Postpartum Recovery: Things to know https://www.oviahealth.com/blog/parenting/postpartum-recovery/ Digital health personalized for every family journey Wed, 11 Jun 2025 15:28:57 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.3 What you need to know about Zurzuvae, the new postpartum depression treatment https://www.oviahealth.com/guide/291688/what-you-need-to-know-about-zurzuvae-the-new-postpartum-depression-treatment/ Tue, 19 Dec 2023 20:42:15 +0000 https://www.oviahealth.com/?post_type=article&p=291688 Zurzuvae (zuranolone) is approved to treat postpartum depression (PPD). Zuranolone is a neuroactive steroid that acts as an antidepressant. It is the first and only oral treatment available to specifically treat PPD. It is available as a 50-mg tablet taken once a day for 14 days, which is exciting because other depression drugs used for PPD can take 2-4 weeks to begin working and are usually taken for 9-12 months. Zuranolone works faster than other existing methods to treat PPD and continues to work after a person stops taking it.

Postpartum depression is the most common health problem of pregnancy. Up to one in five mothers will experience postpartum depression. Like other types of depression, people with PPD may have the following symptoms:

  • Loss of interest in activities
  • Feelings of sadness, guilt, and worthlessness
  • Reduced ability to feel pleasure
  • Fatigue
  • Trouble learning new things, focusing, remembering, or making decisions
  • Difficulty connecting with your baby
  • Thoughts of harming oneself or the baby
  • Suicidal thoughts

How does zuranolone work?

Zuranolone is a lab-created form of allopregnanolone thought to help improve mood and treat PPD. Allopregnanolone is a form of progesterone that helps lower anxiety and the symptoms of depression. Low levels of it after birth may be linked to PPD symptoms. 

How is it different from other treatments for PPD?

Zulresso (brexanolone) is the only other existing treatment specifically for PPD. The intravenous therapy takes over 60 hours and requires a hospital stay of two and a half days. Other depression drugs don’t usually work as fast or target PPD and can take months to show improvement.

What are its side effects?

Drowsiness, dizziness, diarrhea, and fatigue are the most common side effects of zuranolone. The treatment has an FDA box warning about the risk of impaired driving or attention while on the medication.

Is it safe to take while breastfeeding?

Study participants were asked to stop breastfeeding while part of the study. So, the effects on breast milk, a nursing baby, or changes in milk production are unknown. Talk to your provider about whether breastfeeding while taking zuranolone is right for you. 

Will insurance cover zuranolone?

As with most new drugs, some companies may pay for them, and others will not. Check with your insurance provider and ask if they will cover this drug before it is prescribed to you to avoid unnecessary costs. 

Read more

]]> What you need to know about Zurzuvae, the new postpartum depression treatment https://www.oviahealth.com/guide/290525/what-you-need-to-know-the-new-treatment-for-postpartum-depression/ Wed, 06 Dec 2023 18:19:44 +0000 https://www.oviahealth.com/?post_type=article&p=290525 Zurzuvae (zuranolone) is approved to treat postpartum depression (PPD). Zuranolone is a neuroactive steroid that acts as an antidepressant. It is the first and only oral treatment available to treat PPD specifically. It is available as a 50-mg tablet taken once a day for 14 days, which is exciting because other depression drugs used for PPD can take 2-4 weeks to begin working and are usually taken for 9-12 months. Zuranolone works faster than other existing methods to treat PPD and continues to work after a person stops taking it.

Postpartum depression is the most common health problem of pregnancy. Up to one in five mothers will experience postpartum depression. Like other types of depression, people with PPD may have the following symptoms:

  • Loss of interest in activities
  • Feelings of sadness, guilt, and worthlessness
  • Reduced ability to feel pleasure
  • Fatigue
  • Trouble learning new things, focusing, remembering, or making decisions
  • Difficulty connecting with your baby
  • Thoughts of harming oneself or the baby
  • Suicidal thoughts

How does zuranolone work?

Zuranolone is a lab-created form of allopregnanolone thought to help improve mood and treat PPD. Allopregnanolone is a form of progesterone that helps lower anxiety and the symptoms of depression. Low levels of it after birth may be linked to PPD symptoms. 

How is it different from other treatments for PPD?

Zulresso (brexanolone) is the only other existing treatment specifically for PPD. The intravenous therapy takes over 60 hours and requires a hospital stay of two and a half days. Other depression drugs don’t usually work as fast or target PPD and can take months to show improvement.

