Pregnant and after? Episode 4: Postpartum

We talk a lot about childbirth, but less often about postpartum. Yet, it's a pivotal, often disorienting period where the body recovers while the mind fluctuates between happiness and exhaustion. Broken sleep, hormonal crashes, new responsibilities… Every woman experiences this stage differently. So, how long does postpartum really last? What should you expect? And most importantly, how can you take care of yourself in this whirlwind of changes? We'll review this essential, albeit often misunderstood, transition to better understand and experience it more serenely. Let's go!

Postpartum: definition

"Postpartum" refers to the entire period following childbirth. During this phase, the new mother's body and mind slowly recover from the upheavals of pregnancy and birth. It can last several months… or even several years! And to prepare for it properly, there's nothing like understanding its different stages.

How long does postpartum last?

So, how long does postpartum last? To this question… there are several answers! But generally, postpartum is defined in three main phases:

1. Immediate postpartum (= the first 24 hours after childbirth): This period corresponds to the expulsion of the placenta and the body's first reactions to hormonal changes. The medical team remains vigilant to monitor you, as potential post-childbirth complications can still arise.

2. Early postpartum (= the first 10 days after birth): During this phase, your tears and scars (from a C-section, for example) gradually heal. You might experience uterine contractions (= afterpains, we'll get back to that). These help your uterus return to its original size. At the same time, if breastfeeding is part of your maternal plan, it's time to establish it!

3. Late postpartum (= up to 6 to 8 weeks after childbirth): The body continues to recover. If you're not breastfeeding, you might have your return of menstruation. Welcome back menstrual cycles!

Once that's said, let's pause for a moment. Because some specialists estimate that postpartum can last well beyond the six "medically recognized" weeks. As, hormonally and psychologically – get this – this period could last up to 1 year... or even more!

 

What are the stages of postpartum?

We can still note three important phases during this period.

The return home

At the end of the 3rd trimester of pregnancy, we give birth. And once we've given birth, well… we go home! From the first days, if all went well, this is the first step: returning home. And this can sometimes be disorienting. We were at the maternity ward, with a super reassuring medical setting and attentive doctors. Then, we find ourselves back in our daily lives, which resume their course – but not as before. We have (re)become mothers and we must (re)find a new balance with our baby. Not easy!

Physically, the body continues to recover from its emotional toll. You might notice:

• vaginal bleeding / vaginal discharge (the famous lochia);
• uterine contractions (the re-famous afterpains);
• your milk coming in (sometimes impressive!);
• urinary leaks (we said we'd tell you everything, didn't we?);
• possible pain in the perineum or your scars.

Organization-wise, it can also be a bit rock'n'roll. Because adapting to the rhythm of the new arrival often leads to intense fatigue in parents. Or, for many mothers, the famous baby blues! Don't panic, this feeling of sadness, very common, only lasts a few days.

The return of menstruation

And we're not talking about Pampers diapers! The return of menstruation is the period corresponding to the first period after childbirth. It generally occurs between the 6th and 8th week postpartum. Especially in women who are not breastfeeding. And thus, much later, in those who are breastfeeding! Why? Because prolactin, the main hormone for breast milk production, inhibits and blocks ovulation.

These first periods can be heavier and longer than before pregnancy. You might also experience more intense cramps, just until your uterus finds a stable hormonal cycle again.

Attention! New mothers tend to confuse the return of menstruation with lochia. However, these are two different phenomena. Lochia are postpartum vaginal discharges. They are completely normal and usually last several weeks.

Postpartum medical follow-up

During your postpartum period, you will receive medical follow-up – essential for monitoring your physical and mental recovery! First, a midwife will visit you within the first few days at home. Specifically to:

• weigh your baby;
• support your breastfeeding;
• answer all your questions as a new mother;
• in short, check that everything is going well for both of you (and the co-parent).

Then, you can have your first postnatal visit between 6 and 8 weeks after childbirth. There, your midwife can assess:

• Your healing in case of stitches or a C-section.
• The tone of your pelvic floor and perineum.
• Any signs of postpartum complications (hemorrhage, infection, depression).
• Your contraceptive needs, if you wish to resume sexual intercourse.

