Postpartum recovery: what to expect in the first six weeks
The weeks after birth are a time of big physical and emotional change. Healing takes time, and asking for help is part of recovery.
Your body after birth
- Bleeding (lochia): expect vaginal bleeding and discharge for several weeks. It starts heavy and red, then becomes lighter in color and amount.
- Cramping: the uterus shrinks back over several weeks. Cramps can be stronger during breastfeeding.
- Soreness: after a vaginal birth, the area between the vagina and anus may be sore or have stitches. Ice packs, a peri bottle and sitting on a cushion can help.
- After a C-section: your incision needs time to heal. Avoid lifting anything heavier than your baby for several weeks, and follow your provider's instructions.
- Breasts: they may feel full and tender when milk comes in, whether or not you breastfeed.
- Sweating and frequent urination are common as your body sheds extra fluid.
Rest, food and help
- Sleep when you can, even in short stretches.
- Eat regular meals and keep water nearby, especially if you're breastfeeding.
- Accept help with meals, laundry, older children and errands.
- Limit visitors if you need to rest.
Moving again
ACOG says that if your pregnancy and birth were healthy, you can start gentle exercise such as walking and pelvic floor (Kegel) exercises soon after birth, when you feel ready, and gradually build up. Recovery after a C-section or complications can take longer, so check with your provider first. Stop and call your provider if exercise causes pain or heavier bleeding.
Your emotions
What we mention
Many new mothers have the "baby blues" in the first two weeks: mood swings, crying, anxiety and trouble sleeping. These usually fade on their own. If the feelings are strong, last longer than two weeks, or make it hard to care for yourself or your baby, talk with your provider. Postpartum depression is common and treatable.
Postpartum checkups
ACOG recommends contact with your OB or midwife within the first three weeks after birth, and a full checkup by 12 weeks. Bring your questions about healing, feeding, mood, sleep and birth control.
Warning signs: get care right away
Call 911 or go to the emergency room for:
- Chest pain or trouble breathing.
- Seizures.
- Thoughts of harming yourself or your baby.
Call your provider right away for:
- Bleeding that soaks through a pad in an hour, or large clots.
- A fever of 100.4°F (38°C) or higher.
- A severe headache that doesn't go away, or changes in vision.
- A red, swollen, painful area in your leg.
- An incision that is red, swollen or leaking.
- Severe belly pain.
If you're in crisis, you can call or text the National Maternal Mental Health Hotline at 1-833-TLC-MAMA (1-833-852-6262), free and available 24/7.