What are its side effects?

Drowsiness, dizziness, diarrhea, and fatigue are the most common side effects of zuranolone. The treatment has an FDA box warning about the risk of impaired driving or attention while on the medication.

Is it safe to take while breastfeeding?

Study participants were asked to stop breastfeeding while part of the study. So, the effects on breast milk, a nursing baby, or changes in milk production are unknown. Talk to your provider about whether breastfeeding while taking zuranolone is right for you. 

Will insurance cover zuranolone?

As with most new drugs, some companies may pay for them, and others will not. Check with your insurance provider and ask if they will cover this drug before it is prescribed to you to avoid unnecessary costs. 

]]> Twenty-six weeks postpartum https://www.oviahealth.com/guide/263671/twenty-six-weeks-postpartum/ Wed, 29 Jun 2022 15:21:53 +0000 https://www.oviahealth.com/?post_type=article&p=263671 While you’re probably feeling a lot different now than the first week after childbirth, it can take about a year to fully recover from pregnancy and mentally adjust to your new identity as a parent. Here’s what you might experience at 26 weeks postpartum.


Postpartum by week

Your body

You’re officially at the six-month mark. Body changes this week might involve muscle tone, your menstrual cycle, skin issues, hair loss, or hormonal shifts.

Muscle changes

It can take several months to regain your full pre-pregnancy strength, but you’re probably getting stronger every day. If you developed diastasis recti (widening between the right and left ab muscles) while pregnant, there’s a chance your stomach will still stick out slightly this week. And although it’s not usually permanent, about 30% of women still have it at the one-year mark.

Skin and hair

Some people have clearer complexions or less sensitive skin after pregnancy, while others experience not-so-fun skin changes. At six months postpartum, you might run into rosacea, eczema, dryness, or hormonal breakouts. Check in with a dermatologist if any of these issues don’t resolve within a month or so.

You’re likely seeing some hair fallout this week too. The amount of shedding can be alarming, but try not to panic. You’ll most likely be back to your pre-pregnancy fullness by the time your child turn’s one. If it’s really bugging you, a shorter cut can make your hair look and feel thicker, plus your baby won’t be able to tug on it as easily.

Breastfeeding and weaning

A little over half of infants still drink breast milk at 26 weeks, either by bottle, breast, or both. However, only about 25% breastfeed exclusively. Six months is often when solid foods are introduced, but babies still rely on breastmilk and/or formula as their primary source of nutrition until age one. Solids are really important to expose baby to new textures, flavors and social patterns at meals, but you may not notice a decrease in how much milk they drink until closer to the year mark.

Your little one might be getting their first teeth and could accidentally bite your nipple while feeding. Try to remain calm and pause the feeding. Generally babies realize biting doesn’t help anyone, and it won’t happen again. Distractions can also become an issue as they become more aware of the world around them. 

Every person has different goals when it comes to feeding, and weaning is a personal choice. Some people experience hormonal shifts when weaning and experience everything from acne to mood swings. These changes are temporary, but it’s good to be prepared! 

Menstruation

If you’re still breastfeeding exclusively, you might still be period-free. But if you recently quit or are supplementing with formula, your menstrual cycle may start back up soon — if it hasn’t already. In any case, don’t overlook birth control because you could ovulate and get pregnant before getting your first postpartum period.

Your mental health

At 26 weeks, you might be feeling more confident and comfortable in your role as a parent. That said, depression and anxiety are also somewhat common at this stage.

Postpartum anxiety and depression

Up to 20% of new mothers struggle with anxiety, and over 10% face postpartum depression (PPD). Though they aren’t the same, the symptoms of these mental health conditions sometimes overlap.

Some of the most common signs include constant worry, frequent mood swings, lingering sadness, racing thoughts, difficulty concentrating, appetite changes, and restlessness. If you feel anxious or depressed for longer than two weeks, contact your healthcare provider or call the Postpartum Support International hotline.

Sleep and energy

Some babies begin sleeping through the night around the six-month mark. If this is the case with your child, take full advantage and get some much-needed shut-eye yourself. Drinking plenty of water, eating a well-rounded diet, and moving your body (even if it’s just a daily walk) can also help you keep your energy levels up. 

Work-life balance

Balancing career with family is never easy, let alone with a six-month-old in the picture. Instead of setting your sights on a perfect work-life balance, give yourself credit for doing your best, and don’t worry if you can’t always get to everything on your list. You’ve got this.

