has experienced four births, I want to share the realities of postnatal bleeding that no one tells you about. My journey has taught me valuable lessons, and I hope my experiences can help other mums navigate this challenging aspect of postpartum recovery.

Becoming a mum is one of life’s most joyous experiences, but it also comes with its fair share of unexpected challenges. One aspect that many mums-to-be overlook is postnatal bleeding. Despite extensive reading and preparation, the reality of bleeding after birth can be far more intense and prolonged than anticipated. Here’s my personal journey through four births, shedding light on the truths no one tells you about postnatal bleeding.

First Birth: The Unseen Chaos

When I was pregnant with my first child, I devoured countless pregnancy and birth books and magazines. I loved reading about each stage of pregnancy and discovering what my baby was doing during that time. Birth stories fascinated me too, but when it came to postnatal bleeding, the information was sparse and often misleading.

I only ever recall reading that I would “bleed after the birth, like a heavy period.” There were mentions that tampons couldn’t be used during this time and that the bleeding might continue for a few weeks after birth. However, the reality turned out to be much more intense and prolonged than what I had prepared for.

When I climbed off the bed after giving birth, the scene was nothing short of a massacre. My first shower was a shocking experience—the shower tray was ankle-deep in blood. Using the cardboard commode for my first wee after birth felt surreal, with blood seemingly replacing the wee itself. I was utterly unprepared for the sheer volume and intensity of bleeding.

Second Birth: Slightly Better Prepared

Thanks to a friend who had experienced a water birth, I was slightly better prepared for my second delivery.

• Red Waters: The water would quickly turn red, signalling the start of postnatal bleeding.
• Placenta Delivery: I had to exit the water to deliver the placenta, adding another layer of complexity to the experience.
• Bloody Footprints: Looking back on the bed, I saw a red pool and bloody footprints from the pool to the bed, a stark reminder of the intense bleeding.

This preparation made a significant difference, my friend had described in graphic detail what to expect after a water birth and she was spot on! Although the experience still had its intense moments. Knowing what to expect helped me manage my reactions and maintain a bit more composure during those early postpartum days.

Third Birth: A Repeat of the First

My third birth mirrored the first in many ways. There were no significant surprises regarding blood loss, but I had already forgotten just how much blood was involved. The initial shock was less, but the prolonged bleeding was still an unexpected challenge.

Fourth Birth: The Biggest Shocker

My fourth birth was the most shocking due to the largest blood loss of all my births.

• Unexpected Patterns: At eight weeks postpartum, I could bleed heavily for three days and then not for three days. I was not prepared for this cyclical pattern, which left me feeling unprepared and overwhelmed.

What Were You Not Prepared For?

Reflecting on my experiences, here are the key aspects I wasn’t prepared for regarding postnatal bleeding:

• Massive Bleeding: The volume of blood was far beyond what I had imagined from reading that it would be “like a heavy period.”
• Extended Duration: Bleeding continued much longer than the few weeks I had been told.
• Daily Management: Increased activity after leaving the hospital led to more bleeding, something I hadn’t anticipated.
• Maternity Pad Usage: One pad was insufficient, requiring strategic placement—using one lengthways and one sideways—to manage leaks effectively.
• Unexpected Patterns: Prolonged and fluctuating bleeding patterns post six weeks were entirely unforeseen.

Understanding Postnatal Bleeding

Postnatal bleeding, also known as lochia, is a natural part of the postpartum recovery process. It involves the discharge of blood, mucus, and uterine tissue as your body returns to its pre-pregnancy state. However, the intensity and duration can vary widely among individuals. Here’s what influences postnatal bleeding:

Factors Influencing Postnatal Bleeding

• Type of Delivery: Vaginal births generally involve more bleeding compared to cesarean sections.
• Uterine Health: A firm and well-contracted uterus can reduce bleeding.
• Physical Activity: Increased movement can sometimes increase blood flow, as I experienced.
• Use of Pads: Proper usage and frequent changes can help manage the flow effectively.

Tips for Managing Postnatal Bleeding

Managing postnatal bleeding effectively can help reduce stress and promote a smoother recovery. Here are some tips based on my personal experience:

• Use Plenty of Pads: Opt for high-absorbency maternity pads and consider doubling up to prevent leaks.
• Wear Loose Clothing: Tight garments can cause irritation and make managing bleeding more difficult.
• Stay Hydrated and Eat Well: Proper nutrition and hydration support your body’s healing process.
• Rest When You Can: Rest helps your body recover and manage the demands of postnatal bleeding.
• Monitor the Flow: Keep an eye on the amount and duration of bleeding. Seek medical advice if you notice unusually heavy bleeding or other concerning symptoms.

Final Thoughts

Postnatal bleeding is a reality that many mums-to-be aren’t fully prepared for. While resources mention heavy bleeding similar to a period, the intensity and duration can be much more significant. My journey through four births taught me the importance of being mentally and physically prepared for the unexpected aspects of postpartum recovery.

If you’re expecting, I encourage you to seek comprehensive information and speak openly with your healthcare provider and good friends about what to expect. Understanding the potential realities of postnatal bleeding can help you manage it more effectively and reduce unnecessary stress during your recovery.

Have you experienced unexpected postnatal bleeding? Share your stories and tips in the comments below to support other mums navigating the same journey.