What Is Normal in Postpartum Recovery? Advice from a Medical Expert

Having a baby does not end when the baby arrives. While that may seem obvious, there are special considerations to take into account. In this article, Bridgette Macander, registered nurse (RN) at Riverside's Family Birthing Center, explains what new parents can expect during the postpartum period. She also emphasizes why taking care of yourself matters just as much as taking care of your newborn.

What Is Postpartum Care?

The recovery period after birth is sometimes called the fourth trimester. It lasts about six weeks medically, but physically and mentally, it can stretch up to 18 months. “As a parent, you're just worried about the baby and you're not really worrying about yourself,” Macander says. But, recovery matters too. In the hospital, a nurse is available around the clock to help guide new parents through those first days. For many, those are the days that can really make a difference.

What to Expect

Postpartum care looks different for everyone. “It's okay to not be okay,” Macander assures. “It's also okay to have boundaries.” Her advice is simple: take care of yourself first. Drink water, eat nutritious food, get sleep, and go outside when you can. “The baby can't thrive if you're not thriving,” she adds.

Normal vs. Concerning Postpartum Symptoms

Bleeding for up to six weeks after birth is completely normal, even after a C-section. It becomes concerning if you are soaking through a pad within an hour or passing clots larger than an egg. Feeling exhausted and emotionally overwhelmed is also expected. However, watch for headaches that will not go away with medication, or any thoughts of harming yourself or the baby. “Don't hesitate to reach out,” Macander urges.

The Power of Sleep During the Postpartum Period (And Beyond)

Sleep is one of the most important tools for healing. “Sleep when baby sleeps,” Macander advises. Chores can wait. Catching up on your Netflix can wait. And many other things should take the back burner.
Another piece of advice Macander offers? Take turns with a partner overnight. This approach can help spread out the exhaustion. And, while it may not seem so, even a few hours of solid sleep can make a big impact.

Baby Blues vs. Postpartum Depression

Up to 80% of women experience the “baby blues.” Meaning, mood swings, crying spells, anxiety, and fatigue caused by a rapid hormone drop after birth. This is normal and usually fades within two weeks. Postpartum depression is different. It can begin in the first few weeks and last up to a year, and it deserves professional support.
Importantly, non-birthing partners can experience these same feelings too. “It's essential to recognize these symptoms in either parent,” Macander notes. No matter who is struggling, there is help available.

You Do Not Have to Go It Alone

“It takes a village to raise a child,” Macander emphasizes. Asking for assistance is hard for many people, but it matters. In the hospital, sending the baby to the nursery for a few hours can offer real rest. At home, community mom groups and trusted friends can help too.

Warning Signs That You Should Never Ignore

Three conditions deserve close attention: postpartum depression (as discussed above), postpartum hemorrhage, and preeclampsia. Hemorrhage can happen even weeks after delivery and needs immediate care. Preeclampsia can develop up to 12 weeks postpartum. This condition may show up as severe headaches, upper abdominal pain, vision changes, or sudden swelling. Both require swift intervention.

Importance of Preparing Ahead of Time

Stocking the freezer with easy meals, having supplies like pads and mesh underwear ready, and lining up help from family or friends can make the postpartum transition smoother. As the famous quote from Alexander Graham Bell states, “Before anything else, preparation is the key to success.”
Finally, Macander's advice for those exhausted 2:00 a.m. feedings? “Stop scrolling through TikTok and panicking over what you should or should not be doing. Whatever works for you is going to work for you. You're doing great.”
To learn more about the services Riverside Healthcare offers, visit riversidehealthcare.org.

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