Is lochia heavier after a cesarean delivery?

Many women approaching childbirth are considering cesarean section and feel anxious, wondering whether lochia after cesarean delivery will be heavy. So, is the amount of lochia more after a C-section?

Is Lochia Heavier After Cesarean Section?

After a cesarean section, lochia may be less than that following vaginal delivery, but it could last longer. During a cesarean procedure, after the baby and placenta are removed, the surgeon typically uses sterile gauze to wipe the uterine cavity twice, which helps clear out some residual tissue. In contrast, after the placenta is delivered vaginally, the uterine cavity is not routinely cleaned, so the body must naturally expel remaining contents over time. Therefore, lochia volume tends to be relatively lower after cesarean delivery. However, because the uterus has a surgical scar from the C-section, its recovery process may not be as smooth as after natural childbirth, potentially prolonging the duration of lochia. The discharge might be minimal—sometimes stopping for two days—then reappearing slightly afterward, which is considered normal.

Lochia occurs not only after vaginal birth but also after cesarean section, and bloody lochia may last longer following a C-section. It usually takes about 42 days postpartum for the uterus and its attachments to fully recover. During this period, keep warm and monitor your condition carefully. If you experience abdominal pain, seek medical attention promptly. A follow-up color ultrasound at the hospital is recommended around 42 days after delivery. It's advised to get adequate rest postpartum, avoid excessive physical activity to prevent wound dehiscence, and take anti-inflammatory medication as directed by your doctor to promote uterine recovery. We hope this answer has been helpful. Wishing you good health and happiness.