NURTURE INFORMATION HUB
Evidence
Jackson, Emily MD, MPH; Glasier, Anna MD
Among women who do not breastfeed or who breastfeed on an irregular schedule, menstruation tends to return more quickly.
A 2011 analysis of six previous studies found that most women got their first periods between 45 and 94 days after giving birth. One study in the review found that the average first period happened at 74 days postpartum.
Education
After childbirth each person’s body reacts differently and the timing of your period’s return depends on multiple factors. For those who are expressing and/or breastfeeding, menstruation may be delayed due to the hormonal changes that suppress ovulation, potentially keeping periods away for several months. However, if you are not breastfeeding or are combination feeding, your cycle might return within four to six weeks after delivery. It’s important to remember that your first period may be heavier or lighter than before and may vary in duration.
In addition, the return of menstruation can be accompanied by symptoms such as cramping, bloating and mood swings, which may feel intense as your body is still recovering. The emotional challenges of having a baby in the Neonatal unit can make these symptoms more difficult to manage, adding stress at a time when you’re already coping with a lot.
Paying attention to your self-care during this time can make a significant difference. Prioritise rest, when possible, as adequate sleep can help with managing menstrual symptoms like cramping and fatigue. If you are able to, consider bringing a comfort kit to the Neonatal unit with essentials like sanitary products, pain relief and any items that make you feel at ease, such as a small heating pad or water bottle.
Empowerment
Getting your period after pregnancy is a sign your body is adjusting. Taking care of yourself helps you stay strong for both you and your baby. Balancing NICU visits with self-care is important, so you have the energy to cope. Your well-being matters too!
Useful Links
Pregnancy, Birth and Baby
https://www.pregnancybirthbaby.org.au/periods-after-pregnancy
Health Direct
https://www.healthdirect.gov.au/periods-while-breastfeeding
Australian Breastfeeding Association
https://www.breastfeeding.asn.au/resources/breastfeeding-and-your-period
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
https://ranzcog.edu.au/wp-content/uploads/First-Few-Weeks-Following-Birth.pdf
For When – Perinatal Mental Health and Wellbeing
https://forwhenhelpline.org.au/parent-resources/postpartum-care-first-weeks/
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