What causes postpartum bleeding?

Postpartum bleeding during sexual intercourse is a situation that many postpartum women are prone to. It should be understood that postpartum bleeding during sexual intercourse is not caused by having sex too early, the wound has not fully healed, or there is some inflammation in the vagina.

1. It is related to the time to resume sexual intercourse : the wound of the perineal incision usually takes 7 days to heal and the sutures to be removed. At this point, the surface tissue of the perineum has healed, but the deep muscle layer and fascia will take 6-8 weeks to repair. If you start having sex too early, it may cause the wound to split and bleed.

2. Related to the general condition of the mother: When the mother suffers from anemia, malnutrition or inflammation of the vagina and perineum, the healing of the perineal wound may be delayed.

3. Related to the wound suture : except for the epidermis of the perineum which is sutured with silk thread, the inner muscle and subcutaneous fat layer are sutured with catgut. Since there are obvious individual differences in the absorption of catgut by human tissue, the quality of the catgut and whether the perineum is strictly disinfected will also affect the absorption of human tissue.

4. Related to the husband: Since the man abstains from sex for a long time when his wife is in the late pregnancy and postpartum period, once they resume their sexual life, the movements are often intense, which can easily cause perineal tissue damage, bleeding, and rupture.