What really happens postpartum?

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.