Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

• Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
• You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
• Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
• Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Many women have the baby blues after childbirth. If you have the baby blues, you may have mood swings, feel sad, anxious or overwhelmed, have crying spells, lose your appetite, or have trouble sleeping. The baby blues most often go away within a few days or a week. The symptoms are not severe and do not need treatment.

The symptoms of postpartum depression last longer and are more severe. You may also feel hopeless and worthless, and lose interest in the baby. You may have thoughts of hurting yourself or the baby. Very rarely, new mothers develop something even more serious. They may have hallucinations or try to hurt themselves or the baby. They need to get treatment right away, often in the hospital.

Postpartum depression can begin anytime within the first year after childbirth. The cause is not known. Hormonal and physical changes after birth and the stress of caring for a new baby may play a role. Women who have had depression are at higher risk.

If you think you have postpartum depression, tell your health care provider. Medicines, including antidepressants and talk therapy can help you get well.

Right now, you are focused on caring for your new baby. But new mothers must take special care of their bodies after giving birth and while breastfeeding, too. Doing so will help you to regain your energy and strength. When you take care of yourself, you are able to best care for and enjoy your baby.

Getting rest

The first few days at home after having your baby are a time for rest and recovery - physically and emotionally. You need to focus your energy on yourself and on getting to know your new baby. Even though you may be very excited and have requests for lots of visits from family and friends, try to limit visitors and get as much rest as possible. Don't expect to keep your house perfect. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. Learn to pace yourself from the first day that you arrive back home. Try to lie down or nap while the baby naps. Don't try to do too much around the house. Allow others to help you and don't be afraid to ask for help with cleaning, laundry, meals, or with caring for the baby.

Physical changes

After the birth of your baby, your doctor will talk with you about things you will experience as your body starts to recover.

• You will have vaginal discharge called lochia (LOH-kee-uh). It is the tissue and blood that lined your uterusduring pregnancy. It is heavy and bright red at first, becoming lighter in flow and color until it goes aware after a few weeks.
• You might also have swelling in your legs and feet. You can reduce swelling by keeping your feet elevated when possible.
• You might feel constipated. Try to drink plenty of water and eat fresh fruits and vegetables.
• Menstrual-like cramping is common, especially if you are breastfeeding. Your breast milk will come in within three to six days after your delivery. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
• Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.

Your doctor will check your recovery at your postpartum visit, about six weeks after birth. Ask about resuming normal activities, as well as eating and fitness plans to help you return to a healthy weight. Also ask our doctor about having sex and birth control. Your period could return in six to eight weeks, or sooner if you do not breastfeed. If you breastfeed, your period might not resume for many months. Still, using reliable birth control is the best way to prevent pregnancy until you want to have another baby.

Some women develop thyroid problems in the first year after giving birth. This is called postpartum thyroiditis (theye-royd-EYET-uhss). It often begins with overactive thyroid, which lasts two to four months. Most women then develop symptoms of an underactive thyroid, which can last up to a year. Thyroid problems are easy to overlook as many symptoms, such as fatigue, sleep problems, low energy, and changes in weight, are common after having a baby. Talk to your doctor if you have symptoms that do not go away. An underactive thyroid needs to be treated. In most cases, thyroid function returns to normal as the thyroid heals. But some women develop permanent underactive thyroid disease, called Hashimoto's disease, and need lifelong treatment.

Regaining a healthy weight and shape

Both pregnancy and labor can affect a woman's body. After giving birth you will lose about 10 pounds right away and a little more as body fluid levels decrease. Don't expect or try to lose additional pregnancy weight right away. Gradual weight loss over several months is the safest way, especially if you are breastfeeding. Nursing mothers can safely lose a moderate amount of weight without affecting their milk supply or their babies' growth.

A healthy eating plan along with regular physical fitness might be all you need to return to a healthy weight. If you are not losing weight or losing weight too slowly, cut back on foods with added sugars and fats, like soft drinks, desserts, fried foods, fatty meats, and alcohol. Keep in mind, nursing mothers should avoid alcohol. By cutting back on "extras," you can focus on healthy, well-balanced food choices that will keep your energy level up and help you get the nutrients you and your baby need for good health. Make sure to talk to your doctor before you start any type of diet or exercise plan.

Feeling blue

After childbirth you may feel sad, weepy, and overwhelmed for a few days. Many new mothers have the "baby blues" after giving birth. Changing hormones, anxiety about caring for the baby, and lack of sleep all affect your emotions.

Be patient with yourself. These feelings are normal and usually go away quickly. But if sadness lasts more than two weeks, go see your doctor. Don't wait until you postpartum visit to do so. You might have a serious but treatable condition called postpartum depression. Postpartum depression can happen any time within the first year after birth.

Don't wait! Call 911 or your doctor if you have thoughts of harming yourself or your baby.

