The postpartum period – the important time after the birth

The postpartum period begins directly after the birth and lasts for six to eight weeks. During this time, the mother can recover from the birth and form a bond with her newborn.

You should take things easy during this period. It is also an important time for processing the birth emotionally – especially if there were complications or you are suffering from birth trauma. You may have been injured during the birth, or perhaps your child was born by Caesarean section. Your child themselves may have had problems during the birth. In such situations, it is all the more vital to look after yourself and allow yourself to rest and recuperate.

The mother’s body undergoes many changes during the postpartum period. This is also a demanding time mentally for both parents.

In the first few weeks after the birth, a bloody discharge known as «lochia» occurs. After the birth, the placenta detaches from the uterus (womb). This leaves behind a wound that discharges blood, secretions and tissue as it heals. The bleeding can last for up to six weeks and is often accompanied by pain that feels like menstrual cramps. Many women experience postpartum contractions (afterpains). These are part of the process of the uterus returning to its normal size. During this period, it is particularly important that you look after yourself and do not put too much strain on your pelvic floor. Gentle exercises to promote uterus involution are usually possible, however.

After the birth, the body’s hormonal balance changes in preparation for breastfeeding. In addition, you have to get used to a completely new situation in life. Many new mothers do not sleep well – be it because the baby needs them in the night or because they cannot sleep themselves. The combination of sleep deprivation and the new circumstances can be challenging. Feelings of happiness and exhaustion are often a hair’s breadth apart.

Many mothers experience what are known as the «baby blues» in the initial period after the birth. This is a short phase of intense mood fluctuations and unexplained sadness. Usually, these feelings only last for a few days. Sadness that lasts for longer than two weeks can be a sign of postnatal depression. If this happens to you, speak to your midwife and get support. 

The postnatal period involves many challenges. During this intense time, you will be supported and advised by your midwife. Every woman is legally entitled to home visits from a midwife in the first 56 days after the birth. She will look after you for as long as is medically necessary.

During her visits, she will check that any birth injuries have healed and your uterus is recovering correctly, help you with breastfeeding and perform follow-up medical checks. If you are having problems with breastfeeding or pain in your breasts, talk to your midwife about it. She will be able to give you practical advice and decide whether you need to see a doctor. You should also clarify whether and how you can contact your midwife in an emergency or who you can turn to in urgent medical situations.

Find out more about the midwife’s work and her valuable support during the postnatal period.

The postnatal period is also an intense time full of new emotions for the partner. Suddenly everything revolves around your baby. You have an essential and valuable role to perform. Take the time to establish a close bond with your child and support your partner. 

You should also pay attention to your own needs during this challenging time. It is entirely normal for you to feel like you are being pushed to your limits. Do not be too hard on yourself about it. Studies show that partners can also be affected by postnatal depression. Talk to your partner about this. Are you unsure whether you might need psychological help? CONCORDIA insured persons can take the mental health check. 

• Pro Juventute parent counselling service (available in German)
• Mothers’ and fathers’ advice centers (available in German and French)
• Click & Find – CONCORDIA’s counselling service search engine