Reviewed by the Ovia Health Clinical Team

Sources

]]> Twenty-five weeks postpartum https://www.oviahealth.com/guide/263669/twenty-five-weeks-postpartum/ Wed, 29 Jun 2022 15:21:42 +0000 https://www.oviahealth.com/?post_type=article&p=263669 Research shows it takes about a year to completely recover from pregnancy and mentally adjust to becoming a parent. Here’s what you might experience at 25 weeks postpartum.


Postpartum by week

Your body

Physical changes this week can involve everything from menstruation and muscle tone to hormonal shifts and shedding.

Muscle changes

You’ve been lifting and holding your baby for nearly six months now, and they’re only getting bigger. Your legs and arms are likely becoming stronger, but since your ligaments loosened during pregnancy, it can take a while to fully regain your muscle tone. Taking care of your back when you’re lifting your baby is especially important while your core is still healing. 

Hair loss

Unfortunately, postpartum shedding is all but inevitable. While there are currently no proven ways to stop it, just know it won’t go on forever. Most new mothers are back to their usual thickness at the one-year mark.

Breastfeeding and weaning

Everyone’s experience is different, but breastfeeding can take a major physical toll. Breastfeeding in week 25 could mean dealing with new teeth! The good news is that the first two teeth are the bottom two in the front, and they are covered by baby’s tongue during feeds. Could baby nibble? It’s possible, but most babies try out their new teeth once or twice and learn it doesn’t feel good for you. 

Babies are also much more aware of their surroundings, and can get distracted during feeds. Try a dark environment or a favorite little toy attached to your bra strap. If you’re facing breastfeeding obstacles, it’s still normal and a great idea to reach out for support. But no two feeding journeys are the same, and it’s always okay to re-evaluate your goals. Combo feeding and formula are options to explore if you’ve reached a point in your journey where you’re ready for a change!

Menstruation

If you recently stopped nursing or are no longer breastfeeding exclusively, your period could restart soon. Post-pregnancy menstrual cycles are often irregular at first, and they might involve different or more severe symptoms than before.

Your mental health

At 25 weeks, you might be confidently coasting through life as a new parent, feeling content, happy, and all-around fulfilled. However, anxiety, depression, and body image issues are still relatively common at this stage.

Postpartum anxiety and depression

As many as 20% of new mothers struggle with anxiety, and upwards of 10% experience postpartum depression (PPD). These mental health conditions aren’t the same, but the symptoms can overlap.

Some of the most common include lingering sadness, mood swings, restlessness, constant worry, racing thoughts, difficulty concentrating, appetite changes, and sleep issues. If you feel anxious or depressed for more than two weeks, talk to your healthcare provider or call the Postpartum Support International hotline.

Body image

Many women struggle with body image after giving birth, whether it’s negative thoughts about their appearance or societal pressure to “bounce back.” It’s not always easy, but reframing the narrative might help. Rather than striving to return to your pre-baby size, focus on life-long physical and mental well-being so you can live more happily, thrive professionally, and be there for your child.

Sleep and energy

Your baby might be sleeping through the night at this point. If so, take advantage of the extra hours and get some much-needed rest yourself. Eating a nutritious diet, staying hydrated, and moving your body every day can also help you feel energized and able to focus.

Work-life balance

Whether you commute or work from home, balancing family with career can be tricky — and it can be particularly overwhelming with a baby in the picture. From finding the right daycare center to pumping at work to trying to focus while sleep-deprived, it’s understandable to feel a little stressed. Finding community, whether it is in-person or online can make you feel less isolated and more supported as a parent navigating all of these challenges.

Instead of striving for a perfect work-life balance, try to embrace the chaos of this hectic stage. And go easy on yourself if you don’t check off every single item on your to-do list. There’s always tomorrow.

Reviewed by the Ovia Health Clinical Team

Sources

]]> Twenty-four weeks postpartum https://www.oviahealth.com/guide/263667/twenty-four-weeks-postpartum/ Wed, 29 Jun 2022 15:21:33 +0000 https://www.oviahealth.com/?post_type=article&p=263667 Here’s what might be happening with your body, mental health, energy levels, self-care needs, and social connections at 24 weeks postpartum.


Postpartum by week

Your body

While you may be healed from childbirth by now, that doesn’t mean you’re entirely out of the woods with post-pregnancy symptoms. From your hormones to your hair to your muscles, there are a handful of physical changes you could experience this week.

