I felt well prepared for the labor and delivery of my first child, but recovering from the birth was a total surprise. At my postdelivery checkup, my doctor assured me that I was healing normally, but "normal" felt a lot rougher than I'd anticipated. Since then, I've talked to other moms who say that they were equally unprepared for their recuperation.
Our prenatal education classes had focused almost entirely on the birth itself, with little mention of the postpartum period. However, understanding the recovery process can help you feel less stressed about the changes taking place in your body, and better able to focus on your baby. Learn from our experts what you can expect.
Six Weeks For Recovery Is Just An Estimate
I'd read that it would take six weeks to bounce back from a vaginal delivery, but you may in fact need more time to heal from bruising, swelling, episiotomy stitches, and sore muscles, according to Isa Herrera, women's health specialist and the clinical director of Renew Physical Therapy, in New York City. (Soaking in a shallow tub filled with warm water, called a sitz bath, can help minimize the discomfort.) If you've had a cesarean section, you'll need to give yourself at least 12 weeks to recover from the abdominal surgery.
No matter how your baby arrives, you may have mild cramping as your uterus slowly contracts back to its usual size, shape, and position. You may lose some hair, develop acne, feel teary, and have night sweats until your hormones return to normal. While you and your baby are learning to breastfeed, you may temporarily experience sore nipples and engorgement (a condition in which your breasts are tender and swollen with milk).
The Frequent Bathroom Breaks Won't Be Over Yet
You might feel like you're peeing as often as you did while you were expecting. Pregnancy causes swelling in your body and an increase in your blood volume, and all of that excess fluid has to be eliminated, explains Myra Wick, M.D., a specialist in the department of obstetrics and gynecology at the Mayo Clinic and co-medical editor of the Mayo Clinic Guide to a Healthy Pregnancy.
If you've had a vaginal delivery, you may have trouble feeling the urge to go because stretching during childbirth can cause mild temporary damage to nerves of the bladder. Try to urinate frequently, even when you don't feel like you have to. You may also leak a little bit of urine when you cough or laugh.
This condition (known as stress incontinence) is common during pregnancy and after childbirth because both can weaken your bladder muscles. Practicing Kegel exercises, in which you squeeze and release your pelvic-floor muscles, can help improve your symptoms. Wearing a pantyliner will keep your underpants dry.