Bringing a new life into the world is nothing short of a miracle. As exciting as this time is, it's also natural to feel a mix of emotions—joy, exhaustion, and even a bit of anxiety about what happens next. The postpartum period, or the time right after delivery, is a time of significant adjustment for both new moms and their partners. From physical recovery to emotional changes and learning to care for your newborn, there’s a lot to navigate.
What to Expect After Delivery – Physical Recovery for Mom
After delivery, your body begins its healing process. Whether you had a vaginal birth or a C-section, there are some common changes and symptoms to be aware of as you recover.
Bleeding
After birth, you’ll experience vaginal bleeding and discharge called lochia. This is your body’s way of shedding the lining of the uterus and can last up to six weeks. The bleeding starts off heavy and bright red, similar to a period, and gradually lightens in color and amount over time. Be sure to stock up on postpartum pads, and don’t worry—this is a completely normal part of the healing process.
Cramps and Afterpains
You may notice cramping, especially during breastfeeding. These “afterpains” are caused by your uterus contracting back to its pre-pregnancy size. They can feel like mild menstrual cramps and tend to subside within a few days. These cramps are more noticeable for women who have had more than one baby. You can use a heating pad or take over-the-counter pain relief if your doctor approves.
Perineal Discomfort
If you had a vaginal birth, it’s common to feel soreness in the perineal area (the space between your vagina and anus), especially if you had a tear during delivery that needed to be repaired. Using cold packs, sitting on a soft pillow, ibuprofen or tylenol, and doing gentle sitz baths can help soothe this discomfort as you heal.
Understanding Why There May Be Perineal Discomfort
Perineal Tears: Many women experience small tears in the perineal area during delivery. These can vary in degree, with first-degree tears affecting the skin and second-degree tears involving the muscles. Third- and fourth-degree tears are more severe and may extend into the anal area.
Instrument-Assisted Delivery: If forceps or a vacuum extractor are used during delivery, there may be more trauma to the perineal area, leading to bruising, swelling, or tearing.
Episiotomy: In very rare cases, a doctor or midwife may perform an episiotomy, a small incision made in the perineum to enlarge the vaginal opening during delivery. While much less common now than in the past, episiotomies can result in increased discomfort and a longer healing time.
C-Section Recovery
If you had a C-section, you’ll need extra care for your incision. Keep the area clean and dry, and follow your doctor’s instructions for wound care. It’s normal to feel some pain or discomfort around the incision site as it heals, but if you notice increased redness, swelling, or signs of infection, be sure to contact your healthcare provider.
Breast Changes and Engorgement
Your milk will typically come in within a few days after delivery. You may experience breast engorgement, where your breasts feel swollen, hard, and tender. Nursing your baby or using a breast pump can help relieve the pressure. If you’re breastfeeding, you may also experience sore nipples, especially during the early days. Applying lanolin cream and ensuring your baby has a proper latch can help soothe the discomfort.
Emotional and Mental Health Changes
Just as your body is adjusting after birth, so are your emotions. The hormone shifts that occur after delivery can trigger a variety of feelings, from joy to tears, and it’s important to acknowledge and talk about them.
Baby Blues
Many new moms experience the “baby blues” in the first couple of weeks after delivery. You may feel weepy, overwhelmed, or irritable—this is a normal reaction to the emotional and physical changes you’re going through. The baby blues usually resolve on their own as your hormone levels balance out.
Postpartum Depression
While baby blues are common, it’s important to keep an eye out for signs of postpartum depression (PPD), a more serious condition that can affect your ability to function and care for yourself or your baby. Symptoms include persistent sadness, feelings of hopelessness, difficulty bonding with your baby, and loss of interest in activities you once enjoyed. If you suspect you may be experiencing PPD, reach out to your doctor or a mental health professional for support. Remember, seeking help is a sign of strength, not weakness.
Bonding with Your Baby
The postpartum period is also a time of getting to know your baby and forming those first precious bonds.
Skin-to-Skin Contact
Skin-to-skin contact, or kangaroo care, is a beautiful way to bond with your newborn. Placing your baby on your bare chest helps regulate their temperature, heart rate, and breathing, while also promoting breastfeeding and building a sense of security. Partners can also benefit from skin-to-skin bonding with their baby.
Breastfeeding Challenges
Breastfeeding is a wonderful way to nourish your baby, but it doesn’t always come easily at first. You may experience latching issues, discomfort, or milk supply concerns. Don’t be afraid to ask for help! Lactation consultants are a valuable resource, and your healthcare provider can also offer guidance. Remember, breastfeeding is a learned skill for both you and your baby. Find more information on common issues while breastfeeding here.
Tips for Partners
Partners play a crucial role in supporting the new mom and baby during this time. Here are a few ways you can help:
Be Present and Involved
Whether it's changing diapers, helping with feedings, or simply offering a listening ear, your involvement makes a world of difference. Take turns caring for the baby so mom can rest. Not only should you help care for the baby, but post delivery mom needs to rest to be prepared to take on extra household chores and do things your partner may normally do.
Encourage Self-Care
Remind your partner to take time for herself, even if it’s just a few minutes to shower, eat a healthy meal, or take a nap. This is a challenging time for her, and your support is essential.
Watch for Postpartum Depression
If you notice that your partner is struggling emotionally, don’t hesitate to gently encourage her to talk to a doctor. Your encouragement can help her feel supported in seeking help if needed.
What to Watch Out For
While most postpartum symptoms are normal, there are some warning signs that require immediate medical attention. Call your doctor if you experience:
- Heavy bleeding (soaking through more than one pad per hour)
- Severe headache or vision changes
- Fever over 100.4°F
- Painful or red breasts, which may indicate infection
- Foul-smelling vaginal discharge
- Severe pain or swelling in the legs (possible sign of a blood clot)
Take the Help
You do not have to do this alone or do everything yourself. Take the help when offered and don’t be afraid to ask for help. Amidst caring for your newborn, it’s essential to also take care of yourself. Try to rest whenever you can, stay hydrated, and eat nourishing foods that will help you regain your strength. It can be helpful to have a support system in place, whether it’s family, friends, or a postpartum doula, to assist you as you recover and adjust to life with a newborn.
A Journey of Healing and Love
The postpartum period is a time of healing, adjustment, and bonding. There will be moments of exhaustion, moments of wonder, and moments of pure joy. Remember, every new parent’s journey is different, and it’s okay to ask for help when you need it. Be kind to yourself, embrace the ups and downs, and trust that with each day, you are growing into this new role.
If you have questions or need support during your postpartum recovery, we are here for you. From your postpartum check-ups to lactation support and everything in between, we are committed to helping you and your family thrive in this new chapter of life.
You’ve got this, mama!