Is it normal to have ovulation bleeding during postpartum breastfeeding?

Written by Du Rui Xia
Obstetrics
Updated on February 20, 2025
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During the postpartum breastfeeding period, it is normal for mothers to experience bleeding during ovulation. Most women who bleed during ovulation are affected by fluctuations in hormone levels in the body. The bleeding usually occurs midway between two menstrual periods, and the amount of blood is relatively small and light in color. It usually returns to normal within one to two days, so there is no need to worry when ovulation bleeding occurs. It is important to rest, avoid overwork, enhance nutrition, keep warm, and avoid getting cold. During breastfeeding, it is essential to observe the amount of vaginal bleeding. If menstruation resumes, it is crucial to pay attention to contraception.

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Written by Zhao Li Li
Obstetrics
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Postpartum hemorrhage uterine suturing method

If postpartum hemorrhage occurs, it is foremost important to actively seek the specific causes of the bleeding to achieve timely and rapid hemostasis. It is also necessary to quickly replenish blood volume to prevent shock and infection. Meanwhile, if there is localized bleeding, active local suturing treatment should be pursued to control the bleeding. Normally, if the postpartum bleeding is light, suturing the uterus in the conventional way will suffice. However, if the bleeding is caused by uterine atony or similar reasons and oxytocics are ineffective, procedures like ascending ligation of the uterine arteries or uterine compression sutures and binding can be performed to effectively stop the bleeding.

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Written by Du Rui Xia
Obstetrics
46sec home-news-image

Is it normal to have ovulation bleeding during postpartum breastfeeding?

During the postpartum breastfeeding period, it is normal for mothers to experience bleeding during ovulation. Most women who bleed during ovulation are affected by fluctuations in hormone levels in the body. The bleeding usually occurs midway between two menstrual periods, and the amount of blood is relatively small and light in color. It usually returns to normal within one to two days, so there is no need to worry when ovulation bleeding occurs. It is important to rest, avoid overwork, enhance nutrition, keep warm, and avoid getting cold. During breastfeeding, it is essential to observe the amount of vaginal bleeding. If menstruation resumes, it is crucial to pay attention to contraception.

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Written by Yue Hua
Obstetrics and Gynecology
49sec home-news-image

What should be done for late postpartum hemorrhage?

If there is a small or moderate amount of vaginal bleeding, high doses of antibiotics should be administered, along with medications to induce uterine contractions. This can reduce the amount of bleeding after the uterus contracts. If there is suspicion of placental remnants or other residues in the uterine cavity, then a dilation and curettage (D&C) surgery may be necessary. Before surgery, it is essential to prepare blood for transfusion in case of excessive bleeding. Additionally, the tissue removed during the procedure needs to be sent for pathological examination. After the D&C, it is important to continue treatment with anti-inflammatory medications and drugs that promote uterine contraction.

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Written by Zhao Li Li
Obstetrics
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Can postpartum hemorrhage be stopped?

Postpartum hemorrhage primarily refers to bleeding from the vagina exceeding 500 milliliters within 24 hours after the delivery of the fetus, and bleeding exceeding 1000 milliliters for cesarean deliveries. It is classified as postpartum hemorrhage. Normally, active hemostatic symptomatic treatment should be pursued in cases of bleeding after childbirth. The majority of cases are often caused by poor uterine contraction, which significantly raises the likelihood of postpartum hemorrhage. Generally, it is necessary to actively use drugs that promote uterine contractions to help in reducing bleeding by aiding the contraction of the uterus.

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Written by Yue Hua
Obstetrics and Gynecology
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Late postpartum hemorrhage clinical symptoms

Late postpartum hemorrhage occurs when significant uterine bleeding happens after the first 24 hours following the delivery of the fetus, commonly seen from one to two weeks postpartum. At this time, patients may experience sudden heavy vaginal bleeding, and some may even develop hemorrhagic shock. A minority of patients might not bleed profusely but may experience recurrent bleeding. Additionally, this bleeding is often accompanied by lower abdominal pain, fever, and symptoms of anemia, so it is critical to seek immediate medical treatment upon noticing these symptoms.