Postpartum support

The fourth trimester, in plain language. Recovery timeline, warning signs, and a quick mood check-in.

Feeding your baby

Recovery timeline

Rough milestones. Everyone heals on their own clock — use this as a map, not a deadline.

  1. First 24 hours

    Bleeding (lochia) heaviest — soaking a pad in under an hour is a red flag. First pee, first walk, skin-to-skin, first feed. Watch for headache, calf pain, or breathing changes.

  2. Days 3–5

    Milk 'comes in' — engorgement, swings in mood, night sweats, weepy days are common. Baby blues peak here; if it hasn't lifted by 2 weeks, screen for PPD.

  3. Week 2

    Bleeding lighter, more brown/pink. Sleep is still fragmented. Check the perineum or cesarean scar for pain, warmth, or drainage. Mood check-in.

  4. Week 6

    Standard postpartum visit — but ACOG 736 says this shouldn't be the only one. Pelvic floor, contraception, mood, feeding, sex, return to activity.

  5. Month 3+

    Full internal healing after cesarean (~6–8 weeks) done; scar massage okay. Pelvic-floor PT for anyone with pain, leaking, or heaviness. PPD can still emerge up to a year out.

Two-question mood check-in

PHQ-2. A positive screen (score ≥ 3) doesn't diagnose anything — it means you should follow up with a provider for a full screen (EPDS or PHQ-9).

Over the last 2 weeks, have you felt little interest or pleasure in doing things?
Over the last 2 weeks, have you felt down, depressed, or hopeless?

Evidence topics

Each links into the evidence library with benefits, risks, alternatives, and sources.

Postpartum content will keep growing — newborn feeding troubleshooting, contraception comparison, and a full EPDS screen are next.