Postpartum Blood Loss – What to Expect

If you’re pregnant or have recently given birth, you may have heard people talk about postpartum bleeding or lochia. It’s a completely normal part of recovery after childbirth, but it can sometimes take new mums by surprise. Here’s what you need to know about what to expect.

What is postpartum bleeding?

After your baby is born, your body needs time to heal. The bleeding you’ll experience is called lochia, it’s your body’s way of clearing out blood, mucus, and tissue from the womb. This happens whether you’ve had a vaginal birth or a caesarean.

How long does it last?

• First few days: Bleeding will be bright red and feel a bit like a very heavy period.

• Up to 2 weeks: The flow usually gets lighter and changes colour from pink to brown.

• By 4–6 weeks: Most women find it has turned yellow or creamy before stopping completely.

Everyone is different – for some women bleeding may stop sooner, while for others it can last a little longer.

How much is normal?

In the early days, you may need absorbent underwear or maternity pads rather than standard sanitary towels, as the flow can be heavier. It’s common to pass small clots (about the size of a 50p coin), especially when you first get up after resting.

The bleeding should gradually ease off over time. If it suddenly becomes heavier, has a strong smell, or you’re passing large clots, it’s a good idea to get checked by your midwife or GP.

When to seek help

Call your midwife, GP or NHS 111 if you notice any of the following:

• Bleeding that soaks through a pad in under an hour

• A high temperature over 38ºC

• Passing clots larger than a 50p coin

• Bleeding that becomes heavy again after it had slowed down

These signs don’t always mean something serious, but it’s important to get medical advice quickly.

Call 999 if:

• You start feeling dizzy, faint or unwell with postpartum bleeding that suddenly gets heavier.
• You have a pounding/racing heart.

This could be a sign of postpartum haemorrhage (a very heavy bleed) and you may need emergency treatment.

Looking after yourself

Postpartum recovery takes time, so be gentle with yourself. A few tips:

• Use big maternity pads or absorbent underwear in the early weeks (tampons and menstrual cups should be avoided until after your 6-week check).

• Rest as much as possible, especially in the first couple of weeks. Easier said than done, we know.

• Stay hydrated and eat nourishing meals to support healing. Speak to a healthcare professional about recommended post-birth supplements.

• Keep your midwife appointments, they’ll check how your recovery is going and give you the chance to discuss any concerns.

Final thoughts

Postpartum bleeding is a natural and expected part of recovery, but it’s not often talked about before birth. Knowing what’s normal, and when to ask for help – can make you feel more prepared. Remember, every woman’s recovery is unique, so listen to your body and reach out for support if you need it.

You’ve just done something incredible – give yourself time, patience, and care as your body heals.