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Old Mar 13th, 2013, 09:25 AM   1
AmyB1978
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7 weeks post c-section, breastfeeding, heavy bleeding


If anyone could give me some advice that would be great. If things get worse, or don't get better, I will call my Dr but I don't want to call if it's nothing or go in just to be told "it's normal."

Here's what's going on:

I had an emergency c-section 7 weeks ago today at 34 weeks gestation for preeclampsia. I started off pumping and offering the breast but not really breastfeeding successfully very often at first. (l.o was tube fed and bottle fed when I was either not there or she wasn't well enough to take a nipple feed.) I pumped and/or breastfed (or at least offered her my nipple) the entire time she was in the NICU and she was discharged at 2 weeks and we've been exclusively breastfeeding since. My supply is good, if anything I am having issues with oversupply and forceful letdown. We no longer offer a bottle and I am not pumping currently. She eats every 2-3 hours (start to start) and has never gone more than 4 hours (start to start.) I figured I couldn't get a period/wouldn't get a period since I am breastfeeding exclusively and that is partially why this is alarming me but perhaps it is a period??

I had fairly heavy bleeding post-op that would come and go for awhile. At some point the bleeding eased off but was still there and I would have moments of heavier bleeding with clots, especially when I had been more active. Around 6 1/2 weeks post c-section (about half a week ago) the bleeding had eased to just very slight spotting but I was still having the mucous-type lochia and snot like discharge (tmi, i know!) The last two days or so even that had eased off so that I had stuff when I wiped but was only wearing a panty liner and I thought I was done.

Yesterday afternoon I started bleeding again and it is now pretty heavy (when I stand up it gushes, etc) and I have a decent amount of clots in it (no huge ones, but some decent sized ones and a lot of small ones.) It is definitely bright red and abundant. It is not at all like any of my periods have ever been and I am doubtful it could be a period since I never really stopped with the lochia and am exclusively breastfeeding. I have pain in my abdomen, not like period pains exactly but not completely unlike, and pain in my back (though I am unsure if that is from caring for the baby or related to my uterus.) The pains actually remind me more of the pre-term labor/contractions then actual period pain. In the hospital I had bad pain over my kidneys and they weren't sure what it was but just said unless there were signs of a UTI not to worry (there weren't.)That is where the back pain is also located.

Anyhow, I am not sure if I need to call my doctor, be seen, just wait and see what happens. I am also very confused as to whether this is post-delivery/lochia discharge or a first period that is just much heavier/different from my norm.

Sorry this is so long, any advice would be greatly appreciated... I've been trying to google it and can't find anything that is exactly what I am experiencing, especially from people who are also breastfeeding.



 
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Old Mar 14th, 2013, 08:19 AM   2
Twinkie210
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I got my first postpartum period at about 6 weeks after my first delivery, but I wasn't breastfeeding. It was really heavy and had lots of clots, though (I remember being surprised by this)

I took forever to stop bleeding with my c-section this time. I think maybe 9 weeks or so for everything to stop, but by the end I didn't get anymore bright red bleeding.

My Dr. suspected I had an infection after my first delivery it was only a week or so after I had him, but I had stabbing back pain (they did a urine test and it was negative for a UTI) and heavy bleeding. It seems unlikely that you have an infection so long after delivery, but back pain (around my kidney area) was the only sign i had. I felt much better after a couple days of antibiotics.

Sorry I couldn't be more helpful, I agree it could be several different things. If it doesn't get better in the next day or so I would call your Dr. Also if you think it is still post partum lochia, try relaxing a little more and stay off of your feet, that should help the bleeding if it is!



 
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Old Mar 15th, 2013, 05:16 AM   3
AmyB1978
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just wanted to update:

I called the dr and they said I needed to be seen so I went in. She did an internal and was very concerned by the amount of blood I was losing so she ordered an ultrasound to rule out placenta still being left in my uterus or any rupture of the internal sutures. She also did bloodwork to make sure I wasn't getting anemic. Both of those came back okay which is good. She doesn't think infection because I am so far post-op and because I don't have a fever. So they ruled out the really serious stuff but couldnt tell me why it's going on. It could be a first period, it could be lochia, and it could even be a ruptured blood vessel at my internal sutures. They want me to monitor it overnight (which is ending now) and if it doesn't get better then they want to put me on a medication to try to get my hormones to get it to stop. I am hoping to avoid that cause I worry about milk production with it as well as my body has never tolerated hormones well. Luckily it does seem to be easing off, hopefully it stays that way!!



 
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Old Mar 16th, 2013, 00:35 AM   4
daisy72
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Hi Amy, I am 7+ weeks postpartum (vaginal delivery), exclusively BF (every 2-3 hours, max 4) and still bleeding, too. It actually stopped a week ago and then started again, though not heavy and without pain. My OB sent me to an ultrasound, everything's clear. She also prescribed some antibiotic (as I understood "just in case",) that is safe for BF but the dose is high, so I'm reluctant to start it...
I don't believe it is my period, as with my older kids it returned significantly later. I also bled for more than 6 weeks with both of them, so I hope this is just my body's weird way of recovering...
How is your bleeding today? By the way, are you on any birth control? (I am not yet)



 
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Old Mar 16th, 2013, 01:01 AM   5
AmyB1978
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My bleeding is inconsistent now, at times heavy and other times there but fairly light. Hopefully it stays that way and then ends.

Thanks for sharing your experience, I hope your bleeding stops soon!



 
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