Hair loss

Postpartum shedding is basically inevitable. Though there’s not anything you can do to prevent it, a shorter cut might make your hair look and feel fuller. Plus, your little one won’t be able to tug on it as easily.

Breastfeeding and weaning

Time commitment aside, breastfeeding takes major energy! If you’re struggling with milk production, coping with demands of pumping at work or are experiencing frequent clogged ducts, know that you are not alone. Finding community support, or professional support for breastfeeding, is just as important now as it was week one. It’s also okay to re-think your feeding goals, and get support for combo feeding and formula. No two families are the same, and your enjoying this journey takes many forms. Nearly six months of nursing is an impressive feat, so give yourself credit for making it this far!  

Menstruation

If your period isn’t back yet, it’ll likely show up soon — unless you are exclusively breastfeeding. Your menstrual cycle might involve different symptoms than before or may be irregular for a few months, but it’s still important to have a plan for birth control.

Muscle changes

If you’re one of the 60% of women who get diastasis recti (widening ab muscles) during pregnancy, the good news is it’s not typically permanent. However, about 40% will still have a slight protrusion at six months postpartum, and roughly 30% will have it at the one-year mark.

You’re probably building muscle in your arms and legs from lifting, holding, and rocking your baby. Still, since pregnancy causes your ligaments to loosen and relax and loosen, it can take a while to get your full physical strength back.

Your mental health

The most common mental health conditions at 24 weeks postpartum include anxiety, postpartum depression (PPD), and obsessive-compulsive disorder (OCD). It’s normal to feel temporarily stressed, sad, or uneasy, especially during such a pivotal life stage.

That said, if depression, anxiousness, irritability, insomnia, concentration issues, or obsessive, repetitive behaviors last longer than two weeks, get in touch with your healthcare provider or call the Postpartum Support International hotline.

Sleep and energy

You can occasionally power through a day on little sleep and lots of caffeine, and eating a healthy diet is certainly part of the equation. But getting enough shut-eye is really the only way to keep up your energy levels.

Unfortunately — but perhaps not surprisingly — new parents only get about five and a half hours of nightly sleep during the first year. This is two and a half hours short of the recommended eight.

Beyond sapping your energy, sleep deprivation can impact your mood, memory, and general quality of life. 

We know it’s easier said than done, but prioritizing rest is crucial for your mental and physical well-being. If your baby isn’t sleeping through the night yet, you might try aiming for two shorter stretches. You and your partner could also switch off on nighttime baby duty. That way, you’ll each get a full night’s rest at least every other day. 

Self-care

Self-care doesn’t have to be anything fancy or time-consuming. This week, it could be as simple as getting a haircut, painting your toenails, meditating for a few minutes each day, or streaming a workout class in your living room. Incorporating self-care into time with your baby is okay too! Maybe it’s a catch-up on the phone with a best friend while you stroll around the block, or watching a favorite show while baby naps on your chest.

Sex, intimacy, and social connection

About nine out of ten women are sexually active within six months of giving birth. However, many experience issues like low libido, pain during intercourse, or difficulty reaching orgasm. Intimacy is important, but it doesn’t necessarily have to involve sex. When you’re up for it, though, don’t overlook birth control because it’s possible to ovulate before your period restarts.

Whether you’re partnered up or single, human interaction is vital. The first year of parenthood can be isolating, and connecting with family, friends, and other parents can provide a comforting sense of community.

Reviewed by the Ovia Health Clinical Team

Sources

]]> Twenty-three weeks postpartum  https://www.oviahealth.com/guide/263665/twenty-three-weeks-postpartum/ Wed, 29 Jun 2022 15:21:26 +0000 https://www.oviahealth.com/?post_type=article&p=263665 At 23 weeks postpartum, you’re past the five-month mark. Hopefully, you’re feeling more comfortable in your new role at this point and settled into a daily rhythm with your little one. In any case, you could still be experiencing a few physical changes and emotional obstacles. Here’s what to know.


Postpartum by week

Your body

Your baby has been outside your belly for nearly six months now. And while you’re likely seeing big changes in their development, a full recovery from the effects of pregnancy, labor, and breastfeeding can take a bit longer.

Muscle changes

Up to 60% of women develop diastasis recti during pregnancy. This widening between the ab muscles can make your stomach stick out slightly, and although it’s not usually permanent, around 40% still have it six months after giving birth.

