The uterus after childbirth

After childbirth, the uterus contracts and returns to its original size; this is a gradual process that can take up to six weeks.

Midwives check how the uterus is contracting shortly after the birth by feeling through the abdominal wall. The day after the birth, the top of the uterus will be roughly level with your navel. Every time you put your baby to the breast, the hormone oxytocin is released, which helps the uterus to contract. This is why you may feel cramps in your lower abdomen after breastfeeding, similar to period pains. The pain may be more severe, especially if this is not your first baby; suitable painkillers can help manage the pain and will not harm the baby whilst breastfeeding. 

Postpartum bleeding is usually quite heavy; it may happen that after a long sleep, blood accumulates in the vagina and is released all at once in the form of a large blood clot when you stand up. You should certainly report any continuous, very heavy bleeding in clots to the nurse immediately. Normal postpartum bleeding gradually decreases in intensity and changes colour to a lighter shade; it may persist throughout the entire postpartum period. If the bleeding continues for longer, it is advisable to discuss this during your scheduled postpartum check-up with your registered gynaecologist.