Pregnancy and Childbirth 7 Things to Expect After Giving Birth By UPMC Magee-Womens Hospital, May 7, 2018 It takes nine months for the female body to grow and nurture a baby. As you prepare for the arrival of your newborn, you may begin to wonder about the hours and days after giving birth and what you can expect after labor. How does the body change from carrying a child to birthing one and back again? Prepping for these changes to your body can make your transition to motherhood a little bit easier. For more information about Labor and Delivery at UPMC, visit UPMC Magee-Womens Hospital or call 1-866-MyMagee (696-2433). What Can You Expect After Giving Birth? Changes to the Body Baby Belly . . . Still New moms often still look pregnant immediately after delivering their new baby. Women lose between 6 – 13 pounds immediately after labor, but the body needs time to lose the remaining weight and regain its pre-baby shape. You may experience swelling in your hands and feet or suffer from night sweats; both indicators of water retention. Don’t focus on celebrities who look perfectly coiffed and camera-ready immediately following labor. Most women still look “pregnant” for a week or two after giving birth. Contractions After Giving Birth You may have thought contractions were only during labor. One way the body returns to pre-pregnancy shape is with contractions, especially while breastfeeding. The uterus is roughly 2 1/2 pounds after delivery. The March of Dimes indicates the body uses contractions, and time, to reduce the uterus back to about 2 ounces by six weeks following birth. Soreness After Labor If you had a vaginal birth, your vagina stretches to accommodate the birth. More so, you may have had an episiotomy, when the doctor cuts the perineum, the opening between your vagina and anus, to help the baby come out. If this was the case, you also needed stitches. To help the area heal, use a water bottle to squirt warm water on it to keep the area clean. Use ice packs to ease pain and sit on a pillow for extra comfort. If you underwent a C-section, you may experience serious pain in your lower abdomen from the incision. Make sure to adjust your routine post-delivery to accommodate healing. Don’t lift anything heavier than the baby. RELATED: What Is Considered Advanced Maternal Age? Breast Engorgement Your breasts may also become very sore, or engorged, as milk starts to come in during the first few days after labor. Warm compresses and showers can help with breast pain. Make sure to wear breast pads to soak up milk leakage. Nipple pain and cracking are also common. This happens as the nipples adjust to the rigors of breastfeeding. Use nipple ointment to soothe the cracking and let your breasts air dry after showers. Bleeding After Labor The Office on Women’s Health, a part of the U.S. Department of Health and Human Services, warns women will experience discharge after delivery known as lochia. Lochia is the shedding of blood and tissue that lined the uterus during pregnancy. After delivery, the body expels it. It can be rather heavy, lightening over time, and may last a few weeks. Exhaustion in New Moms Giving birth is quite a feat: It can exhaust you from the sheer effort. More so, you lose a lot of blood during delivery and in the first 24 hours after giving birth, which will cause the body to experience fatigue. Make sure to drink plenty of water and eat a lot of fresh fruits and vegetables. Hormone Changes Despite the many hormone changes and mood swings you may have experienced during pregnancy, many women are surprised to experience mood swings after delivery. A woman’s body will go through many hormone dips and spikes, which can affect her mood. Remember, these mood swings are natural. However, many women will also experience postpartum depression, or feelings of extreme sadness, anxiety, and exhaustion. Pay attention for the following symptoms: Restlessness Irritability Sleeplessness Sleeping too much Undereating Overeating Trouble focusing No interest in the baby Feelings of guilt or worthlessness Lack of interest in activities you used to enjoy Thoughts of harming yourself or the baby If you think you may have postpartum depression, consult your doctor. Many women benefit from therapy or medication. For New Moms, Focus on Rest Remember, many changes happen to the body after giving birth. Focus on getting as much rest as possible and drinking plenty of fluids. Take it easy whenever possible and if in doubt about any symptoms, contact your doctor immediately. Most of all, be kind to yourself as you move to this new and exciting life phase. For more information about Labor and Delivery at UPMC, visit UPMC Magee-Womens Hospital or call 1-866-MyMagee (696-2433).