Your legs and arms are likely getting stronger from regularly lifting, holding, and bouncing your bundle of joy. Still, it can take a while to fully regain strength and muscle tone. As with any physical transformation, you’re wise to focus on slow and steady progress rather than quick results.

Menstruation

If you’re no longer breastfeeding exclusively or are starting to introduce your baby to solid foods, there’s a good chance you’ve gotten your period. Your first few post-pregnancy cycles might be irregular, but it’s never too soon to start thinking about birth control, since experts recommend waiting 18 to 24 months between pregnancies. 

Skin and hair

About nine out of ten women develop stretch marks during pregnancy, and while the streaks sometimes fade, they may never disappear completely. Just know stretch marks are super common and nothing you need to fix or cover. They’re only a sign of your incredible ability to grow and carry a human for the better part of a year.

Other skin issues you might notice this week include rosacea, eczema, sensitivity, or hormonal breakouts related to changes in breastfeeding. You could also begin shedding — that is, if you haven’t already. The sheer amount of hair loss you experience postpartum is enough to make anyone panic, but try not to freak out. You’ll most likely regain your usual fullness by your child’s first birthday.

Your mental health

It’s normal to feel not like yourself for the first few months postpartum. At 23 weeks, you might be feeling thankful, happy, and emotionally adjusted to your new identity as a parent. But keep in mind postpartum depression (PPD), anxiety, and body image issues are still common at this stage, even if you haven’t had symptoms until now. 

Postpartum depression and anxiety

Symptoms of PPD and anxiety sometimes overlap. They can include lingering feelings of sadness, constant worry, irritability, racing thoughts, or mood swings. It can also show up as intrusive thoughts, which are unwanted or scary thoughts that pop up without warning. If you feel depressed or anxious for more than two weeks, contact your healthcare provider or call the Postpartum Support International hotline.

Body image

Roughly one-third of women struggle with body image in their first six months postpartum. If you’re having negative thoughts about your appearance or feel pressure to “bounce back” to your pre-baby physique, remember what an amazing thing your body did.

You carried and nourished a child for nine months in the womb, then birthed and potentially breastfed them for many more weeks. Try to focus on being emotionally healthy and physically strong instead of fitting into a certain size. In the end, this will benefit not only you but also your child.

Work-life balance

Whether you clock in from home or commute to your job, balancing family with career is no easy feat. From trying to be productive on little sleep to finding trusted childcare to pumping at work, you’ve got a lot going on.

Rather than setting an unrealistic goal of a perfect work-life balance, go easy on yourself during this undoubtedly hectic stage. Parents can have it all, but maybe not all on the same day, so don’t sweat it if some things fall by the wayside. Every phase of parenting is different, and it’s okay if priorities shift from day to day and week to week.

Reviewed by the Ovia Health Clinical Team

Sources

]]> Twenty-two weeks postpartum https://www.oviahealth.com/guide/263651/twenty-two-weeks-postpartum/ Wed, 29 Jun 2022 15:01:53 +0000 https://www.oviahealth.com/?post_type=article&p=263651 Research shows it takes roughly a year to fully recover from the effects of pregnancy and mentally adjust to your new identity as a parent. Here’s what you might experience at 22 weeks postpartum.


Postpartum by week

Your body

Physical changes this week can involve everything from muscle tone and menstruation to hair loss and hormonal shifts.

Muscle changes

Your arms and legs are likely getting stronger from months of bouncing your baby and lugging around a car seat. But since your ligaments loosen and relax during pregnancy, it can take a while to regain your full strength and muscle tone.

Roughly 60% of women develop diastasis recti while pregnant. This widening between the right and left ab muscles can cause your stomach to stick out slightly, and although it’s usually not permanent, about 40% still have it at the six-month mark.

Hair loss

Postpartum hair loss is all but inevitable. Though there’s not really anything you can do to prevent this excessive shedding, a shorter cut might help your hair look fuller and feel healthier in the meantime. As a bonus, your baby won’t be able to tug on it as easily.

Breastfeeding and weaning

If you’ve been back at work for some time, pumping may feel like second nature or it might feel like a real drag. If you’re struggling to find the motivation to maintain your milk supply, you’ve got options! 

Basic fit checks can be done at home, as nipple sizes can change over time. There are specialized lactation professionals when it comes to pumping, and there are other ways to feed your baby as well. It’s always okay to re-evaluate your feeding goals and seek some support.

