What should you know about spotting between periods postpartum?

Bleeding after birth is called lochia. It usually changes in colour and amount as the womb heals, and a small amount may appear after activity. Breastfeeding can delay the return of ovulation and periods, while periods may be irregular when they resume. Hormonal contraception can add spotting, and pregnancy is possible before the first period if ovulation has returned.

Bleeding that starts again after settling may have several explanations, including cervical irritation, infection or retained tissue. A symptom does not identify its cause alone. The time since birth, delivery details, feeding pattern, contraception and any pain or fever help a clinician decide what to do.

Track the colour, amount, clots, smell, pain and relation to activity. Use pads while bleeding is being assessed and follow your maternity team’s hygiene advice. Arrange a postnatal or primary-care review if spotting persists, returns after stopping, or concerns you. Discuss contraception because ovulation can precede the first period, and mention breastfeeding when treatment is considered.

Seek urgent help for rapidly increasing bleeding, large clots, dizziness or faintness, severe abdominal pain, fever, chills, or foul-smelling discharge. Get prompt advice if a wound is painful or opening, or if you feel suddenly unwell. These signs can indicate a complication after birth and should not be judged by colour alone.

Ask whether the bleeding fits your stage of recovery, whether infection or retained tissue needs checking, and when exercise or sex is appropriate. Discuss contraception, breastfeeding-compatible options, pregnancy testing and the symptoms that should bring you back sooner.