Why the first weeks feel so rough
Whether you had a vaginal birth or a C-section, your body is healing the spot where the placenta was attached, shrinking the uterus back down, and dropping the extra fluid from pregnancy, all while you are feeding a newborn around the clock. Bleeding, cramps, sweats, sore stitches and big feelings are all part of that.
Bleeding after birth (lochia)
Bleeding is heaviest in the first few days and usually bright or dark red. Over the next week or two it turns pink or brown, then yellow or white, and for most people it stops by about 4 to 6 weeks. It often gets a little heavier for a while when you are more active or when you breastfeed. Use pads, not tampons or menstrual cups, until your provider says otherwise.
Get help right away if you soak through one pad an hour or more, or pass clots the size of an egg or bigger. Call your provider if the bleeding smells bad, if you have a fever, or if it turns heavy and bright red again after it had calmed down.
The first poop
For a lot of people this is the scariest part, and that is normal. It usually happens around day 2 or 3. Drink plenty of water, eat fiber, and ask your provider about a stool softener. On the toilet, put your feet on a small stool, lean forward with your elbows on your knees and breathe out instead of pushing. If you have stitches, gently hold a clean pad against them.
Your mood
Most new moms have the baby blues in the first days: crying for no clear reason, worry, irritability. It usually fades within about two weeks. If it lasts longer, keeps getting worse, or you have scary thoughts, tell your provider. Postpartum depression and anxiety are common and treatable. In the US you can call or text the National Maternal Mental Health Hotline at 1-833-TLC-MAMA (1-833-852-6262), free and 24/7, or call or text 988 in a crisis.
Your checkups
ACOG recommends contact with your provider within the first 3 weeks after birth and a full postpartum visit no later than 12 weeks. If you had high blood pressure in pregnancy, ACOG advises a blood pressure check within 7 to 10 days of birth, or within 72 hours if it was severe.