Menstruation

If you recently began supplementing with formula or weaned completely off breastfeeding, your period might restart soon. Your postpartum menstrual cycle might be irregular for a few months or come with different or more intense symptoms than you had before getting pregnant.

Your mental health

You might be confidently cruising through new parenthood at this point, feeling happy, thankful, and generally content. However, depression, anxiety, and body image issues are also relatively common at this stage.

Postpartum anxiety and depression

As many as one in five new mothers struggle with anxiety, and about one in nine have postpartum depression (PPD). These conditions aren’t the same, but many of the symptoms overlap, such as constant worry, lingering sadness, mood swings, restlessness, racing thoughts, appetite changes, difficulty concentrating, and sleep issues. If you feel anxious or depressed for more than a couple of weeks, contact your healthcare provider or call the Postpartum Support International hotline.

Body image

Many women grapple with body image in the first year after giving birth, whether it’s societal pressure to “bounce back” after pregnancy or negative thoughts about their appearance. We realize it’s easier said than done, but it might help to reframe the narrative around your fitness. Instead of trying to get back to your pre-baby size, focus on long-term physical and mental health so you can live happily, thrive professionally, and be the best parent you can be.

Sleep and energy

Your baby might be sleeping for longer stretches or maybe even through the night at this point. If that’s the case, take advantage of the extra hours and get some much-needed shut-eye yourself. Eating a well-rounded diet, drinking plenty of water, and moving your body every day can also help you keep your energy levels up.

Work-life balance

Whether you clock in from home or commute to your job, balancing career with family can be tricky — and it can be particularly stressful with a little one in the picture. From pumping at work to finding the right daycare center to trying to perform when you’re sleep-deprived, it’s understandable to feel overwhelmed.

Go easy on yourself, and try to embrace the chaos of this hectic life stage. There are so many curveballs when it comes to working parenthood. It sometimes feels like everyone is more organized or together, but we are all in the same boat!

Reviewed by the Ovia Health Clinical Team

Sources

]]> Twenty-one weeks postpartum https://www.oviahealth.com/guide/263649/twenty-one-weeks-postpartum/ Wed, 29 Jun 2022 15:01:46 +0000 https://www.oviahealth.com/?post_type=article&p=263649 Here’s what might be going on with your body, mental health, energy levels, self-care needs, and social connections at 21 weeks postpartum.


Postpartum by week

Your body

You may be fully healed from childbirth, but that doesn’t mean you’re completely out of the woods with postpartum symptoms. From your hair to your hormones to your muscles, there are a handful of physical changes you might notice this week.

Hair loss

Postpartum shedding is all but inevitable. While there’s not really anything you can do to stop it, you might consider a shorter cut. Not only can it make your hair feel a bit fuller and healthier, but your baby won’t be able to grab it as easily.

Breastfeeding and weaning

Breastfeeding is a journey and you’ve probably figured out that it doesn’t look the same from day to day or person to person. You may have re-evaluated your feeding goals at this point to include supplementing, or maybe to breastfeed for even longer than you’d planned. 

You’re doing an amazing job! If your current goals are to consider weaning, a slow and steady approach is often safest. It can help you avoid pain and mastitis, and potentially lessen the emotional impacts of weaning.

Menstruation

If your period hasn’t restarted yet, it could show up soon — especially if you recently stopped breastfeeding. Your cycle might be different than it was before pregnancy in terms of duration and symptoms, or it could be irregular for a few months.

Muscle changes

Around 60% of women develop diastasis recti during pregnancy. This widening of the left and right ab muscles can make your stomach stick out slightly, and while it’s not usually permanent, roughly 40% still have it at the six-month mark.

Your arms and legs are probably getting stronger from all the holding, bouncing, and rocking you’ve been doing. But since pregnancy causes your ligaments to relax and loosen, it can take a while to fully regain your physical strength and muscle tone.

Your mental health

Some of the most common mental health conditions 21 weeks after childbirth include postpartum depression (PPD), anxiety, and obsessive-compulsive disorder (OCD). Feeling briefly sad, stressed, or anxious is normal, especially during this hectic, pivotal life stage. But if depression, irritability, concentration issues, insomnia, or obsessive, repetitive behaviors go on longer than two weeks, let your healthcare provider know or call the Postpartum Support International hotline.