Signs of postpartum depression include:

• Feeling restless or irritable
• Feeling sad, depressed, or crying a lot
• Having no energy
• Having headaches, chest pains, heart palpitations (the heart being fast and feeling like it is skipping beats), numbness, or hyperventilation (fast and shallow breathing)
• Not being able to sleep, being very tired, or both
• Not being able to eat and weight loss
• Overeating and weight gain
• Trouble focusing, remembering, or making decisions
• Being overly worried about the baby
• Not having any interest in the baby
• Feeling worthless and guilty
• Having no interest or getting no pleasure from activities like sex and socializing
• Thoughts of harming your baby or yourself

Some women don't tell anyone about their symptoms because they feel embarrassed or guilty about having these feelings at a time when they think they should be happy. Don't let this happen to you! Postpartum depression can make it hard to take care of your baby. Infants with mothers with postpartum depression can have delays in learning how to talk. They can have problems with emotional bonding. Your doctor can help you feel better and get back to enjoying your new baby. Therapy and/or medicine can treat postpartum depression.

Emerging research suggests that 1 in 10 new fathers may experience depression during or after pregnancy. Although more research is needed, having depression may make it harder to be a good father and perhaps affect the baby's development. Having depression may also be related to a mother's depression. Expecting or new fathers with emotional problems or symptoms of depression should talk to their doctors. Depression is a treatable illness.

Is it okay to be physically active while I’m pregnant and after I have my baby?

Yes! If you are a healthy pregnant or postpartum woman, physical activity is good for your overall health. For example, moderate-intensity physical activity, such as brisk walking, keeps your heart and lungs healthy during and after pregnancy. Physical activity also helps improve your mood throughout pregnancy and after birth. After you have your baby, exercise also helps maintain a healthy weight, and when combined with eating fewer calories, helps with weight loss.

Talk to Your Doctor

If you are pregnant, you should be under the care of a doctor who can monitor the progress of the pregnancy. Consult your doctor about whether or how to adjust your physical activity during and after your pregnancy.

According to the Physical Activity Guidelines for Americans, 2^nd edition —

Any Amount of Time is Fine

We know 150 minutes each week sounds like a lot of time, but you don’t have to do it all at once. Not only is it best to spread your physical activity out during the week, but you can break it up into smaller chunks of time during the day. As long as your aerobic physical activity is a moderate or vigorous effort, any amount of time counts toward meeting the aerobic guideline.

Are there risks involved with physical activity and pregnancy?

According to scientific evidence, the risks of moderate-intensity aerobic activity, such as brisk walking, are very low for healthy pregnant women. Physical activity does not increase your chances of low-birth weight, early delivery, or early pregnancy loss.

What are some things to keep in mind when I do physical activity during and after my pregnancy?

Unless you have a medical reason to avoid physical activity during or after your pregnancy, you can begin or continue moderate-intensity aerobic physical activity.

How can I stay healthy after my baby is born?

After you deliver your baby, your health may be better if you try to return to a healthy weight slowly. Not losing your “baby weight” may lead to overweight or obesity later in life. Slowly returning to a healthy weight may lower your chances of diabetes, heart disease, and other weight-related problems.

Healthy eating, regular physical activity, adequate sleep, and other healthy habits after your baby is born may help you return to a healthy weight and give you energy.

After your baby is born

• Consume foods and beverages to meet your calorie needs.
• Regular physical activity will continue to benefit your overall health. Moderate-intensity physical activity will increase your fitness and can improve your mood.

Also, physical activity does not appear to have bad effects on how much breast milk is produced, what the breast milk contains, or how much the baby grows.

How may breastfeeding help?

Breastfeeding may or may not make it easier for you to lose weight because your body uses extra calories to produce milk. Even if breastfeeding does not help you lose weight, it’s linked to many other benefits for mother and child.

For mothers who breastfeed, experts advise feeding their babies only breast milk for the first 6 months—no other foods or drinks during this time. Experts suggest that those women continue breastfeeding at least until their baby reaches 12 months.

Calorie needs when you’re breastfeeding depend on how much body fat you have and how active you are. Talk with your health care professional about your calorie needs while you are breastfeeding.

Benefits of breastfeeding. Breastfeeding your baby

• likely gives him or her an appropriate mix of vitamins, minerals, and other important nutrients in a liquid (breast milk) that is easy to digest
• helps boost his or her immune system
• helps protect your baby from common problems, like ear infections and diarrhea

What else may help?

Pregnancy and the time after you deliver your baby can be wonderful, exciting, emotional, stressful, and tiring—all at once. These feelings may cause you to overeat, not get enough calories, or lose your drive and energy. Being good to yourself may help you cope with your feelings and follow healthy lifestyle habits.

Here are some ideas that may help.

• Sleep when the baby sleeps.
• Ask someone you trust to watch your baby while you nap, bathe, read, go for a walk, or go grocery shopping.
• Explore groups that you and your newborn can join, such as “new moms” groups.
• Don’t feel like you need to do it all on your own. Seek help from friends, family members, or local support groups.