The Postpartum Period: An Important Phase After Birth
The first eight weeks after the birth of a child are called the postpartum period. During this time, a woman’s body needs rest to recover from the changes that occurred during pregnancy and childbirth.
After delivery, the uterus contracts—these afterpains are important for the uterus to return to its normal size. Many mothers feel these afterpains with varying intensity, often more pronounced with a second child than with the first. During the first days after birth, the regression of the uterus is checked by the midwife in the hospital or by your postpartum midwife at home, who examines the position of the upper edge of the uterus, known as the fundus.
Typically, postpartum discharge (lochia) lasts about six weeks. Initially, it may be slightly bloody but then changes over the days and weeks to a brownish, yellowish, and finally gray-white color. If you suddenly experience heavier bleeding, no discharge, or have pain in the lower abdomen or fever, it is important to contact your midwife or doctor.
In the first days after birth, you can receive support from a postpartum midwife. She will visit you at home, answer questions about caring for your newborn, breastfeeding, and help with any discomfort that may arise after delivery.
Another issue that many women experience after birth is pelvic floor weakness. Sometimes it’s difficult to control urination, especially when laughing, coughing, or sneezing. This is called stress incontinence. There are specific exercises that can help improve this. In the early postpartum period, you should avoid physical strain and be gentle with your abdominal muscles. After a cesarean section or perineal tear, it’s important to be extra cautious. After a natural birth, you can start pelvic floor exercises within a few days. It is recommended to wait at least six to eight weeks after birth before enrolling in a postpartum recovery course and to consult your doctor beforehand.
Birth is a special and emotional experience. Many women go through a mood dip in the first weeks, known as the baby blues. This is normal and usually passes quickly. However, in rare cases, it can lead to postpartum depression. If you notice such feelings or changes in yourself, please talk openly with your doctor and seek support.