Sleep and energy

You can borrow a little time with caffeine and feel slightly more bright-eyed and bushy-tailed by eating a nutritious diet. But getting enough sleep is really the only way to keep your energy levels up.

New parents get an average of five and a half hours of shut-eye each night the first year — about two and a half hours short of the recommended eight. We realize it’s easier said than done, but it’s important to prioritize rest. If your baby’s feeding and sleeping schedule doesn’t allow for a full night of uninterrupted shut-eye yet, aim for two shorter stretches or consider switching off with your partner on nighttime baby duty so you can each get enough sleep at least every other day.

Self-care

Self-care doesn’t need to be extravagant or time-consuming. This week, it might be as simple as getting a haircut, painting your nails, meditating, meeting up with a friend for coffee, hosting a virtual happy hour, or streaming a yoga class in your living room.

Sex, intimacy, and social connection

Nearly 90% of women are sexually active within the first six months after giving birth. However, many experience low libido and other issues like difficulty reaching orgasm and pain during intercourse. Pain does not have to be part of your new normal. Talk to your OB provider about a referral to a specialized pelvic floor therapist!

Though intimacy with your partner is undoubtedly important, it doesn’t have to involve sex. But when you’re up for it, have a birth control plan in place because you could ovulate before your period restarts.

Relationship status aside, human interaction is essential. The first few months of parenthood can be isolating, and connecting with friends, family members, and other parents can provide the sense of community you crave.

Reviewed by the Ovia Health Clinical Team

Sources

]]> Twenty weeks postpartum  https://www.oviahealth.com/guide/263645/twenty-weeks-postpartum/ Wed, 29 Jun 2022 15:01:38 +0000 https://www.oviahealth.com/?post_type=article&p=263645 Five months is a big milestone for both you and your baby. Though you might be feeling more like your old self this week, there are still a handful of postpartum symptoms, changes, and potential obstacles to consider. Here’s what to know.


Postpartum by week

Your body

At 20 weeks postpartum, your baby has been out of your body for about half as long as they were in the womb. And while you’re probably seeing significant changes in their development, fully recuperating from the effects of pregnancy, childbirth, and breastfeeding can take a bit longer.

Muscle changes

As many as six in ten women develop diastasis recti (widening of the left and right ab muscles) during pregnancy, which can make your stomach stick out slightly. While it’s not typically permanent, about 40% will still have it at six months postpartum, and about a third have it at the one-year mark.

It can take a while to regain your physical strength and build your muscle tone back up after pregnancy. But your arms and legs are likely getting stronger, thanks to daily lifting, holding, rocking, and bouncing your bundle of joy.

Menstruation

If you’re no longer breastfeeding or have started introducing your baby to solid foods (usually closer to six months), you may have gotten your period by now. But your first few cycles could be irregular, longer or shorter than before, or involve different premenstrual symptoms. In any case, it’s never too soon to think about birth control because you could get pregnant before your period returns — and even while you’re still breastfeeding.

Skin and hair

Around 90% of women get stretch marks while pregnant, and although they sometimes fade, the streaks may never disappear entirely. It may take some adjusting, but know they’re super common and only a sign of your body’s incredible ability to grow and carry a human.

You might experience other skin changes this week, like eczema, rosacea, sensitivity, or hormonal breakouts related to breastfeeding or weaning. There’s a chance you’ll start shedding this week too (if you haven’t already). The amount of hair loss you experience during postpartum can be alarming, but try not to panic. Most women are back to their usual fullness by their child’s first birthday.

Your mental health

It’s normal to feel a little off-kilter the first few months postpartum. At the 20-week mark, you might feel happy, thankful, and mentally adjusted to your new identity as a parent. However, postpartum depression (PPD), anxiety, and body image issues are still somewhat common at this stage.

Postpartum depression and anxiety

Symptoms of these conditions sometimes overlap and may include lingering sadness, irritability, constant worry, mood swings, racing thoughts, or restlessness. If you feel anxious or depressed for longer than a couple of weeks, check in with your healthcare provider or call the Postpartum Support International hotline.

Body image

About a third of women struggle with body image in the first six months after childbirth, whether it’s feeling pressure to “bounce back” to their pre-pregnancy size or general dissatisfaction with how they look.

If you’re having negative thoughts about your appearance, remember what an amazing thing your body did carrying and nourishing and birthing a child. Instead of aiming to lose weight or fit into a certain size, try pivoting your wellness goals to being physically strong and emotionally healthy. This will ultimately benefit not only you but also your child.

