What Happens in the Postpartum Period

The medical profession refers to the first weeks after birth as the postpartum period. In that time, the recovery, the relationship between parents and child and also breastfeeding are in the foreground. The body adjusts during these six to eight weeks to the so-called “non-pregnant mode”. Hormone balance is rearranged, weight is reduced and birth injuries heal. It is important that the woman does not exert herself and take over during this time.

What does postpartum mean?

The postpartum period represents the first eight weeks after birth. It is the time when the mother’s body recovers from the stresses and strains of childbirth. The most significant transition occurs within the first ten days after the birth process. The uterus recedes, the concentration of hormones, which was extremely high during pregnancy, drops to its normal level. Of course, there are also postpartum contractions, which sometimes cause pain; the postpartum flow is also quite heavy. Especially with the first child, the feeling of being a mother now is particularly strange. The mother must first settle into her new role. This is exactly why the mother (and also the father) need rest. In order for the uterus to recede or for the milk flow to be activated, the woman needs time and rest. Above all, however, it is the hours of cuddling with the baby that should be enjoyed.

Regeneration of body and soul – What happens in the body?

The first days after the birth process shape the soul of the woman. This is also because the hormones are changing. Women are more sensitive, sometimes sadder more quickly. “Crying days” are not uncommon at the beginning of the postpartum period. Sometimes, however, the “soul can also derail”. In many cases, women even need professional help when the “baby blues” strike. Depression is not uncommon. Sometimes women are also extremely anxious, behave passively and appear “cold“. It is important that the partner is also supportive here. Of course, the delivery itself can also cause the baby blues. For example, if the birth was different from what the mother had dreamed of for months. Complications, a cesarean section – all factors that promote the baby blues and ensure that the woman’s depression is pronounced. After the placenta detaches in the woman’s uterus, a wound develops in that place. It sometimes takes several weeks for the wound to heal completely. During this time, the postpartum flow, also known as lochia, occurs. The bleeding is relatively heavy, especially at the beginning of the postpartum period. Clot formation is not uncommon. Over time, however, the blood becomes lighter; after about six weeks, the postpartum flow is over and the wound dries up. During this time, hygiene is particularly important. Women should therefore take a shower rather than a full bath. There are special pads – available from pharmacies – for collecting the postpartum flow. These should be changed at regular intervals. Finally, those inserts are a breeding ground for germs, so that infections can arise.

Hygiene and gymnastics

Occasionally, postpartum congestion – a rare complication – can also occur. In that case, the uterus regresses only slowly. In most cases, women complain of back pain and abdominal pain; the flow dries up completely or changes its odor. Sitz baths and massages can help to relieve the congestion. However, if the postpartum congestion is not recognized, infections of the uterus may follow. The dangerous puerperal fever occurs. It is important that regular examinations are carried out by the midwife so that she can check whether the uterus is regressing or not. Postpartum contractions are not uncommon, especially if several children have already been born. While the regression of the uterus is not noticed by first-time mothers, women who have already given birth to three or four children suffer from severe pain. However, the afterpains subside after a few days. Mothers who breastfeed usually have no problem with the involution of the uterus. However, if difficulties do occur, the woman should prefer to lie on her stomach. The pressure on the uterus provides support for involution. An ice pack placed directly on the abdomen can also work wonders. It is important that mothers do not overdo it – especially after the first few days.Relaxation and rest are in the foreground; only in this way can the weakened muscles of the pelvic floor also be relaxed. Postpartum gymnastics should take place around two weeks after the birth. With light exercises, it is possible for the pelvic floor to be strengthened again. There are numerous exercises that help to strengthen the muscles. However, exercises should not be started too early, otherwise the mother will overexert herself.

Rest for the mother and the family

The postpartum period, which lasts between six and eight weeks, is the perfect phase to help his body in the transition, on the one hand, and also to get to know his baby. During this time, the main focus is on your own rest and the relationship with the child. It is important to go through the postpartum period together with your partner. It is advisable for fathers to be supportive and help the woman settle into her “new routine”. However, several months may pass before the body has fully recovered.