As for the start time of the first menstruation after delivery, it will be related to the length of breastfeeding. If it is a mother who is exclusively breastfed, menstruation will be delayed due to the continuous secretion of lactation hormones during breastfeeding. According to the research, 9 1% of mothers who are not breast-fed in the third month after delivery may have menstruation, and will come as early as the fourth week; However, it takes an average of about six months for a full-breasted mommy to have her first period, but some studies show that a full-breasted mommy also has a 33% chance of menstruating in the third month.
Q Is postpartum menstruation related to breastfeeding? As long as you keep breastfeeding, won't menstruation come? The previous paragraph mentioned that postpartum menstruation is related to breastfeeding, but it is not always breastfeeding, so menstruation will not come. When breastfeeding, because the pituitary gland can secrete "lactation hormone", the secretion of gonadal hormone will be reduced, which indirectly inhibits ovarian function and achieves contraceptive effect. However, the increase of oxytocin in postpartum mommy will inhibit the secretion of gonadotropin, and will also stop the development of follicles without ovulation, and menstruation will not appear.
Therefore, it takes an average of six months for exclusively breast-fed mothers to have their first menstruation, but there are great differences among mothers. Moreover, studies have shown that the contraceptive effect of exclusively breast-fed postpartum mothers without menstrual cramps can reach 98% within six months, but it is not 100%. In other words, if the mother is not breastfeeding and has already had her period, it is very likely that she will start ovulation.
Q why is it possible that the cycle and flow of postpartum menstruation are particularly high or low? The abnormality or disorder of postpartum menstruation is related to many factors. The most common thing is that lochia is delayed for too long, which makes mommy mistake it for menstruation. As Dr. Lin Chun pointed out, lochia is red 2 ~ 3 days after delivery. After 3 ~ 4 days, the color will fade and the amount will decrease; On the first 10 day, it gradually becomes milky white or light yellow, which may last for 3 ~ 6 weeks. However, some mothers' lochia is still red after one month, and even there will be excessive bleeding (similar to menorrhagia). This situation may be caused by incomplete discharge of placenta or fetal membrane remaining in uterus. So if lochia persists and the color is red, it must be re-treated.
In addition, it may also be caused by uterine fibroids. In addition to affecting the contraction and recovery of postpartum uterus, hysteromyoma may also make menstrual bleeding longer and more, with blood clots and menstrual pain, and abnormal bleeding between menstruation. If the amount of bleeding is too large, it may also cause anemia, leading to dizziness and fatigue. Depending on its location and size, fibroids may also cause different symptoms, such as frequent urination (fibroids are pressed forward to the bladder), constipation (fibroids are pressed backward to the intestine), and even abdominal pain.
Finally, I want to remind you that the mother-in-law and mother-in-law care for their beloved daughter-in-law (sometimes because of the explanation of western medicine, it is not appropriate to take supplements in the first week after delivery, and make them twice in the second week), etc., and may also cause excessive blood circulation due to personal physique, leading to excessive bleeding. In short, if one of the symptoms appears, it is suggested that you can go to obstetrics and gynecology for further diagnosis and ultrasound examination.
Further reading: Want to add a brother to your boss? Don't miss the golden period!
Q why is postpartum menstruation particularly chaotic? The first menstruation after delivery may be a little different from the previous menstruation. Early postpartum menstruation may be just menstruation without ovulation, and it will end in a few days, and the amount of bleeding is not as much as usual. There are also some mothers who are under too much pressure to take care of their children and work at both ends, resulting in excessive prolactin secretion and abnormal gonadotropin secretion from the pituitary gland, which leads to menstrual disorder and ovulation. The problem of high prolactin caused by this stress usually does not last long. As long as you can effectively reduce your stress, you can improve your situation.
Some mothers insist on dieting because they want to lose weight quickly and get back to their pre-natal figure. A strong diet will make them lose weight quickly in a short time, because the lack of body fat will lead to the reduction of raw materials for making hormones, thus making menstruation suddenly abnormal, less, or even not coming. In addition to the above reasons, mommy's age and postpartum overweight can also cause postpartum menstrual disorder, but usually it will gradually improve after the third menstrual cycle. The normal menstrual period is about seven days, usually in the first two days, and then gradually decreases. If the menstrual flow is very small for a long time, you should go back and evaluate whether there is infection, adhesion caused by surgery, or just hormonal imbalance.
In addition, if there is fresh blood flow during confinement, it may be caused by poor uterine contraction, or it may be caused by eating too many supplements. If after caesarean section, the menstrual flow is also large in the first two days and then punctate bleeding continues, making the menstrual period longer than ten or twenty days. It may be an intrauterine scar caused by caesarean section. If there is endometriosis, there will be menstrual pain, pain, chronic pelvic pain and other phenomena. These conditions need to be followed up to confirm the symptoms before treatment.
Q I heard that you can ovulate without menstruation? Is it true?/You don't say. /You don't say. The appearance of postpartum menstruation is also a sign that the body recovers from ovulation. But the first ovulation after childbirth is not necessarily after menstruation, but also before menstruation. About 14% ~ 75% of breast-fed mothers ovulate before their first menstrual period, while about half of non-breast-fed mothers ovulate during their first menstrual period, and 75% of them resume ovulation in the sixth month after delivery, because there is no interference of lactation hormones. Therefore, if you wait for menstruation to recover before contraception, you may accidentally get pregnant again soon after delivery.
Q: If you don't want to give birth to a child too soon, should you take contraceptive measures after delivery? The best birth interval is 3 to 5 years. Dr. Lin Chunru said that according to statistics, about two-thirds of mothers in the world do not have enough contraceptive measures in the first year after delivery. If you don't take contraceptive measures, you will get pregnant immediately, and the next baby is prone to the risk of premature birth, low birth weight and growth retardation, and the risk of mommy's delivery will also increase. If it is a caesarean section, the second child is too close, which is easy to rupture due to incomplete healing of the uterine wound; Mommy's uterus and body need some time to recover. It is recommended to wait at least one year before getting pregnant. If the childbearing age is not considered, according to the research, the best childbearing interval is 3 ~ 5 years.
Don't worry about postpartum intelligent contraception.
If you don't want to give birth to a baby too soon, you really need to take contraceptive measures after delivery. Generally, it is recommended to choose condoms for contraception at the beginning of recovery from postpartum life. If you don't want to have any more children, male or female ligation is a contraceptive method. Compared with female ligation, male ligation is the first choice. If female ligation is chosen, it is expected that the parturient with caesarean section can discuss with the doctor and do tubal ligation together during caesarean section. For the mother who gave birth naturally, it is recommended to complete the ligation operation within 24 hours after delivery to reduce the probability of infection and increase the difficulty of the operation, because the uterus becomes smaller; If the ligation operation is not completed within 24 hours, you can discuss with your doctor after the uterus recovers and use laparoscopic surgery for ligation.
Generally, it is 6 weeks after delivery that the uterus will return to its pre-pregnancy size. If you want to use IUD for contraception, you must wait until the uterus is fully recovered before putting the IUD into the uterus. If you put it into the uterus too early, the IUD may be discharged together because of the large uterus and lochia. It is suggested that you can ask a doctor to evaluate whether it is suitable to install contraceptives when you see a doctor for cervical smear examination for the second time in 6 weeks after delivery.