Postpartum Recovery After Normal Delivery: What to Expect?

Understanding the Postpartum Period

The postpartum period, also called the puerperium, lasts about 40 days after childbirth. This phase is crucial for a mother’s physical and emotional recovery as her body gradually returns to its pre-pregnancy state.

Key Changes in a Mother’s Body Post Delivery

1. Uterus Shrinking Back to Normal

During pregnancy, the uterus expands from its normal weight of 60–70 grams to around 1 kg to support the baby, placenta, and amniotic fluid. After delivery:

• The uterus remains around 1 kg but begins shrinking daily.

• Within 15 days, it becomes a pelvic organ.

• By six weeks, it returns to its pre-pregnancy size.

2. Cervical and Vaginal Healing

• The cervix, which dilated to 10 cm for childbirth, begins to contract and usually closes within 1–2 weeks.

• The vaginal muscles, which stretch during birth, regain their tone within a few weeks. Doctors may recommend pelvic floor exercises to strengthen these muscles.

3. Lochia: Postpartum Vaginal Discharge

Lochia is a natural postpartum discharge consisting of blood, mucus, and uterine tissue. The stages of lochia include:

• First few days: Bright red bleeding.

• After 4–5 days: Lighter pinkish discharge.

• After 8–10 days: Yellowish or creamy-white discharge, lasting up to 20 days.

4. Breastfeeding and Hormonal Changes

As soon as the baby starts suckling, the body releases prolactin, which stimulates milk production. The first milk, colostrum, is rich in nutrients and antibodies.

• By the third day, milk production increases.

• Common concerns, like small nipples or insufficient milk, can be addressed with proper techniques and support.

• Herbal supplements like Shatavari and prescribed medications may enhance lactation.

Postpartum Nutrition: Essential for Recovery

A new mother’s body requires extra nutrition, especially calcium and iron, to recover and support breastfeeding.

• Calcium Intake: 1 to 1.5 grams per day.

• Iron Supplements: Recommended for at least three months postpartum.

• A well-balanced diet, including dairy, leafy greens, and protein-rich foods, helps in faster recovery.

Emotional Well-being and Postpartum Depression

New mothers may experience postpartum blues due to hormonal fluctuations. Signs include mood swings, anxiety, or feeling overwhelmed. To manage emotional health:

• Engage in family interactions and social support.

• Share baby care responsibilities with loved ones.

• Consult a doctor if signs of postpartum depression persist.

Follow-up Appointments with Your Doctor

Regular medical check-ups ensure a smooth recovery:

• 1 Week Postpartum: Check stitches and initial healing.

• 2 Weeks Postpartum: Assess physical and emotional well-being.

• 6 Weeks Postpartum: Final recovery assessment and guidance on resuming normal activities.

At Momstory by Sahyadri Hospital, Hadapsar, Pune, we support mothers throughout their postpartum journey. Stay connected with us for expert care and guidance!