Pregnancy & parentingWomen's health

What really happens postpartum?

Recovery after childbirth takes some time. Learn about what you could expect in the so-called "4th trimester."

Jan, 2026
LearnPregnancyWhat really happens postpartum?
Slide 1
Bleeding is common
Menstruation and ovulation will return
Your body will need time to recover
You may experience urinary incontinence
Resist pressure to "bounce back" after baby
Get back into the swing of exercising gradually
Everyone has their own timeline for sex
Mental health may be affected
Your healthcare provider is there to help

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Slide 1

The first few weeks after childbirth can be a blur. There are many changes and often some challenges during this time. And while the focus may be on the newborn, it is important to remember that delivery requires recovery. It is important to also prioritize the needs and healing of those who have given birth.

"The importance of the ‘4th trimester’ is often overshadowed by the 40-week pregnancy and labor and delivery," says April Mikes, DO, an OBGYN in Weatherford, Texas. "And just as these timespans require frequent interaction with a healthcare provider (HCP), the postpartum period shouldn’t be overlooked, either."

In fact, recognizing how important this 4th trimester is—and that nearly 40 percent of people who give birth do not attend postpartum healthcare visits—the American College of Obstetricians and Gynecologists (ACOG) released guidelines in May 2018, later updated in 2021, stating that "patient-centered, maternal postpartum care has the potential to improve outcomes for women, infants and families and to support ongoing health and well-being."

Since every person and every pregnancy is different, the postpartum period may also vary. From sex to mental health to a host of other potential postpartum issues, Dr. Mikes explains what parents can expect, plus what they can do to stay happy and healthy.

Written byOlivia DeLong.
Medically reviewed byAmy Gonzales, MD.December, 2025
Sources: American College of Obstetricians and Gynecologists. “Optimizing Postpartum Care.” May 2018. + 10
  1. American College of Obstetricians and Gynecologists. “Optimizing Postpartum Care.” May 2018.
  2. Committee Opinion No. 666. “Optimizing Postpartum Care.” Obstetrics & Gynecology: June 2016. Volume 127. Issue 6
  3. Cleveland Clinic. “Pregnancy: Physical Changes After Delivery.” January 1, 2018.
  4. Massachusetts General Hospital Center for Women’s Mental Health. “Postpartum Psychiatric Disorders.” Accessed May 21, 2021.
  5. Pampers. “FAQ: Vaginal Postpartum Bleeding (Lochia).” Accessed May 21, 2021.
  6. Mayo Clinic. “Labor and delivery, postpartum care.” March 11, 2020.
  7. Thomas Bouchard, Richard J. Fehring, Mary Schneider. “Efficacy of a New Postpartum Transition Protocol for Avoiding Pregnancy.” The Journal of the American Board of Family Medicine. Jan 2013.
  8. Pamela Berens. “Overview of postpartum care.” UpToDate. May 26, 2017.
  9. American Pregnancy Association. “Uterus Size During Pregnancy.” July 25, 2020.
  10. Mayo Clinic. “Weight loss after pregnancy: Reclaiming your body.” July 31, 2020.
  11. Medline Plus. “Losing weight after pregnancy.” November 7, 2019.

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