Your body after baby
What is postpartum bleeding?Postpartum bleeding is bleeding from the vagina after giving birth. It’s normal. However, heavy bleeding (hemorrhaging) can be a sign of other health problems. The most common causes of serious, heavy bleeding after birth are:
- Uterine atony: This is when the muscle in your uterus (womb) doesn’t contract (tighten). When your uterus contracts, it helps manage bleeding. The placenta grows in your uterus and supplies the baby with food and oxygen through the umbilical cord. If you have twins or a large baby, or if you are in labor for a long time, you may be at risk of having uterine atony.
- Retained placenta: During the third stage of labor, you deliver the placenta. If the placenta doesn’t pass within 30 minutes after your baby is born, you may have heavy bleeding.
- Tearing: If your vagina or cervix (opening to the uterus that sits on top of the vagina) is cut or torn during birth, you may bleed heavily.
If you have serious bleeding after birth, it most likely happens when you’re still in the hospital. Your health care provider may massage your uterus or give you fluids through an IV needle into your vein. This can help stop the bleeding. She also may give you oxytocin (a hormone that can help your uterus contract). In very rare cases, a woman may need surgery or a blood transfusion.