Heavy bleeding periods after delivery: what to know

Bleeding and discharge normally change after birth as the uterus contracts and heals. It often becomes lighter and changes colour over time. A return of heavier flow may also be a period, particularly after bleeding had settled, but heavy bleeding soon after birth can signal postpartum haemorrhage. Causes can include the uterus not contracting well, tissue remaining in the uterus, or a tear in the birth canal. Perineal repair may be relevant when a tear or cut needs treatment.

Note when the heavier bleeding began, how quickly pads are becoming soaked, whether clots are present, and any pain, fever, dizziness, or weakness. Use pads so the amount is easier to judge, and do not insert anything into the vagina while you are bleeding after birth. Contact your maternity team or an urgent medical service for advice; do not drive yourself if you feel faint.

Seek emergency help for bleeding that is sudden or rapidly increasing, repeated soaking of pads, fainting, severe weakness, a racing heartbeat, trouble breathing, severe abdominal or pelvic pain, or fever with feeling very unwell. These symptoms need assessment even if the bleeding later slows.

Ask what amount of bleeding is expected at this stage, whether your examination or blood tests are needed, and how to tell a first period from a postpartum complication. Ask when to return for review if the bleeding continues or becomes heavier again.