Doula

Category - Postpartum

Uterine involution begins as soon as the baby is born. In the first few days after birth, the uterus will:
  1. Need to be massaged
  2. Return completely to its pre-pregnancy size
  3. Occasionally contract, especially while breastfeeding, and will be about the size of a grapefruit
  4. Bleed profusely
Explanation
Answer: C - Under the influence of oxytocin, the uterus will continue to contract in the weeks after birth, until it returns close to its normal size and shape about six weeks later. Some women feel these contractions much more strongly than others. Because breastfeeding causes the release of oxytocin, the contractions may be felt strongly when the baby is nursing. While massaging the uterus is sometimes helpful, it is not necessary for all women. The uterus will never be exactly the same as before pregnancy, but will return close to its pre-pregnancy size. While the bleeding in the days after birth is like a heavy period, it should begin to taper off quickly. Profuse bleeding is a warning sign, and should be checked immediately by a healthcare professional.
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