The first week postpartum is a period of intense recovery and adaptation, both physically and emotionally. You’re likely still adjusting to caring for your newborn while your body begins to heal from childbirth. Here’s what you might expect during this time, and some tips on how to prepare:
1. Physical Recovery
Bleeding and Discharge: You will likely still have lochia, which is a mix of blood, mucus, and uterine tissue. At one week, the bleeding is typically still red and may be heavy, similar to a heavy period. It should gradually lighten over the next few weeks. Adult diapers can make it much more comfortable during this time. Be sure to change regularly.
Perineal or C-Section Healing: If you had a vaginal delivery, you may still have perineal soreness, especially if there were tears or an episiotomy. For C-section deliveries, the incision will still be tender, and you should watch for any signs of infection (redness, swelling, or unusual discharge). Limiting movement will allow your body to heal.
Uterine Contractions: Mild to moderate cramping, known as afterpains, can continue as your uterus begins to contract back to its pre-pregnancy size. These can be more noticeable during breastfeeding due to oxytocin release.
Breast Changes: Your milk may have just come in, causing your breasts to feel swollen, heavy, or engorged. This can lead to some discomfort, but it should improve as your feeding routine is established.
Fatigue: You are likely to feel extremely tired as your body recovers from childbirth and you adjust to the demands of round-the-clock newborn care.
2. Emotional and Mental Health
Hormonal Fluctuations: Hormone levels are changing rapidly, which can cause mood swings, irritability, and anxiety.
Baby Blues: About 70-80% of new mothers experience the “baby blues” in the first week postpartum. This can include crying easily, feeling overwhelmed, or having bouts of sadness, which typically resolve within two weeks.
Adjusting to Motherhood: You may be feeling a range of emotions, from joy and excitement to stress and uncertainty. It’s normal to feel overwhelmed as you get used to caring for your newborn.
3. Body Changes
Physical Appearance: Your belly will still look like it’s in the early stages of pregnancy, as your uterus is still shrinking. You may also feel bloated or swollen, especially if you had IV fluids during labor.
Night Sweats: Hormonal changes can cause increased sweating, particularly at night, as your body eliminates excess fluids retained during pregnancy. Lay a towel down before you sleep and have a few extra handy, to change throughout the night.
Pelvic Floor and Perineum: If you had a vaginal birth, the pelvic floor may feel weak or sore. Some discomfort or difficulty with bowel movements or urination is common, especially if you had tearing or an episiotomy. Stay hydrated and eat fibre rich foods. You may want to ask your healthcare provider for a stool softener to provide some comfort.
4. Breastfeeding (if applicable)
Establishing a Routine: You may be learning to breastfeed, figuring out latching positions, and determining a feeding schedule. It’s common for newborns to eat frequently (8-12 times a day) as they cluster feed and help establish your milk supply. Give yourself grace and don’t expect to find your ideal routine just yet.
Nipple Pain: Some discomfort in the first week is normal, but severe pain or cracked, bleeding nipples might indicate a latching issue that a lactation consultant could help address. Hydrogel pads can provide relief. Seek assistance from a lactation consultant if pain persists.
Engorgement: Your breasts may become engorged as your milk comes in. Feeding your baby frequently or expressing some milk can help relieve discomfort. A warm shower can also provide relief.
5. Caring for Your Newborn
Sleep Patterns: Newborns often sleep a lot, but not for long stretches—typically waking every 2-3 hours to eat. Your sleep will likely be interrupted and you may feel sleep-deprived.
Feeding: Expect frequent feedings around the clock, whether you are breastfeeding or formula-feeding. Newborns eat often - every 2 to 3 hours and often cluster feed during this first week or two.
Diaper Changes: Frequent diaper changes are normal. You may notice the baby’s stools transition from meconium (black and tar-like) to greenish and then yellow as your milk comes in.
Bonding: You and your baby are in the early stages of bonding. Skin-to-skin contact can help promote a strong connection and comfort your newborn.
6. Self-Care Tips
Rest When Possible: Sleep when the baby sleeps, even if it’s just short naps. Rest is crucial for your recovery. Delegate tasks that might be keeping you awake, like laundry or meal prep.
Hydration and Nutrition: Drink plenty of water, especially if breastfeeding, and try to eat nutritious meals to support your healing. Nutrient dense, easy to digest ingredients support recovery and lactation.
Pain Relief: Use cold packs, sitz baths, or prescribed pain medication for perineal discomfort. For C-section recovery, follow your doctor’s advice on pain management and wound care.
Gentle Movement: Keep activity extremely light. Gentle walking around the house is fine, but avoid heavy lifting, or intense exercise until cleared by your healthcare provider. During the first week, avoid stairs as much as possible.
7. When to Call Your Healthcare Provider
- Heavy Bleeding: Soaking a pad in less than an hour or passing large clots should be reported.
- Fever or Chills: These could be signs of infection.
- Extreme Pain: Severe abdominal or perineal pain should be checked.
- Red, Swollen, or Painful Breasts: These could indicate a blocked duct or mastitis.
- Persistent Sadness: If you feel persistently sad or anxious, reach out for support as it could indicate postpartum depression.
Building your community early and not being afraid to accept support can provide peace of mind as you prepare to welcome the newest addition to your family.
Every journey is unique, so it’s essential to listen to your body and reach out for support if you’re unsure about any symptoms or need help adjusting.