What are the symptoms of postpartum?

Postpartum is a period of great upheaval, which each of us experiences in our own way. Here, however, are its most frequent symptoms.

The physical symptoms of postpartum

Childbirth remains a significant ordeal for our bodies, which will need time to readjust. This transition phase is characterized by several physical symptoms, such as:

• Lochia: these postpartum bleedings can last 4 to 6 weeks and vary in intensity. They are heavier in the first few days, then gradually decrease.
• Uterine afterpains: these are painful contractions that help the uterus return to its original size.
• Pain (perineum and scars) : after a vaginal delivery, you may also feel pain in the perineum. This is very common, especially in case of tearing or episiotomy. If you had a C-section, your scar may pull a little for several weeks.
• Intense fatigue: between physical recovery and interrupted nights due to baby's awakenings, exhaustion is common in postpartum.
• Breast engorgement and breast pain: breast milk production can cause breast engorgement. And with that, painful tension (especially at the beginning of breastfeeding).
• Digestive and urinary problems: constipation, hemorrhoids, urinary leaks or a feeling of heaviness in the pelvic floor… nothing glamorous, but all these symptoms are very common in postpartum.

Are you losing a lot of hair since you gave birth? It's normal! We explain why in our article on postpartum hair loss.

The mental symptoms of postpartum

Postpartum is not limited to physical changes. Because it is a period where one feels more vulnerable from a psychological point of view. Thus, hormonal variations, adaptation to the role of mother, and fatigue can generate different symptoms. For example:

• Irritability and mood swings: your hormones are raging. So, naturally, you might feel an exacerbated sensitivity. With, as a result, recurrent crying and a feeling of emotional exhaustion.
• Postpartum anxiety: most women experience intense stress regarding their new responsibility as a mother. Especially concerning their infant's feeding, sleep, or health.
• Sleep disturbances: even outside of baby's nighttime awakenings, some women may suffer from insomnia due to stress and hormonal changes.
• Feeling of loneliness: despite the euphoria of birth, many mothers experience a feeling of isolation, especially if they have little family or social support.
• Lack of self-confidence: faced with social injunctions and the pressure to "do well," many women greatly doubt their maternal abilities.

Baby blues and postpartum depression

Did you know that about 80% of new mothers experience a feeling of sadness in the first few days of their child's life? This is called the baby blues, and it's completely normal. This episode, which occurs within 3 to 10 days after childbirth, manifests as:

• uncontrollable crying;
• fatigue;
• and hypersensitivity.

Whose fault is it? Hormones and their sudden drop after childbirth. But don't worry: the baby blues disappears spontaneously a few days after delivery.

However, it's important not to confuse baby blues with postpartum depression. Which, it must be said, affects 15% of women and can last several months. What's the difference? Well, the latter is characterized by:

• intense sadness;
• extreme fatigue;
• a loss of interest in her baby;
• negative thoughts.

If this happens to you, don't wait and consult a healthcare professional. Because you will undoubtedly need help to get through it.

Looking to pamper your body right after childbirth? Look no further: our postpartum products and Moral Boost, our supplement for stress and fatigue, are here for you!

How to take care of yourself postpartum?

We tend to focus postpartum on the newborn. But the mother also needs attention and support to recover during this period. So here are our best tips for taking care of yourself, experiencing this transition better, and avoiding exhaustion.

1. Surround yourself and ask for help

One of the most important factors for a serene postpartum is the support of your entourage. And this, from the very first days! Because, after childbirth, your fatigue and mental load can sometimes be heavy to bear, especially if you have other young children at home. Help can come from several different people. Among them:

Your partner and/or your family

If they are present, your partner should be involved in all daily tasks:

• taking care of the baby;
• managing meals;
• doing housework;
• being present for you.

You can also ask your relatives (parents, friends) to take over as soon as possible, even if it's just for a few hours a day. So that you too can get a break… as soon as possible.

