Why Spotting Can Occur With Breastfeeding

Spotting while breastfeeding is common for many women to experience as their body adjusts to childbirth. It can happen for various reasons, which include hormonal changes or ovulation. If you are actively breastfeeding and have noticed spotting, you do not have to worry about it. Understanding the reasons for it and things to expect may help you feel prepared for the changes. You can also seek medical advice on time if you know the alarming signs.

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Just when you think your pregnancy hormones have settled and you can enjoy the time with your baby, that is when breastfeeding comes. There is no better way than to nourish your baby other than breastfeeding, but it also means some changes in your body. Experiencing spotting or light bleeding is one such change and a completely normal one during this phase.

You may wonder whether it means you are facing health problems. Spotting during breastfeeding can happen for many reasons, most of which are harmless. You can stay calm and take care of your health better after understanding the reasons.

What Is Spotting During Breastfeeding?

Spotting is a very light bleeding that is less than a regular period. It can be red, pink or brown, and it also comes and goes, unlike a period. The quantity is not enough to soak a pad or tampon. It can appear weeks or months after childbirth or may occur anytime while you breastfeed.

You may notice spotting as a few drops or light stains on your underwear rather than a continuous flow. You may experience it for just a few hours or over several days, after which it stops. It is a part of the body recovery process, as the hormones return to normal levels.

Why Does Spotting Happen While Breastfeeding?

Spotting during breastfeeding can occur for the following reasons.

Hormonal Changes

Your body produces prolactin during breastfeeding to help your body make milk. High prolactin levels may suppress the ovulation process due to which there is an imbalance between oestrogen and progesterone. It may lead to the irregular shedding of your uterine lining, leading to spotting.

Return of Your Period

Spotting can be a sign of your period returning after the delivery, despite not experiencing a full menstrual cycle yet. It can happen whether you choose to exclusively breastfeed your baby or introduce solids to them, which reduces the frequency of feeds.

Breastfeeding-Induced Uterine Contractions

Your body releases oxytocin to help your uterus contract when you breastfeed. The contractions can lead to the release of a small amount of blood in the first few months postpartum.

Vaginal or Cervical Irritation

Spotting can also happen due to the mild irritation from the breastfeeding positions, sexual activity or cervical changes during recovery.

When Is Spotting Normal?

Spotting while breastfeeding is light and lasts only a few days. You may notice it under the following circumstances.
  • Between periods
  • After nursing sessions in the first 6 months postpartum
  • During ovulation
Remember that spotting should not be heavy, bright red, or accompanied by pain or fever.

When Should You See a Doctor?

Visit your doctor if you experience the following signs along with spotting.
  • Heavy bleeding that soaks pads quickly
  • Clots larger than a quarter
  • Severe abdominal or pelvic pain
  • Foul-smelling discharge
  • Fever or feeling unwell
These signs may be related to infection, retained tissue, or hormonal imbalances that need medical attention urgently.

Practical Tips to Manage Spotting

You can manage the spotting even if you cannot control it.
  • Keep a diary of when and how much you bleed.
  • Use pads while breastfeeding, as they reduce the risk of infections during the postpartum period.
  • You cannot ignore rest, as your body undergoes the healing process.
  • Good nutrition and sufficient water are the key aspects to a faster recovery.
  • Talk about your experience with your partner to reduce stress and gain emotional support.

Emotional and Social Aspects

Spotting can make you worry, but it is how your body adjusts after childbirth. You may wonder about your fertility, health and milk supply. Talk about it with your partner, friends or family to ease your anxiety. You can continue to breastfeed comfortably when you feel emotionally supported and cared for.

What To Do Next: A Quick Checklist

  • Monitor your spotting and notice abnormal patterns.
  • Observe if the spotting occurs during breastfeeding sessions.
  • Attend postpartum check-ups and mention any irregular bleeding.
  • Reach out to your doctor if spotting becomes heavy or painful.
  • Support your emotional health during the postpartum period by talking about your feelings with your spouse or family.
Spotting while breastfeeding is a common experience for many women because of the hormonal changes and uterine contractions. It may be a sign that your period is returning or just an effect of breastfeeding. The bleeding is usually light and stops on its own in most cases, so do not stress about it. If the flow gets heavy or if it is bright red, visit your doctor to determine the exact cause. You can go through these postpartum changes confidently if you take care of your health and receive medical care on time for any emergency.
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FAQs on Why Spotting Can Occur With Breastfeeding?

  1. Can I continue breastfeeding if I’m spotting?
    Spotting during breastfeeding will not affect your milk supply or your health in any way.
  2. How long after childbirth can spotting occur?
    Spotting can happen in the first few weeks to several months postpartum. Every individual's case varies depending on the body’s healing capacity and hormonal changes.
  3. Does spotting mean my period is back?
    Spotting may be a sign of a period, but it can also happen due to hormonal fluctuations or uterine contractions.
Disclaimer: Dr. Akhila C, Obstetrician and Gynaecologist, Apollo Hospitals, Bangalore