During pregnancy the levels of estrogen and progesterone are such as to inhibit ovulation and therefore the menstrual cycle and after childbirth we must wait awhile before our biological clock resumes its rhythm.
The first phase of postpartum is represented by the lobes, i.e. those losses that occur from the moment of delivery and that persist for about 3-4 weeks gradually changing color. After the birth of the baby, our body slowly begins to return as it was before: our blood values stabilize, our organs return to their place and the uterus returns to its original size.
The lobes are physiological and tell us that our uterus is working to re-imagine the “wound” left by the detachment of the placenta. The uterine wall must be reassembled for this we will have these leaks that will turn from red to brownish, yellow and finally white. In the first few days the lobes seem to have an abundant menstruation, so it is necessary to have very large absorbents. But little by little, as the losses decrease, a pantyhose protector made of delicate material will suffice to avoid irritating the already delicate area and, in any case, it is necessary to remember to change both the pantyhose protector and the pantyhose protector often to avoid that the humid environment that is created goes to hinder with the healing of a possible perineal laceration and to prevent the onset of irritations and infections.
Usually with the end of the lobes and the healing of a possible perineal laceration the couple resumes sexual activity, but you must be careful. Between the end of the lochi and the first menstruation after the birth, there may be another 2/3 weeks during which, however, it is possible that our ovaries have returned to work and therefore ovulation is possible. Therefore, it is necessary to use a safe unconventional method if you want to avoid another pregnancy in the short term.
The first menstruation after childbirth is called capoparto (from it. – the first menstruation after childbirth) and sanctions the resumption of ovarian activity. It appears as a very abundant menstruation because due to the long period of amenorrhoea the endometrium is very thick, and even its duration is longer than a normal cycle and can last up to 8-10 days. After the capopartum the following menstrual cycles will resume their course and their regularity and often those who have suffered in the past from a painful and irregular cycle will notice a less painful and regular menstruation.
When the foreman presents himself, he is closely related to the method of breastfeeding chosen. In women who do not breastfeed, menstruation generally returns after 4-6 weeks after delivery. The return of ovulation and menstruation in breastfeeding women is usually prolonged and is related to the duration of breastfeeding itself, as it is related to the frequency of feeding. If a mother breast-feeds for less than a month, the return of the cycle is more or less similar to that of mothers who do not breast-feed. On the other hand, in women who exclusively breastfeed, menstruation is usually delayed by 3 months, and in some cases it can be as long as 18 months after the birth. This is because the sucking of the baby influences and alters our hormone production, the result of which is amenorrhea.
If you have any doubts or would like to discuss the subject in more detail, please contact your midwife!