The time when the menstrual period begins after the birth and the menstrual cycle is restored, all women come individually. It depends on several factors, including the woman's hormonal balance and the question of whether to breast-feed after pregnancy or not.
It's nice to be released for nine months from the critical days, without worrying about having a swab or sanitary napkin at hand! After birth, this ends. Progesterone ceases to be produced, which returns the monthly cycle back.
If menstruation has already begun, this is evidence of the restoration of the female body and the readiness for a new pregnancy. It is important to know what time of the beginning of critical days will be normal, and what does not, and how long they should last.
- The woman's body after the birth of the child
- What does the cycle recovery depend on?
- What changes occur after pregnancy?
- Tips for the postpartum period
- Contraception after the onset of the monthly
The woman's body after the birth of the child
All systems should gradually return to the state they had before pregnancy. They begin to recover immediately after the latter comes out. This period should end in about 6-7 weeks. Accordingly, when the monthly starts after birth, depends on how long recovery takes.
Nervous, endocrine, cardiovascular, reproductive and other systems roll back those physiological changes that have occurred to them after childbirth. And, conversely, the function of the mammary glands, which is necessary for breastfeeding, is activated.
In order for the menstruation to begin, the ovaries and the uterus must work together smoothly. If one organ has not recovered completely( for example, because of cesarean section of the uterine membrane were violated), then the cycle of menstruation will come later. In usual cases, 10 days after the birth, the cervical canal is formed, for each day it drops by 1 cm. After 6-8 weeks, it already looks the same as it was before pregnancy. By this time, you can calculate how many times its weight has decreased - it's only 50-60 g.
What does the recovery cycle depend on?
The following factors affect when the menstrual period comes after delivery:
- Caesarean section or vaginal delivery - due to a suture on the uterus and complications from monthly infections can begin later;
- number of children born;
- lack of vitamins, minerals and trace elements leads to the fact that when the menstrual periods begin after the birth, they are scarier and more painful;
- pathology and miscarriage in the postpartum period;
- stress and lack of sleep.
Ovulation can occur before the onset of critical days. So be careful with contraception.
Those who feed a child usually do not have a long rest for the return of the monthly cycle after birth. To produce milk from nursing mothers, the body produces a hormone called prolactin, which changes the hormonal balance, which also affects the menstrual period. Prolactin limits the maturation of the egg in the ovaries, so that nursing mothers often wait longer untreated before their monthly starts again. Usually they come after some time after the introduction of complementary foods.
But still you must avoid sex at this time, if you do not want to get pregnant again. The probability of ovulation during lactation, although it decreases, but you can not completely exclude it."It is better for all couples to abstain for six weeks after giving birth," advises Dr. Dorte Meisel on this matter. It is important to remember here that contraceptives do not affect breast milk the way hormone pills can.
Along with this, menstruation does not mean that you should stop breastfeeding. Your milk still has a high nutritional value for your child, even during monthly periods. Its number may be slightly smaller during the cycle, but after it is finished, everything will be as before. The child can feel that the milk is not as tasty as usual. And your nipples may be some days a bit more sensitive. But all these are small problems that disappear after a few days.
What changes occur after pregnancy?
The first months after pregnancy are much stronger and take longer. Only after several cycles they return back to the familiar, weak menstrual bleeding. The time through which the monthly cycle is normalized can reach six months.
What else can happen when the menstrual period begins after the birth:
- Allocations are weaker than before pregnancy - in this case it is better to seek the advice of a doctor, gynecological diseases are possible.
- Pain during menstruation, which was not earlier - may exacerbate a chronic inflammatory disease - endometritis or salpingoophoritis. Watch for symptoms.
- On the contrary - the pains disappeared. They could be associated with an incorrect position of the uterus during the antenatal period.
- Critical days do not come long, despite the fact that you do not breastfeed.
- Monthly, now, in contrast to the period before birth, have a regular cycle.
- The cycle has changed, but it is regular. The main thing is to calculate how many months are lasting - this should not be more than 5 days, and the period between menstruations - up to 31 days.
- They are irregular, the time between menstruations has increased or your cycle varies greatly. Do not worry, the cycle should be restored in 4-6 months. If a longer period of time has passed, see a doctor.
If literally a week after birth, you have a selection, it's about the so-called lochia .It is the bleeding that occurs when a wound is healed caused by the separation of the placenta from the uterine wall. Lochias change their color from bright red to white over time. With a duration of three to six weeks with lochia, nothing to do.
However, there are cases in which you may need the help of a doctor. These include:
- discharge is so strong that you need one or more postnatal pads per hour;
- you hear an unpleasant smell;
- suddenly became bright red and did not stop even with the recumbent position of your body;
- their color does not lighten more than one week, and they are as strong as they were in the beginning;
- they have large blood clots;
- general poor state, chills and fever.
This may be a symptom of secondary postpartum haemorrhage, when part of the placenta is still in the uterus. Then immediately need help from doctors!
Tips for the postpartum period
Contraception after the onset of monthly
When breastfeeding, you should be careful, and choose methods that do not affect the production of milk. For nursing mothers, barrier methods, such as condoms and diaphragms, are suitable. They are considered safe spirals, they have no effect on milk.
A spiral or diaphragm can be delivered by a gynecologist no earlier than six to eight weeks after delivery, when the uterus is healing. Mothers who do not breast-feed can start taking pills after the first menstruation. Not all hormone preparations are suitable for mothers who give breasts. Combined pills consist of estrogens, which are passed on to the baby and can reduce the amount of milk. However, mini-tablets that contain only progestin are harmless.
In any case, before taking birth control after birth, you should ask the doctor's advice.
When after the birth starts on a monthly basis, we, of course, think about hygiene. Not all tools can be used. This applies to a greater degree of tampons, since the uterus during the first six weeks heals, and they can carry the infection, which is fraught with complications. Use tampons only six weeks later.
Naturally, to get rid of the symptoms, you need to remove the cause. If it's a disease, then, of course, you need to contact the doctors. But here you can try to eliminate commonplace reasons:
- You need to eat special complexes of vitamins, dairy products, meat dishes, vegetables and fruits - this will do good not only for you, but for the baby if you are breastfeeding. Pain with menstruation, abundant or scanty discharge may depend precisely on this.
- Try to distribute the load between households, because lack of sleep, constant cleaning, postpartum syndrome can also lead to problems with women's health and menstruation.