Week 1 Postpartum: What No One Tells You

3 min read

You’ve made it through labor — now what? The first week postpartum is raw, beautiful, and often overwhelming. Here’s what people don’t always say out loud:

Your Body is Actively Healing

Bleeding (lochia), uterine cramping, and perineal soreness are normal. The uterus takes about 6 weeks to return to its pre-pregnancy size, and lochia can last up to 4–6 weeks (ACOG, 2020). Use ice packs, pain relief, and plenty of rest.

Baby Blues Are Extremely Common

About 80% of mothers experience mood swings, anxiety, or tearfulness in the first week — known as the “baby blues” (CDC, 2022). These usually resolve within 10–14 days. If feelings worsen or persist, talk to a provider about postpartum depression, which affects 1 in 7 moms.

Sleep Deprivation Impacts Mental Health

New parents lose an average of 1–2 hours of sleep per night in the first month (Meltzer & Mindell, 2007). Sleep fragmentation is linked to higher rates of anxiety and depression. Prioritize rest when possible, and share nighttime duties with your partner.

Support Reduces Stress and Improves Outcomes

Research shows that emotional and practical support during the postpartum period is associated with better maternal mental health and lower stress levels (WHO, 2013). Even simple acts like preparing meals or offering a listening ear can make a difference.