Work-life balance

Whether you commute to your job or clock in from home, balancing career with family is never easy — and it can feel particularly overwhelming with a five-month-old. From finding trusted childcare to trying to focus on little sleep to pumping at work, you’ve got a lot on your plate.

Instead of striving for a perfect work-life balance, give yourself a little grace during this hectic stage. You can have it all, but maybe not every single day. To-do lists may get longer as a new parent, but you’ll be much more productive with the time you have.

Reviewed by the Ovia Health Clinical Team

Sources

]]> Nineteen weeks postpartum  https://www.oviahealth.com/guide/263642/nineteen-weeks-postpartum/ Wed, 29 Jun 2022 15:01:31 +0000 https://www.oviahealth.com/?post_type=article&p=263642 Here’s what you might be going through this week in terms of physical and mental health, your energy levels, self-care needs, intimacy, and social connection.


Postpartum by week

Your body

Physical symptoms at 19 weeks postpartum can involve everything from hormonal shifts and skin changes to water retention and hair loss.

Breastfeeding

In addition to the actual time it takes to feed, pump, and clean the equipment, breastfeeding can take a toll on your body. It can be hard to prioritize getting enough nutrition, hydration and rest. Most experts recommend continuing a prenatal or postnatal vitamin while breastfeeding to fill in nutritional gaps.

At this point, you’re likely pumping for work or social needs. If you’ve been pumping for several months, it may be worth checking your flange size again, and replacing parts, like duckbills, that wear down with frequent use. 

Menstruation

You might not get your period until after you stop breastfeeding, though everyone’s timeline is unique. When your cycle does show back up, it could bring different or more intense symptoms than before, like noticeable breast tenderness or severe cramps.

Water retention

Also known as edema, postpartum water retention happens when extra fluid is trapped in the tissues below your skin. It usually goes away a couple of weeks after childbirth, though some people still experience swelling months later.

Staying hydrated, taking walks, and eating fewer salty foods can help. But if you notice it getting worse or that one area is suddenly more swollen than another, let your healthcare provider know.

Hair loss

We’re sorry to say there’s really not much you can do to stop postpartum hair loss. It can be really distressing to see and feel so much loss. The good news is that it’s temporary. Most people are back to their usual fullness (sometimes even fuller) by their child’s first birthday.

Your mental health

Roughly 85% of women experience some type of mood disturbance in the first six months after giving birth. For most, it’s short-lived or mild enough that it doesn’t disrupt their lives, but as many as 15% will suffer from more severe or longer-lasting postpartum depression (PPD) or anxiety. 

Obsessive-compulsive disorder (OCD), a form of anxiety, could also arise. If you experience any common symptoms of OCD, PPD, or generalized anxiety disorder (GAD), like repetitive behaviors, obsessive or racing thoughts, irritability, extreme mood swings, sleep issues, appetite changes, or deep, lingering sadness for longer than two weeks, call your provider or the Postpartum Support International hotline.

Sleep and energy

On average, new parents get between five and six hours of shut-eye each night the first year. Energy is directly tied to sleep, so if you’re not getting enough, it’ll be tough to power through your day with a clear head. According to a study, sleep deprivation could also make it harder to lose the weight gained during pregnancy.

It’s easier said than done, but definitely try to rest when you can. Getting a full night of uninterrupted sleep is ideal, but two four-hour stretches are better than one five-hour stretch.

Self-care

Try to make self-care a priority this week. It doesn’t have to be anything extravagant — small changes and healthy habits can make a big difference. Consider meditating, stretching, going on brisk walks, streaming 20-minute workouts, trying a new recipe, or applying a refreshing face mask.

Sex, intimacy, and social connection

About nine out of ten women are sexually active again in the first six months after giving birth. Still, many experience low libido and other setbacks like pain during intercourse and difficulty reaching orgasm. Pelvic floor therapy is becoming more accessible, and can set you up with a plan for healing instead of trying to muddle through.

While intimacy with your partner is important, it doesn’t have to involve sex if you’re not quite ready (or just not in the mood). When you do feel up for it, though, make sure you have a plan for birth control because you could ovulate before getting your first postpartum period.

And no matter your relationship status, human connection is essential. New parenthood can be isolating, and bonding with family members, friends, and other parents can foster a sense of community and make you feel less alone.

Reviewed by the Ovia Health Clinical Team

Sources

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