What you need to know about breastfeeding and postpartum contractions

by Jessica Martin-Weber

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Lactation can save your life, help heal your body, and be good for your uterus.

This is all true.

We talk a lot about how great breastfeeding can be for baby, but did you know it can be great for your uterus too? What your uterus wishes you knew about lactation:

It can save your life.

Potentially in more ways than one. But what really makes your uterus happy is that putting your brand new baby to suckle at your breast stimulates the release of oxytocin in your brain which helps your uterus to clamp down. These postpartum contractions are often called afterbirth pains. That initial latch of your wee babe strengthens the natural contractions and if you haven’t already, helps you expel the placenta and make sure you don’t bleed to death. It can help prevent a postpartum hemorrhage. But don’t worry if your baby doesn’t want to feed right after birth (give them a break, it was an eventful occasion, being born), this continues to work for as long as it takes for your uterus to reduce to it’s normal non-gestating size.

The uterus returning to it’s not-currently-gestating size gives room to the organs that have been squished, making it easier to breathe, eat, sleep, and go to the bathroom. It also means less pressure on the pelvic floor organs and tissue. This is an important stage of early healing. Often afterbirth contractions are more intense and painful with subsequent babies but it still does the job. Hate it all you want but it is way better than hemorrhaging and it’s the body’s perfect way to make sure you’re safe and around for a long time.

Every time you put your brand new baby to your breast, even if it doesn’t last long, and you endure a wave of contractions you may curse, swear, stomp your foot, breathe through clenched teeth hissing at your partner that next time they’re having the baby but those painful afterbirth contractions that your nursing babe brings on are important as they cut off the supply of blood to where the placenta had been allowing for healing and recovery to take place. Some don’t experience these contractions as much more than some mild cramping, others find them worse than labor itself. There’s a wide range of experiences, don’t be alarmed if you find that your own varies from that of others. 

Along with signaling to the uterus it’s time to shrink back down, breastfeeding can help you rest. For many that have just had a baby, life just doesn’t let them have the time they need to really heal and that open wound in their uterus doesn’t get the rest it needs which can lead to mom becoming anemic, fatigued, sore, and taking longer to heal. While there’s always a lot to do, breastfeeding can help busy moms take a load off in those early weeks with a hungry baby forcing them to sit and be still long enough to work on a good latch and fill up that little tummy. Taking time to have skin to skin fosters the breastfeeding relationship and can reduce their healing time, leading to sustainable recovery. And because it can help reduce postpartum bleeding and menstrual bleeding both in volume and length of time, some will experience a natural rise in iron levels which will be a real energy boost.

 

Fertility can be delayed with lactation. With my last baby, my 8th full term pregnancy, I got a break from my period until 21 months postpartum. Including pregnancy, that was more than 30 months off and no ovulation. I’m not going to lie, I didn’t miss it one single bit. This isn’t a guarantee but the majority of people experience a delay in the return of their fertility after giving birth if they exclusively breastfeed/chestfeed (meaning no supplementation). When baby is fed only with nursing, the body suppresses fertility to focus on continuing to grow this little person. This would mean no period sometimes until full weaning happens though any time solid foods, supplementation, or artificial nipples are introduced it’s possible their cycle will return. Sometimes that can be thrown off, usually if artificial nipples are used (yeah, even with bottles of their own pumped milk) but sometimes even if there is only ever exclusively nursing the cycle may return early in the postpartum period. But for those that experience suppressed fertility due to breastfeeding, it can be a nice break from their regular menstrual cycle. Because there are no guarantees though, unless you are hoping to get pregnant again shortly after having your baby, some kind of birth control measures would be wise.

Lactation can help with endometriosis and may help reduce cancer risks. Because it is common for the menstrual cycle to be delayed by lactation, those that have endometriosis may experience a stabilization of the progression of their condition which may lead to some relief. This won’t necessarily cure the condition but some do find it is no longer an issue. Causation or correlation, studies show that women that breastfeed have lower incidence of developing uterine, endometrial or ovarian cancer. 

Nursing is no magic bullet that will save you, you may lactate and still get cancer, you may nurse and still experience a retained placenta or postpartum hemorrhage, you may bodyfeed and struggle with endometriosis or have your fertility return right away. But hey, a chance that you could get a break and make your uterus happy? If you can, it could be a chance worth taking.

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Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of wereallhumanhere.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 23 years.

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