Postpartum : What to Expect
Transitions at Birth
After giving birth , your body goes through many changes . Some of these transitions take place shortly after birth and others take more time .
Bleeding
Immediately after birth , you will bleed from the wound where the placenta was attached . After ensuring that your initial bleeding is under control , your health care provider ( s ) will continue to monitor your bleeding periodically . They may check your blood loss and massage the fundus ( the top of the uterus ). Bleeding slows over the first few weeks . ( See page 56 for warning signs in the days after birth .)
In addition to continued contractions , these are also common after giving birth :
• Shaking ( sometimes severe ) immediately after the birth .
• Feeling weak , unsteady or exhausted .
• Sore muscles , especially if labor was long .
• Swelling and tenderness in the perineum ( the skin between the vaginal opening and anus ). An episiotomy ( a surgical incision in the perineum ) or more severe tear can increase your discomfort .
An episiotomy or tear in the perineum can cause additional bleeding at birth . Your health care provider will evaluate any tears and put in stitches if needed . Stitches typically dissolve within about two weeks .
Protect Your Space
The time just after birth is joyful but can also be stressful and uncomfortable . Keeping this time private can be helpful . After you are stable , prioritize these steps :
• Drink fluids and eat when able .
• Rest or sleep .
• Move , walk and use the bathroom when you feel ready . Be sure to have someone with you the first time you move around after giving birth .
Do not use period products that go into the
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vagina for postpartum bleeding ( such as
• Move to postpartum room ( in some places ). tampons or menstrual cups ). These increase
• Announce the birth to friends and invite your risk of infection . Until you are cleared by visitors only after you feel ready , no matter your health care provider , use pads or period how much time it takes . underwear , changing them regularly .
Physical Discomforts
After birth , devote your energy to healing and your baby . Set realistic expectations and don ’ t be afraid to ask for help . Friends and family can run errands , deliver groceries or meals , do laundry , clean , or help with other household chores . Talk to them about what they are able to do , and schedule times that work best .
Life with Baby 54