The First 6 Weeks Postpartum – What No One Tells You
The Secret Society of Motherhood: What to Expect in the First 6 Weeks
Dear Mama,
Your mind has a million tabs open at once—you’re tired, sleep-deprived, and constantly wondering: Am I missing something? Is the baby okay? Am I doing this right?
With all my years of experience as a pediatric nurse practitioner, I thought I was prepared for motherhood. But no one—not at my pregnancy announcement, my baby shower, or even at a casual lunch—warned me about what was really coming.
It wasn’t until I was in the postpartum trenches that seasoned moms whispered to me what I now call the “secret society” of motherhood (and I really mean secret—lol). The first few weeks are hard. You’re healing, you’re exhausted, and yet, you have this tiny, beautiful human completely dependent on you.
I wish someone had told me: “Rest when you can. Take care of yourself, too.” But instead, I learned it firsthand—while navigating breastfeeding struggles, recovering from a C-section, and worrying when my son had diarrhea (which, of course, I immediately blamed on something I ate).
So, if you’re currently pregnant or in those raw first weeks postpartum, know this: Whatever you’re feeling is valid. The transition is demanding, but you are not alone.
Deep in the postpartum trenches-sleep-deprived, yet filled with happiness and gratitude.
Now, let’s dive into what to expect medically—and how to take care of yourself while caring for your baby.
1. Your Physical Recovery
Whether you had a vaginal birth or a C-section, your body is healing from a major event. Here’s what to know:
✔️ Bleeding & Discharge (Lochia): Expect postpartum bleeding for up to 6 weeks. It should gradually decrease but call your provider if you’re soaking through a pad in an hour or passing large clots.
✔️ Pelvic Floor & Abdominal Healing: If you had a vaginal delivery, you may experience perineal soreness or even stitches. If you had a C-section (like me!), be mindful of incision care and take it easy—your body just went through major surgery.
✔️ Breastfeeding Discomfort & Engorgement: Teaching breastfeeding and actually doing it exclusively? Two totally different experiences. Nipple pain, clogged ducts, and engorgement are common—but they do get better with the right support.
2. The Emotional Rollercoaster
Nobody prepared me for the wave of emotions that hit postpartum. You might feel joy one minute and weepy the next.
✔️ The ‘Baby Blues’: It’s normal to feel emotional and overwhelmed in the first two weeks as your hormones shift.
✔️ Postpartum Depression & Anxiety: If feelings of sadness, detachment, or panic persist beyond those first few weeks, reach out for help. You’re not alone, and support is available.
✔️ The Power of Rest & Support: I know it’s hard, but let people help you. Whether it’s a friend bringing a meal or your partner handling diaper duty, accept the help.
3. Sleep (or Lack Thereof!)
Ah, newborn sleep—or should I say, the lack of it?
✔️ Newborn Sleep Cycles: Babies wake up a lot in the early weeks. It’s exhausting but normal.
✔️ Safe Sleep Basics: Follow the ABCs—baby should sleep Alone, on their Back, in a Crib (or bassinet).
✔️ Prioritizing Rest: Even if it’s just a 20-minute nap, grab it when you can. Sleep deprivation is real, and it affects everything—your mood, your milk supply, and your ability to function.
4. Feeding Your Baby
Breastfeeding, pumping, formula—no matter your feeding journey, you’re doing great.
✔️ Cluster Feeding & Growth Spurts: Your baby may suddenly want to eat all the time—this is normal and helps establish your milk supply.
✔️ Breastfeeding vs. Formula: Fed is best. Period. No guilt, no shame—do what works for you and your baby.
✔️ Take Care of Yourself: Drink water, eat nourishing foods, and rest when you can. Postpartum recovery depends on proper nutrition, too!
5. Your Body, Your Boundaries
One thing I wish I knew? You don’t owe anyone anything during postpartum.
✔️ Visitors & Social Expectations: If you don’t want visitors, say no. If you do, let them know exactly how they can help (like bringing food or holding baby while you shower).
✔️ Intimacy & Postpartum Bodies: Your body just did something incredible. It’s okay if you don’t feel like yourself yet. Give yourself grace.
✔️ Returning to Exercise: Listen to your body. Most providers recommend waiting 6-8 weeks before easing back in—especially if you had a C-section.
6. When to Call Your Doctor
Your body and your baby are adjusting to a new world—here’s when to reach out for help:
✔️ Signs of Infection: Fever, worsening pain, or foul-smelling discharge could indicate a postpartum infection.
✔️ Postpartum Depression & Anxiety: If you feel hopeless, excessively anxious, or like you can’t bond with your baby, seek support.
✔️ Red Flags for Baby: Call your pediatrician if your baby has a fever over 100.4°F, isn’t eating well, or seems lethargic.
Final Thoughts: You’ve Got This
Mama, I know the first six weeks can feel like a blur of exhaustion, emotions, and endless diaper changes. But I also know this: You are stronger than you think.
You don’t have to do this alone. Ask for help, accept support, and most importantly—take care of yourself, too.
What surprised you most about postpartum? Hit reply and let me know—I’d love to hear your experience!
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Next up in my free newsletter: Postpartum Recovery Checklist: What Every New Mom Needs to Know
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Enjoyed this newsletter? Share it with a fellow parent! Thanks again for being here- I can’t wait to support you on this journey!
With love & support,
Kelly-Ann Smith,
Pediatric Nurse Practitioner | Founder of Cub Convos @cubconvos