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Mother with her newborn during the first week postpartum, illustrating the physical adjustments and new discoveries.

Week 1 Postpartum: Adjusting

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Bobo Team  •  Child Development  •  3 min read

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Congratulations on your new arrival! The first week postpartum is a whirlwind of emotions, adjustments, and discoveries. In this article, we'll explore what to expect during the week one postpartum.​

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Healthcare considerations:

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  • Perineal Soreness and Swelling: After a vaginal delivery or episiotomy, the perineal area may experience soreness, swelling, and discomfort. This discomfort can make sitting or moving around challenging but typically improves with time and proper care.

  • C-section Recovery: If you had a C-section, you will have an incision on your abdomen that requires care. Keep the area clean and dry, watch for signs of infection (redness, swelling, or pus), and follow your doctor’s advice on pain management and activity restrictions. Use a pillow to cushion your incision area when you cough or sneeze. Additionally, use a pillow to support your abdomen while breastfeeding.

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Physical Changes:

 

  • Vaginal Bleeding (Lochia): In the first few days postpartum, vaginal bleeding, known as lochia, may be heavy as the body expels excess blood and tissue from the uterus. This discharge gradually tapers off over the following weeks, transitioning from bright red to pinkish or brownish in color.

  • Uterine Contractions and Discomfort: The uterus undergoes involution, returning to its pre-pregnancy size, which may cause discomfort resembling menstrual cramps. These uterine contractions help expel any remaining tissue and reduce the risk of postpartum bleeding.

  • Breast Engorgement and Tenderness: As milk production begins, the breasts may become engorged, tender, and swollen. This engorgement can lead to discomfort and potential leakage of colostrum, the early breast milk rich in antibodies that support the newborn's immune system.

  • Nipple Pain and Discomfort: In the early days of breastfeeding, many mothers experience nipple pain and discomfort as they and their newborns navigate the breastfeeding process. This pain can arise from a variety of factors, including an improper latch, friction from feeding, or sensitive nipples. As mothers adjust to breastfeeding, they may experience soreness, tenderness, or even cracking of the nipples. Managing nipple pain involves ensuring a proper latch, using lanolin-based creams for soothing relief, and seeking guidance from lactation consultants or healthcare providers if the pain persists or worsens.

  • Constipation, Hemorrhoids, and Urination: It's common for mothers to experience changes in bowel movements, urination, and discomfort due to hemorrhoids. Constipation may occur as the body adjusts after childbirth, often caused by dehydration, pain medication, or changes in diet. Additionally, hemorrhoids, swollen veins in the rectum, may cause pain or discomfort during bowel movements. Using a stool softener, applying witch hazel pads, and taking sitz baths can provide relief. Regarding urination, some mothers may experience difficulty or discomfort due to swelling or trauma from childbirth. Seek medical attention if there are signs of infection or urinary retention.

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Emotional and Hormonal Changes:


In the first week after childbirth, you may experience a rollercoaster of hormonal and emotional changes as your body adjusts to the postpartum period. Hormonal fluctuations, combined with exhaustion from labor and delivery, can lead to mood swings, irritability, and heightened emotional sensitivity.
It's common to feel overwhelmed by the demands of caring for your newborn while also grappling with physical discomfort and recovery from childbirth. For some women, these feelings may intensify into what is commonly referred to as the "baby blues," characterized by periods of tearfulness, anxiety, or sadness. While the baby blues typically subside within two weeks, it's important to seek support from loved ones and healthcare providers if you're struggling to cope.

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Health and Well-being:

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  • Rest and Sleep: Although challenging with a newborn, it is essential for physical and emotional restoration. Rest when the baby sleeps and accept help from loved ones to manage household tasks.

  • Nutrition and Hydration: Nutrition plays a vital role in recovery, with a focus on nourishing foods that support healing and breastfeeding. Hydration is also key, so drink plenty of water throughout the day to replenish fluids lost during childbirth and breastfeeding.

  • Exercises: Light exercises, including gentle walks and pelvic floor exercises, can aid in strengthening muscles and promoting circulation, but be sure to consult with a healthcare provider before starting any exercise regimen.

  • Sexual Health: Allow 4-6 weeks for your body to heal before resuming sexual activity. Open communication with your partner about expectations and concerns is essential for navigating this aspect of postpartum recovery. Discuss birth control options with your partner, as period tracking can be unreliable postpartum and during breastfeeding due to irregular menstrual cycles. If period tracking is your preferred method, ensure you have a plan in place in case of an unexpected pregnancy. The Government of Canada recommends waiting at least 18 to 24 months after giving birth before trying to conceive again.

 

Sources:

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This information is provided for educational and entertainment purposes only. We do not accept any responsibility for any liability, loss or risk, personal or otherwise, incurred as a consequence, directly or indirectly, from any information or advice contained here.
https://www.canada.ca/en/public-health/services/child-infant-health/postpartum-health-guide.html#a1.1

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