Postpartum Uterine Bleeding “Lochia”: Resembles a heavy period after birth. Can last anywhere from 10 days – 6 weeks. Starts off red and eventually turns to brownish spotting.

Uterus: Takes 6 weeks to shrink to its normal pear-size shape. While you’re in the hospital, nurses will massage the uterus to aid this process, and they may recommend you continue for a few days after discharge. Your uterine contractions may be uncomfortable for a few days, especially while nursing your baby. These “afterpains” can be strong, menstrual like cramps. Use a heating pad, warm baths, and practice breathing techniques. You can purchase a tincture like AfterEase to help with any discomfort you feel.

Breastmilk: Mature milk will come in around days 3-5 postpartum. Kellymom.com has some wonderful resources for you!

Sex: Resume after 6 weeks, OR once bleeding flow has stopped completely and any stitches are absorbed. Usually this is around 3-4 weeks postpartum. Make a birth control plan. Have open communication with your partner. Use lube! It is normal to be dry and tender down there. If you are not breastfeeding you can expect to ovulate 2-6 weeks after delivery. Breastfeeding women can ovulate at any time.

Exercise: Kegel exercises may help prevent leaking urine, help promote healing, reduce swelling, and restore muscle tone in your perineum. You can begin your kegel exercises around the 3rd day postpartum. I love this postpartum exercise program! Expecting and Empowered

Hemorrhoids: Tucks pads & sitz baths. Keep your stool loose with a stool softener and a high fiber diet and plenty of fluids.

Pain: Ice packs first 12-24 hours, warm sitz baths or tub baths, topical anesthetics (sprays) and Tucks pads