After giving birth, avoid heavy lifting, strenuous exercise, and tub baths/swimming until healed; don't strain to have a bowel movement, ignore signs of infection (fever, heavy bleeding, pain), drive too soon (especially after C-section), or overdo visitors, prioritizing rest, hygiene (no tampons), and gentle movement like walking, while listening to your body and consulting your doctor for personalized guidance.
Things to Avoid After Giving Birth
Limiting physical activity: While you may want to return to your pre-pregnancy size, don't rush to exercise or get back in shape. Your healthcare provider will let you know when it's safe to exercise. Most people can begin walking or doing gentle movements a few days after giving birth.
Prioritize Rest
I always recommend that my clients aim to be “down” more than “up” during the first two weeks. You may have heard of the 5-5-5 rule for postpartum care, which recommends 5 days in bed, 5 days on the bed, and 5 days around the bed. I like this rule, though I prefer to extend it to 7-7-7.
Resting after giving birth
Specifically, the first 3 days postnatal should be spent minimizing activity and resting as cortisol levels are highest during this period. Resting allows our stress hormones to drop back to a normal level and promotes the healing process.
The first six to 12 hours after you give birth is considered the acute phase of postpartum recovery. Within this window parents are at their highest risk for conditions like postpartum eclampsia, postpartum hemorrhage, and certain medical emergencies.
In those first few weeks postpartum, your cervix is still somewhat dilated, regardless of whether you had a vaginal delivery or a c-section. There's a theory – though no research has confirmed this – that tub water could travel into your uterus, introduce bacteria, and cause an infection.
The 2-hour rule for babies means they shouldn't stay in a car seat (or travel system seat) for more than two hours at a time, whether in or out of the car, because the semi-upright position can strain their developing spine and restrict their breathing, increasing the risk of low oxygen levels, especially for newborns and preemies. For long journeys, parents should take breaks every two hours to take the baby out, allow them to lie flat for a while, stretch, and feed, ensuring they get proper head/neck support and circulation.
The hardest week with a newborn is often considered the first six weeks, especially weeks 2-3, due to extreme sleep deprivation, constant feeding demands, learning baby's cues, postpartum recovery, and a peak in inconsolable crying (the "witching hour"), making parents feel overwhelmed as they adjust to a new, exhausting routine. While the first week is tough, the challenges often intensify as the baby becomes more alert but still fussy, with major developmental hurdles like cluster feeding and increased fussiness peaking around 6-8 weeks.
What is the 5-5-5 rule for postpartum? The 5-5-5 rule in postpartum can help new mothers manage their wellbeing. It suggests taking five days in bed, five days on the bed, and five days around the bed, to be sure you're getting adequate rest.
8 Postpartum Essentials
Causes, summarized by the 4 "T's" (tone, trauma, tissue, thrombin), require prompt intervention. Management involves an interprofessional approach, emphasizing accurate blood loss assessment, fluid replacement, and source control.
These can include: Significant postpartum bleeding resulting in a patient soaking through a pad for several hours in a row. Severe headache that doesn't go away with Tylenol. Dizziness or feeling like you are about to faint.
The 40-day rule after birth, often called confinement or "The Golden Month," is a widespread cultural tradition emphasizing a mother's deep rest, healing, and bonding with her newborn, with family often handling chores and visitors, promoting physical recovery (like stopping bleeding) and mental well-being, rooted in ancient practices from Asia, Latin America, and religious traditions like Judaism and Christianity. Key aspects involve nourishing the mother, sheltering her from stress, and focusing solely on resting and bonding, a stark contrast to Western pressures to "bounce back" quickly.
“Particularly in the postpartum period, there's a lot of anxiety and irritability, plus lack of sleep, which is a huge risk factor for postpartum depression.” And while it's not necessarily a symptom of depression to be sleeping poorly with a newborn, it can make postpartum depression symptoms worse.
Avoid vegetables and fruits such as cabbage, sweet bananas, strawberries, cherries, and grapes: May cause gas and abdominal discomfort for the baby.
The 5-3-3 rule is a loose guideline for structuring a baby's sleep schedule: 5 hours of wake time before the first nap, 3 hours of wake time before the second nap, and 3 hours before bedtime.
The World Health Organization and the American Academy of Pediatrics define a newborn as a baby up to 28 days old. Most people define it, though, as being from birth to the two- or three-month mark.
Be expected to sleep a large portion of the day – about 16 - 20 hours. Raise their heads slightly. When your baby is awake, give him or her supervised time on his or her tummy so he or she can develop upper body muscles. Focus and begin to make eye contact with you.
There are no set rules about how long to wait before taking a newborn out into the world or when to let people near the baby. Some doctors recommend that parents wait until their baby is a few months old before going to crowded public places (like malls, movie theaters, and airplanes).
"The first five to eight minutes of sleep is shallow sleep," she explained. "So if you immediately place their infant down after they're asleep, you'll hit the shallow sleep, they'll wake up and you'll be unsuccessful. That's why you want to wait for that five to eight minutes after the infant falls asleep.
Breastfed babies feed often, about every 2–3 hours. Bottle-fed babies tend to feed less often, about every 3–4 hours. Newborns who sleep for longer stretches should be awakened to feed. Wake your baby every 3–4 hours to eat until he or she shows good weight gain, which usually happens within the first couple of weeks.
Normal lochia after birth has a strong fishy smell like menstruation, lochia usually lasts about 20 days on average, or can be up to 40 - 45 days. The color and amount of lochia after birth can change over time.
Don't wipe! Dab and use a peri bottle. Wiping can be irritating to the skin, using a peri bottle to clean after a bowel movement is gentle and will help in healing. Also, if you have hemorrhoids talk to your medical provider about soothing treatments you can use such as Tucks pads, aloe and/or coconut oil.
Delaying bathing for at least 8 hours after birth protects the newborn's skin from bacterial invasion, keeps their skin conditioned, keeps their blood sugar stable and often causes the baby to cry, both of which can promote hypoglycemia.