After giving birth to a child, the new mother is curious when menstruation will come? Although every time she comes, it will bring you some trouble, but she is also your pride as a healthy, mature woman, how can you not care about her?

Question 1: How long is the first visit of an old friend after delivery?

The individual difference of postpartum menstruation is very great. Some mothers welcome “old friends” one month after delivery, and some mothers need to return to normal menstruation one year after delivery. Generally speaking, the visits of “old friends” after delivery are related to whether or not they breast-feed, the length of breast-feeding, the age of their mothers and the recovery of ovarian function.

If you regularly feed your mother’s milk, the menstruation does not come, which is a normal phenomenon; mothers who do not breast-feed, “old friends” usually come within 6-8 weeks of postpartum. If you haven’t been here for more than three months, you’d better go to the gynecology and obstetrics department for a check-up.

Question 2: If you are still nursing, will “old friends” not come?

About 25% of breast-feeding mothers resume ovulation and menstruation at 12 weeks postpartum, while most breast-feeding mothers do not fully resume ovulation until 18 weeks postpartum. Therefore, in the process of breastfeeding, it is very likely that “old friends” will be welcomed. But in breast-feeding mothers, prolactin is maintained at a higher level than before pregnancy, and increased by the baby’s sucking response, so the menstruation of breast-feeding mothers is generally later than that of non-breast-feeding mothers.

Question 3: Will the arrival of “old friends” affect the quality of breast milk?

When “old friends” come, the milk volume of breast-feeding mothers will generally decrease, the quality of protein and fat in milk will also change slightly, the content of protein is higher, and the content of fat is lower. This kind of milk can sometimes cause indigestion in babies, but this is only a temporary phenomenon, after menstruation, it will return to normal. Therefore, mothers need not stop breastfeeding either during or after menstruation.

Question 4: What is the difference between lochia and menstruation?

Usually, after delivery, the mother’s birth canal will flow bleeding secretions, this kind of bleeding from placenta implantation position, mixed with the remaining secretions of decidua, tissue debris and mucus in the uterus, that is, lochia. Normally, at the beginning of 4-5 days, the amount of lochia is large and red; about one week after delivery, the amount of lochia gradually decreases and turns brown; after the tenth day, the color becomes lighter, gradually turning from yellow to white, with no special odor. Lochia usually disappears 4-6 weeks after delivery. The duration of lochia in cesarean section is longer than that in normal delivery. If the brown lochia lasts more than 20 days after delivery, it should be treated in hospital. Usually, the amount of lochia does not exceed the menstrual volume, more than the amount of menstruation or blood clots, vaginal effluents are rotten meat-like tissue or have a rotten odor, should seek medical attention in time.


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