Bleeding (lochia)
Clinical guidelineBleeding is typically heaviest for the first few days, then gradually lightens and changes from red to pink to brown to yellow-white over 2–6 weeks. A brief increase with activity is common.
Seek support if
Soaking a pad in an hour, passing clots larger than a golf ball, or bleeding that becomes bright red again after it had lightened — call urgently.
Afterpains and uterine cramping
Clinical experienceCramping during feeds is oxytocin doing its job — helping the uterus contract down. It is usually stronger after a second or later baby and settles within the first week.
Seek support if
Pain that is severe, one-sided, or accompanied by fever.
Perineal and incision healing
Clinical guidelineIce in the first 24 hours, then warmth; a peri bottle for urination; stool softeners to avoid straining. Tears and cesarean incisions typically feel substantially better by 2 weeks and continue improving for 6+ weeks.
Seek support if
Increasing pain, foul-smelling discharge, redness or drainage from an incision, or fever.
Pelvic floor
Systematic reviewSome urinary leaking in the early weeks is common; pelvic floor muscle training reduces it (Cochrane). Persistent leaking, heaviness, or pain with sex at 3 months is not something to accept as permanent.
Seek support if
Any leaking, prolapse sensation, or pain with sex at your postpartum visit — ask for a pelvic floor physiotherapy referral.
Mood and mental health
Clinical guidelineBaby blues affect most parents and peak around days 3–5, resolving within about two weeks. Postpartum depression and anxiety affect roughly 1 in 7 parents, can begin any time in the first year, and are highly treatable. Feeding difficulty is itself a risk factor for postpartum depression.
Seek support if
Symptoms lasting beyond two weeks, inability to sleep when the baby sleeps, intrusive frightening thoughts, or any thought of harming yourself or your baby — contact your provider now, or call/text 988 in the US.
Sleep and fatigue
Limited evidenceFragmented sleep is expected. Total sleep matters more than unbroken sleep. Persistent exhaustion out of proportion to your nights can indicate anemia or thyroid dysfunction.
Seek support if
Exhaustion with breathlessness, dizziness, or palpitations — ask for iron studies and thyroid testing.
Returning to activity
Clinical guidelineACOG supports resuming activity gradually when you feel ready, rather than waiting for a fixed date. Walking early is generally encouraged. High-impact activity usually feels better after core and pelvic floor recovery.
Seek support if
Pain, leaking, or a doming abdomen with exertion — signs to slow down and get assessed.
Educational only. Not medical advice. Educational only, not a diagnosis. In an emergency, call your provider or local emergency services (911 in the US). Labor Lens is not for urgent care.