How Long Does Postpartum Bleeding Last? A Week-by-Week Guide
💡 I didn't know that...
While many women expect postpartum bleeding to last just a few days, research shows the median duration is actually around 27 to 33 days [1]. For many women, some vaginal discharge continues in varying forms for up to six weeks, and for some it can last a little longer.
If someone had told me this before my first baby, I'd have been horrified! Many women worry that recovery is "taking too long" because there is still bleeding at week four. As a mother of three, I know the frustration of thinking you’re finally over it, only for a busy day to bring back a temporary return of red spotting. Understanding the stages of lochia can help you feel more in control of your recovery.
Every woman's postpartum bleeding is slightly different, but this week-by-week guide gives a general idea of what you can expect.
What is it?
After birth, it's completely normal to have vaginal bleeding and discharge, known medically as lochia. Although it can look similar to a period, lochia is different. It's made up of blood, mucus and tissue from inside the uterus as it returns to its pre-pregnancy size and the site where the placenta was attached heals.
Why does it happen?
When the placenta detaches from the uterine wall, it leaves behind an area of open blood vessels. Your uterus immediately begins to contract (involution) to compress these vessels and minimize bleeding. The lochia you see is the result of this healing process. Think of it as a scab inside the uterus. As it heals, old blood and tissue gradually leave the body [2].
What can I do?
Managing lochia is mostly about hygiene and monitoring. The most important rule is to use maternity pads, not tampons, for the first six weeks. Using tampons or menstrual cups too early can introduce bacteria into the still-healing uterus and increase the risk of infection [3].
You may also notice that your bleeding increases temporarily if you are physically active or after breastfeeding (due to the release of oxytocin, which makes the uterus contract). Many women also notice that bleeding is heavier first thing in the morning or after lying down for a while. This is usually because blood has collected in the vagina while you were resting. If you notice a sudden return to bright red bleeding after it had turned pink or white, it is often your body's way of telling you to slow down and rest.
When should I seek help?
While lochia is normal, you should contact your midwife or GP if you notice any of these "red flags" that could indicate secondary postpartum haemorrhage or infection:
- Soaking through one maternity pad in under an hour.
- Passing clots larger than a golf ball.
- Feeling faint or dizzy.
- Fever or severe abdominal pain.
- Foul-smelling discharge.
- Sudden heavy bright red bleeding after the first week.
If you're ever unsure whether your bleeding is normal, trust your instincts. It's always appropriate to contact your midwife, GP or maternity assessment unit if something doesn't feel right.
Frequently Asked Questions
Why does it get heavier when I stand up?
You may also notice a sudden gush of blood when you first stand up after lying down or feeding your baby. This happens because blood has collected in the vagina while you were resting and isn't usually a cause for concern on its own.
Does breastfeeding make bleeding worse?
Not exactly. Breastfeeding releases oxytocin, which helps the uterus contract. You may therefore notice a temporary increase in bleeding or after pains while feeding, but this usually settles.
Is it normal for bleeding to stop and then start again?
Yes. This is incredibly common. If you've been more active than usual, you may notice bleeding becomes temporarily heavier or brighter red again. This is often your body's way of telling you to slow down. However, if the bleeding becomes very heavy or you're concerned, seek medical advice.
Can I use tampons?
It is generally recommended to avoid tampons and menstrual cups until your six-week postnatal check. Because the site where the placenta was attached is still healing and your cervix may be slightly open, using internal products too early can introduce bacteria and increase the risk of a serious uterine infection.
Can I swim?
Most healthcare professionals advise waiting until your lochia has completely stopped and any perineal or C-section wounds have fully healed before swimming. This is usually around 6 weeks postpartum. Swimming while you are still bleeding or have open wounds can increase the risk of infection. If you're unsure whether your bleeding has completely stopped or your wound has healed, check with your midwife or GP before returning to swimming.
When will I get my first period?
This varies. If you are not breastfeeding, your period typically returns within 6 to 8 weeks. If you are breastfeeding, it may not return for several months or until you reduce feeds. However, remember you can ovulate before your first period, so discuss contraception at your 6-week check if you wish to avoid pregnancy.
Further reading
For more detailed information on recovering after birth, you can visit this NHS resource:
NHS: Your body after the birthReferences
- Sherman, D., et al. (1999). "Characteristics of normal lochia." International Journal of Gynecology & Obstetrics.
- Tosto, V., et al. (2023). "Maternity Blues: A Narrative Review" (Contextual lochia discussion). Journal of Personalized Medicine.
- ACOG (2023). "Postpartum Care Map." American College of Obstetricians and Gynecologists.
- StatPearls (2024). "Postpartum Hemorrhage." National Center for Biotechnology Information.
Looking for more support?
My Six-Week Postpartum Recovery Programme provides week-by-week guidance through the first six weeks after birth, with short videos and downloadable resources to help you recover with confidence.
