Recovering From Birth

The first few days at home after having your baby are a time for rest and recovery — physically and emotionally. You need to focus your energy on yourself and on getting to know your new baby. Even though you may be very excited and have requests for lots of visits from family and friends, try to limit visitors and get as much rest as possible. Don’t expect to keep your house perfect. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. Learn to pace yourself from the first day that you arrive back home. Try to lie down or nap while the baby naps. Don’t try to do too much around the house. Allow others to help you and don’t be afraid to ask for help with cleaning, laundry, meals, or with caring for the baby.

After the birth of your baby, your doctor will talk with you about things you will experience as your body starts to recover.

• You will have vaginal discharge called lochia. It is the tissue and blood that lined your uterus during pregnancy. It is heavy and bright red at first, becoming lighter in flow and color until it goes aware after a few weeks.
• You might also have swelling in your legs and feet. You can reduce swelling by keeping your feet elevated when possible.
• You might feel constipated. Try to drink plenty of water and eat fresh fruits and vegetables.
• Menstrual-like cramping is common, especially if you are breastfeeding. Your breast milk will come in within three to six days after your delivery. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
• Follow your doctor’s instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.

Your doctor will check your recovery at your postpartum visit, about six weeks after birth. Ask about resuming normal activities, as well as eating and fitness plans to help you return to a healthy weight. Also ask your doctor about having sex and birth control. Your period could return in six to eight weeks, or sooner if you do not breastfeed. If you breastfeed, your period might not resume for many months. Still, using reliable birth control is the best way to prevent pregnancy until you want to have another baby.

Some women develop thyroid problems in the first year after giving birth. This is called postpartum thyroiditis. It often begins with overactive thyroid, which lasts two to four months. Most women then develop symptoms of an underactive thyroid, which can last up to a year. Thyroid problems are easy to overlook as many symptoms, such as fatigue, sleep problems, low energy, and changes in weight, are common after having a baby. Talk to your doctor if you have symptoms that do not go away. An underactive thyroid needs to be treated. In most cases, thyroid function returns to normal as the thyroid heals. But some women develop permanent underactive thyroid disease, called Hashimoto’s disease, and need lifelong treatment.

Both pregnancy and labor can affect a woman’s body. After giving birth, you will lose about 10 pounds right away and a little more as body fluid levels decrease. Don’t expect or try to lose additional pregnancy weight right away. Gradual weight loss over several months is the safest way, especially if you are breastfeeding. Nursing mothers can safely lose a moderate amount of weight without affecting their milk supply or their babies’ growth.

A healthy eating plan along with regular physical fitness might be all you need to return to a healthy weight. If you are not losing weight or losing weight too slowly, cut back on foods with added sugars and fats, like soft drinks, desserts, fried foods, fatty meats, and alcohol. Keep in mind, nursing mothers should avoid alcohol. By cutting back on “extras,” you can focus on healthy, well-balanced food choices that will keep your energy level up and help you get the nutrients you and your baby need for good health. Make sure to talk to your doctor before you start any type of diet or exercise plan.

Both pregnancy and labor can affect a woman’s body. After giving birth, you will lose about 10 pounds right away and a little more as body fluid levels decrease. Don’t expect or try to lose additional pregnancy weight right away. Gradual weight loss over several months is the safest way, especially if you are breastfeeding. Nursing mothers can safely lose a moderate amount of weight without affecting their milk supply or their babies’ growth.

A healthy eating plan along with regular physical fitness might be all you need to return to a healthy weight. If you are not losing weight or losing weight too slowly, cut back on foods with added sugars and fats, like soft drinks, desserts, fried foods, fatty meats, and alcohol. Keep in mind, nursing mothers should avoid alcohol. By cutting back on “extras,” you can focus on healthy, well-balanced food choices that will keep your energy level up and help you get the nutrients you and your baby need for good health. Make sure to talk to your doctor before you start any type of diet or exercise plan.

After childbirth you may feel sad, weepy, and overwhelmed for a few days. Many new mothers have the “baby blues” after giving birth. Changing hormones, anxiety about caring for the baby, and lack of sleep all affect your emotions.

Be patient with yourself. These feelings are normal and usually go away quickly. But if sadness lasts more than two weeks, go see your doctor. Don’t wait until you postpartum visit to do so. You might have a serious but treatable condition called postpartum depression. Postpartum depression can happen any time within the first year after birth.

Signs of postpartum depression include:

• Feeling restless or irritable
• Feeling sad, depressed, or crying a lot
• Having no energy
• Having headaches, chest pains, heart palpitations (the heart being fast and feeling like it is skipping beats), numbness, or hyperventilation (fast and shallow breathing)
• Not being able to sleep, being very tired, or both
• Not being able to eat and weight loss
• Overeating and weight gain
• Trouble focusing, remembering, or making decisions
• Being overly worried about the baby
• Not having any interest in the baby
• Feeling worthless and guilty
• Having no interest or getting no pleasure from activities like sex and socializing
• Thoughts of harming your baby or yourself

Some women don’t tell anyone about their symptoms because they feel embarrassed or guilty about having these feelings at a time when they think they should be happy. Don’t let this happen to you! Postpartum depression can make it hard to take care of your baby. Infants with mothers with postpartum depression can have delays in learning how to talk. They can have problems with emotional bonding. Your doctor can help you feel better and get back to enjoying your new baby. Therapy and/or medicine can treat postpartum depression. Get more details on postpartum depression in our Depression during and after pregnancy fact sheet.

Emerging research suggests that 1 in 10 new fathers may experience depression during or after pregnancy. Although more research is needed, having depression may make it harder to be a good father and perhaps affect the baby’s development. Having depression may also be related to a mother’s depression. Expecting or new fathers with emotional problems or symptoms of depression should talk to their doctors. Depression is a treatable illness.