And now, in 9 months, there are deliveries. In the body of a woman, hormonal reconstruction is again. But only this time nature has taken care of actively developing another hormone - prolactin. In the people it is accepted to call it "milk hormone" because prolactin stimulates the production of milk. At the same time, this hormone inhibits the production of hormones in the ovary. Consequently, the egg can not ripen, and therefore, there is nothing to get out of the ovary (there is no ovulation). As a result, the monthly does not come again. And this state will last as long as progesterone is actively "working", that is, milk is produced. Lactation continues until the woman feeds the baby with the breast.
As in the ideal, everything is harmonious. A few years ago that was exactly what happened with every woman. Our grandmothers and great-grandmothers calmly fed their babies to three years of age and completely forgot about the annoying monthly. Today there are several norms. The onset of menstruation after childbirth is just the case that has several options, with each of them being "normal".
When does the month after the birth begin?
Based on the foregoing, it is easy to guess that the onset of menstruation after childbirth depends on breastfeeding. In order to actively develop prolactin, a woman must breast-feed at any time of the day or night (on demand). The more often, the better. Only in this case, the monthly will not come. But as soon as the lactation decreases - the production of prolactin falls, and hence the monthly ones are restored again.
And now about the norms and terms. Recently, as already mentioned, there are many "normal" terms. All because the organism of each woman is individual, besides modern "technologies" (hormonal preparations for contraception, drug birth) sometimes violate what mother nature has conceived and established.
Early and late onset of menstruation
Early is called the onset of menstruation in 6-7 weeks after childbirth. However, it is not a pathology. Most likely, the monthly will be restored so early for those women who for some reason refused to breast-feed. Or the feeding of the child is mixed. In the latter case, the first menstruation will appear 2-3 months after birth.
Many women believe that postpartum discharge - this is the monthly. However, this opinion is erroneous. Bloody discharge from the uterus after birth is called lochia. They appear due to the fact that when the placenta is separated from the walls of the uterus, a wound is formed on the same walls, which bleeds several weeks after childbirth. In the first days, the Lochians are bright red, quite abundant and may have clots, then they turn brown and less abundant, and by the end of the 6th week they disappear altogether.
Sometimes menstruation does not occur for a whole year or more. If the child is on full-fledged breastfeeding, then there is no cause for concern.
The nature of the monthly after birth
It is believed that the menstrual cycle will fully recover after the first 2-3 menstrual periods, and will become regular. If this does not happen - contact a gynecologist. The cause of irregular postpartum periods may be inflammation of internal genital organs, endometriosis, tumors of the uterus and ovaries and many other pathologies. The reason for the "non-occurrence" of menstruation may also be a repeated pregnancy, because breastfeeding is not a method of contraception.
Usually the first months after birth are abundant. The phenomenon is very natural and normal, if the menstruation lasts no more than a week. However, if such periods are accompanied by dizziness, weakness, palpitations, you should consult a doctor.
After birth, it is possible to change the duration of the menstrual cycle and the duration of menstruation (blood secretions). The normal menstrual cycle is from 21 to 35 days, the period of discharge is not more than 5 days and not less than 3. Any deviation is an occasion to call a doctor. Monthly should not be either long and plentiful, neither short nor scanty. Too long months can indicate a myoma of the uterus.
Many women are interested in whether the pain of menstruation will change after delivery. Everything is individual in this matter. In fact pain at monthly can be caused by various factors. For example, if the pain was caused by the bending of the uterus, then most likely after the birth pain will subside, because through the generic process the uterus acquires a normal position. However, there are other causes of painful periods: inflammatory processes after childbirth, severe reduction of the walls of the uterus, general immaturity of the body, inflammation of the uterus and appendages.
If the pain in the months after the birth can stop, then it is almost impossible to get rid of the premenstrual syndrome. To this day, the causes of PMS have not been fully understood, although there are many different versions. However, the symptoms of each woman are the same: irritability, bad mood, tearfulness, tenderness and swelling of the chest, a kind of puffiness, pains in the joints and lower back, headache, insomnia and so on. Although one of the signs of PMS is observed almost before every menses.
Use of tampons and usual pads (with absorbent mesh) is possible only after the full restoration of the menstrual cycle. In no event should you use these drugs immediately after birth in lochia. Tampons interfere with free flow of blood, which is extremely important in the postpartum period. But the reticulum on the gaskets can irritate the injured mucous, especially if the woman has postnatal seams. Also, with lochia, a frequent toilet of the external genitalia is recommended, but without "intimate" gels. You can take advantage of baby soaps. Gaskets should be chosen with a smooth surface and change them every 3-4 hours. In idlar period, unprotected sex is also unacceptable, in order to avoid getting into the open womb of possible infections. Doctors recommend in general to refuse sexual contacts within 6 weeks after childbirth.
Summing up the results of the monthly after delivery, let us once again turn your attention to when you should immediately see the doctor:
Remember also that the recovery of the menstrual cycle after childbirth depends on many other factors: the psychological state of the woman giving birth, inadequate rest, stress, fatigue, malnutrition, birth trauma, general health after childbirth. All this, one way or another, affects the restoration of "critical days". But the future health of the young mother depends on how the monthly will resume.