Postpartum pain: what to expect during physical recovery
Uterine cramps, a sore perineum, engorged breasts: an overview of normal early-weeks pain and how to ease it.
After birth, the uterus keeps contracting for several days as it shrinks back down — these 'afterpains' are often stronger during a second or later pregnancy, and breastfeeding tends to make them more intense too. They generally ease up after about a week.
The perineal area, whether it tore naturally or was cut, stays tender for days to a few weeks. Cold packs in the first 24 hours, then warm sitz baths, a donut-shaped cushion for sitting, and pain relievers recommended by your care team all help get through this stretch.
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Postpartum bleeding (lochia) typically lasts 4 to 6 weeks, gradually decreasing in amount and changing color over time. Breasts can also become engorged and sore around day 3 or 4, whether or not you're breastfeeding — cool compresses and, if needed, regular emptying help ease the discomfort.
Significant fatigue, back pain, and weakened abdominal muscles are also common in the weeks after birth. Suddenly very heavy bleeding, fever, or intense worsening pain should always be reported to your healthcare provider right away.
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This information is general and does not replace advice from your healthcare professional (doctor, midwife, nurse, pharmacist). Every situation is unique: always check with them before making a decision. In an emergency, call 911 or your local emergency services.
