Although becoming a mother is a wonderful experience, there are a lot of physical changes involved. The uterus is one of the most vital organs that undergoes a significant change following childbirth. “Are these changes normal, or should I be worried?” is a question that many new mothers frequently ask.
The Director of Obstetrics & Gynecology at CK Birla Hospital in Gurugram, Dr. Astha Dayal, describes what happens to your uterus after delivery, what is normal, and when you should see your doctor in this article.
What Happens to the Uterus After Delivery?
- Shrinking of the uterus (involution): After giving birth, the uterus quickly shrinks back to its original size, which is much smaller than it was before pregnancy. It takes about six weeks for this to happen.
- Bleeding (lochia): Bleeding is normal while the uterus heals. This bleeding is not the same as a period and usually goes like this:
o First 1–2 weeks: Red and heavy
o For the next two weeks, it will be yellowish or brownish.
o Last 1–2 weeks: discharge that is whitish
Lochia is the name for this vaginal discharge, and it is a normal part of recovery after giving birth. It usually continues for 6 to 8 weeks
This is a normal postpartum process. But if your bleeding suddenly becomes heavy, if you pass large clots, or if you feel unwell, it may indicate infection or that the uterus has not contracted properly. Sometimes, retained clots or tissue inside the uterus also need to be removed.
Since immunity is low after delivery, infections are more common. If you develop fever, chills, increasing abdominal pain, or feel unusually sick, you must contact your doctor.
Why Do You Feel Pain or Bleeding While Breastfeeding?
Your body makes a hormone called oxytocin when you breastfeed. This hormone helps the uterus contract. This is why a lot of mothers get cramps in their stomachs or see some spotting while they are breastfeeding. Your uterus going back to its normal size is a good sign.
When Should You Worry About Postpartum Bleeding?
While some bleeding is normal, (This is a normal postpartum process ) but there are certain warning signs you should never ignore:
- Sudden heavy bleeding after going home (known as secondary postpartum hemorrhage)
- Passing large clots
- Severe abdominal pain
- Foul-smelling discharge
- Fever, chills, or feeling unwell
These symptoms may indicate infection, poor uterine contraction, or retained tissue inside the uterus. In such cases, immediate medical attention is necessary.
That is why, after delivery, you are kept under medical supervision in the hospital for at least 24 hours so that your bleeding can be monitored.
Uterus Recovery After a C-Section
If you had a Cesarean delivery, your uterus has a scar that becomes a weak point in future pregnancies. This can lead to complications like:
- Placenta previa (placenta growing over the scar)
- Risk of uterine rupture during labor if the scar is under too much strain
That’s why close monitoring is essential in your next pregnancy.
How to Take Care of Your Uterus After Delivery
- Eat a balanced, protein-rich diet – not just light foods like khichdi or dalia.
- Get adequate rest – sleep when your baby sleeps.
- Maintain good hygiene – bathe daily, keep stitches clean, and use prescribed ointments.
- Avoid harmful restrictions – cultural practices like not bathing or brushing can increase infection risk.
- Attend postpartum check-ups – never skip follow-up visits with your gynecologist.
5 Most FAQs About Postpartum Uterus Recovery
Q1. Is bleeding for 6 weeks normal after delivery?
Yes, It’s normal to have light bleeding or discharge (lochia) for up to 6–8 weeks. But if the bleeding suddenly gets very heavy, consult Dr Astha at CK Birla Hospital or her Clinic (Disha Clinic)
Q2. Why does my stomach hurt while breastfeeding?
This happens because oxytocin is released, which helps the uterus contract. It’s a good sign that you’re getting better.
Q3. How do I know if my postpartum bleeding is abnormal?
You should call your doctor right away if you pass large clots, have discharge that smells bad, have sudden heavy bleeding, or get a fever and chills.
Q4. Does C-section recovery take longer than normal delivery?
The scar on the outside of the body from a C-section heals in a few weeks, but the scar on the inside of the uterus stays weak. This needs to be watched closely during your next pregnancy.
Q5. How can I support my uterus healing naturally?
Eat a healthy diet that is high in protein, get enough sleep, drink plenty of water, keep up good hygiene, and go to all of your postpartum checkups.
Final conclusion by Dr Astha Dayal
Most of the changes that happen to your uterus after you give birth are normal and help it heal. But you should never ignore sudden heavy bleeding, fever, bad-smelling discharge, or severe pain. Your uterus can heal quickly and safely after giving birth if you take care of it, eat well, and see a doctor regularly.
Your uterus is strong, but it needs time and care to heal. If something feels off, don’t be afraid to ask for help. Listen to your body and do what your doctor says.
