Postpartum bleeding (lochia) should gradually lighten from heavy red to pink to yellow-white over 4–6 weeks. Log each pad change to track your pattern and catch anything that needs attention.
Flow
Color
Clots
Cardiovascular warning signs
Postpartum cardiomyopathy is a leading cause of maternal death and is often missed because symptoms overlap with normal new-parent exhaustion. Check any symptoms you're experiencing now.
What is postpartum cardiomyopathy? A form of heart failure that can develop in the last month of pregnancy through 5 months after birth. It can occur in women with no prior heart conditions. Black women are at significantly higher risk and have worse outcomes, partially due to diagnostic delays.
Chest pain or pressure
Any chest discomfort, sharp, dull, or tightness, is a reason to seek care
Shortness of breath
Especially when lying down or with light activity that didn't bother you before
Heart palpitations
Racing, pounding, or irregular heartbeat
Swelling in legs or feet
Especially sudden or asymmetric swelling, can signal fluid retention or clot
Extreme fatigue beyond normal
Different from new-parent tired, unable to do basic tasks or get up
Persistent cough or wheezing
Especially at night or when lying flat
Headache or vision changes
Blurry vision, spots, or severe headache can indicate postpartum preeclampsia up to 6 weeks after birth
One or more of these symptoms warrants same-day evaluation. Do not wait for your 6-week checkup. Call your provider now or go to the ER. Tell them specifically: "I am postpartum and I am concerned about postpartum cardiomyopathy."
Fever log
A temperature of 100.4°F (38°C) or higher in the first 10 days postpartum is a sign of possible infection. Log any readings above normal.