What Really Happens in the First Few Days Postpartum?

What You Need to Know About the First Days Postpartum

You did it! The marathon of pregnancy is complete, and you’ve crossed the finish line of labor. Cue the relief: “I’m SO glad that’s over!” But, friend, there’s a whole new chapter unfolding, and those first few days postpartum can catch you by surprise—no matter how many books you’ve read or podcasts you’ve binge-listened to. As a labor and delivery nurse, feeding specialist, and mom of four, I’m here to walk you through everything you need to know about your immediate postpartum journey.

First Things First: The Magical Moments

When your baby finally arrives, the moment feels surreal. Time stands still. You’re instantly immersed in a whirlwind of emotions: overwhelming love, profound relief, and, yes, even a touch of panic. It’s completely normal. Your heart swells with love, but your brain might quickly jump to, “Can I really do this?” Spoiler alert: You absolutely can.

Immediate skin-to-skin contact is magical and vital. Whether you have a vaginal birth or a C-section, skin-to-skin helps regulate baby’s temperature, breathing, and even blood sugar levels. It also promotes bonding and supports breastfeeding initiation. But here’s a pro tip: advocate for uninterrupted skin-to-skin time. It’s your right to have those first precious hours uninterrupted.

Real Talk: Postpartum Surprises

There are several things many new moms find surprising in those first postpartum days:

Postpartum Cramps

Did you think contractions ended with labor? Unfortunately, your uterus has other plans. As it shrinks back to its pre-baby size, you’ll likely experience postpartum cramps. These cramps can feel just as intense as labor contractions, especially during breastfeeding sessions when oxytocin is released, helping your uterus contract. Ibuprofen is your best friend here—it’s safe postpartum and highly effective.

Bleeding

Bleeding postpartum, medically called lochia, occurs whether you’ve had a vaginal delivery or a C-section. Think of it like a heavy period initially, tapering off over the next few weeks. If you’re changing a pad more than once an hour, or you see clots larger than a half-dollar size, reach out to your healthcare provider immediately.

Night Sweats and Body Odor

Postpartum night sweats are intense, and they’re your body’s way of shedding extra fluids accumulated during pregnancy. Paired with shifting hormones, you might notice body odor changes too. Shower when you can and dress in breathable fabrics to manage this surprising yet completely normal experience.

What Happens Right After Delivery?

Whether vaginal or C-section, the first two hours postpartum are critical. Medical teams monitor your vital signs, perform fundal checks (massaging your uterus to prevent excessive bleeding), and encourage initial breastfeeding. Here’s what you can typically expect:

• Placenta Delivery: Usually painless compared to childbirth, happening shortly after your baby’s arrival.

• Repairing Any Tears or Incisions: Your OB provider handles this immediately following placenta delivery.

• Regular Vital Checks: Nurses frequently monitor both mom and baby.

This initial phase can be overwhelming with administrative tasks, but it’s also a sacred time. Limit visitors if you can, focusing solely on bonding with your baby.

Vaginal vs. C-section Recovery: What’s the Difference?

Postpartum recovery differs slightly depending on your delivery method, but both require patience, care, and gentle movement.

• Vaginal Birth: Focus on comfort measures like witch hazel pads, peri bottles with cool water, dermaplast spray, and ice packs. Movement and hydration help immensely with healing and preventing constipation.

• C-section Birth: Pain typically sets in 6-8 hours post-surgery as anesthesia wears off. Early, gentle movement reduces gas pains and aids recovery. Managing your bladder proactively and using support garments can significantly ease discomfort.

Real Mom Advice: What Moms Wish They’d Known

We asked our listeners and followers what they wished they knew postpartum. Here are the highlights:

• “It’s going to be so hard, but you’re not alone.” Those first weeks can feel daunting. Acknowledge it’s tough, but temporary.

• “Ask for help and prioritize rest.” Cleaning and laundry can wait—your recovery can’t.

• “Prepare easy, one-handed snacks ahead of time.” Especially crucial when juggling feeding sessions and recovery.

• “Don’t delay lactation support.” Working with an IBCLC early can drastically improve your breastfeeding journey. Plus, insurance often covers it!

• “Take stool softeners proactively.” Trust us on this one. Your future self will thank you.

Capture the Moments: You Won’t Regret It

Amidst all the recovery and adjusting, don’t forget to capture those precious early moments. Photos are great, but videos truly encapsulate the emotions of these fleeting days. Consider creating a digital album to easily share updates with family or to revisit privately.

Prioritize Your Health: Physical and Emotional

Remember, postpartum isn’t just about your baby. Your health and emotional well-being matter immensely. Consider working with a healthcare provider or functional health specialist postpartum to check hormone levels, nutritional status, and overall wellness. Nourishing your body will support breastfeeding, recovery, and long-term health.

The Baby Settler Difference

At Baby Settler, we’re passionate about guiding you confidently through early motherhood. From understanding postpartum recovery to mastering feeding routines and sleep schedules, we provide evidence-based, compassionate support. If you’re in the Charleston, SC area, we’d love to support you directly! (we offer virtual consults too!)

Ready to Dive Deeper?

For more comprehensive postpartum support, download our FREE labor, delivery, and newborn postpartum guide. You’ll find practical tips, educational videos, and advice designed specifically for moms navigating the first weeks postpartum.

You did something incredible—you’re doing something incredible right now. Embrace the chaos, lean into support, and remember, you’ve got this.

Your postpartum journey doesn’t have to be overwhelming. With the right knowledge and community, it can be beautifully empowering. Congratulations, mama. Welcome to the next chapter!