Your midwife and other health professionals

We know that asking for help isn't always easy. However, independent midwives are there for that! They – and other health professionals – are there to support you as best as possible in your postpartum.

Support groups

Did you know that there are associations and discussion groups to connect with other parents? By talking with women who are going through the same thing as you, you will receive the emotional support you need.

2. Experiencing breastfeeding well

Breastfeeding is an adventure! However, it's not always easy to get started. Because, from the very first days, the milk coming in and establishing a feeding rhythm can be painful and emotionally intense.

Are you having difficulties? Call a midwife or a lactation consultant. They will help you adjust the baby's position and avoid certain pains. Know that many maternity hospitals offer postnatal breastfeeding follow-up. As do associations, like La Leche League, which offer valuable support.

Also, it is important to know that breast milk production requires a lot of energy. So, remember to:

• stay well hydrated;
• adopt a balanced diet;
• rest whenever possible.

Are you breastfeeding at night? Consider co-sleeping! Your baby sleeps nearby, which facilitates nighttime feedings and allows you to limit fatigue. Practical!

Finally, know that breastfeeding is not mandatory. And that every mother should be able to make her own choice without guilt. If, for you, breastfeeding becomes a source of stress or suffering, then do not hesitate to switch to bottle feeding. Your well-being as a mother comes first.

3. Resuming physical activity

Even if postpartum is a period of recovery, there's nothing to stop you from doing adapted physical activity. On the contrary, it's a great idea to regain energy and boost your mental well-being! We recommend waiting at least 6 weeks after childbirth before getting back into it (and 8 weeks if you had a C-section). The best thing is for this resumption to be validated by your midwife or physiotherapist.

Where to start? First with gentle activities that will allow you to reconnect with your body, such as:

• walking;
• postnatal yoga;
• abdominal breathing exercises.

Once you have completed your perineal rehabilitation, you can reintroduce more intense exercises such as:

• Pilates;
• swimming;
• light strength training.
  

In any case, resuming sport postpartum will help you to:

• Promote recovery by stimulating your blood circulation and improving your posture.
• Better manage stress and anxiety by releasing endorphins.
• Strengthen your abdominal muscles and your back, often put to the test by pregnancy.

However, be kind to yourself: listen to your body and don't set overly ambitious goals. Keep in mind that every woman recovers at her own pace!

4. Rehabilitate your perineum

Too often neglected, perineal rehabilitation is essential after childbirth to prevent:

• urinary leaks;
• a feeling of heaviness;
• certain pains.

If your perineum is too weakened, you risk unfortunate organ prolapse or daily discomfort – as soon as you lift heavy loads, for example.

In France, you are entitled to 10 rehabilitation sessions from 6 to 8 weeks postpartum. With a midwife or a physiotherapist, you will practice different muscle contraction exercises that are excellent for your perineum. Then, you will have the opportunity to work on the deep abdominal muscles to complete the recovery.

5. Resuming sexual activity

Finally, you can resume sexual intercourse after childbirth. But this should be done without pressure and at your own pace. We recommend waiting until the lochia has ended and your complete healing before resuming. But, once again, you are the sole decision-maker.

Be aware, however, that certain difficulties may arise, such as:

• vaginal dryness;
• fatigue;
• apprehension.

That's why, in all cases, it's important to maintain communication within the couple.

If you resume intercourse after your return of menstruation, don't forget that you are fertile again! And, thus, ask yourself about contraception. Who wants to take charge of it? You, or your partner? What type of postpartum contraception will suit you best? There's no shortage of choices:

• IUD;
• implant;
• condom;
• birth control pills…

If you hesitate, talk to a healthcare professional. They will help you choose the most suitable method. The essential thing, again, is to listen to your body. And not to rush!

In short, as you will have understood: postpartum is a significant transitional period. During which it is essential to take care of yourself, surround yourself, and listen to your body to get through it as best as possible. So, above all, don't hesitate to ask for help. Because a healthy mother means a baby growing up in a serene environment.