Postpartum Emotions: Know What’s Normal—And What’s Not

 

The postpartum period is a time of profound emotional recalibration. While many new mothers expect joy and bonding, they’re often surprised by the intensity of mood swings, anxiety, and vulnerability. Understanding what’s normal, and what’s not, is essential for emotional wellness and early intervention.

What’s Emotionally Normal After Birth?

Mood Swings & Tearfulness
Up to 80% of new mothers experience the “baby blues” within the first two weeks postpartum (Bodily, 2023). This includes:

• Sudden crying spells
• Irritability
• Feeling overwhelmed or anxious

These shifts are largely driven by hormonal changes, especially the rapid drop in estrogen and progesterone after delivery (Bodily, 2023; Cleveland Clinic, 2023).

Feeling Foggy or Disconnected

Mental fog and emotional detachment are common as the brain adjusts to new caregiving demands and sleep deprivation (Cleveland Clinic, 2023).

Emotional Overload

Euphoria, anxiety, and sadness may cycle rapidly. This rollercoaster is typical in the early weeks and often resolves with rest and support (Beasley, 2020).

 

What’s Not Normal—and Deserves Attention

Persistent Sadness or Hopelessness

If symptoms last beyond two weeks or worsen, it may signal postpartum depression (PPD). Warning signs include:

• Loss of interest in activities
• Difficulty bonding with baby
• Feelings of worthlessness or guilt
• Thoughts of self-harm or harming the baby (American Psychological Association [APA], 2022)

Intrusive Thoughts or Panic Attacks
Postpartum anxiety and OCD affect up to 10% of new mothers, often involving excessive worry and compulsive behaviors (Bodily, 2023).

Detachment from Reality
Hallucinations or delusions may indicate postpartum psychosis, a rare but serious condition requiring immediate medical attention (APA, 2022).

 

Why These Emotions Happen

• Hormonal shifts: Estrogen and progesterone plummet after birth, affecting mood regulation (Bodily, 2023).
• Neurotransmitter changes: Enzymes that break down serotonin and dopamine spike postpartum (Bodily, 2023).
• Thyroid fluctuations: Postpartum thyroid issues can mimic depression or anxiety (Cleveland Clinic, 2023).
• Sleep deprivation: Chronic lack of sleep impairs emotional regulation and increases vulnerability to mood disorders (APA, 2022).

 

When to Seek Help

If emotional distress interferes with daily life, bonding, or safety, it’s time to reach out. Support options include therapy, medication, peer groups, and postpartum specialists (APA, 2022; Beasley, 2020).

 

Final Thought

Postpartum emotions are complex, valid, and worthy of attention. Feeling overwhelmed doesn’t mean you’re broken. The key is knowing when to lean on support and trusting that healing is possible.

 

References

• American Psychological Association. (2022, November 2). Postpartum depression: Causes, symptoms, risk factors, and treatment options. https://www.apa.org/topics/women-girls/postpartum-depression
• Beasley, L. (2020, November 11). Postpartum emotions – What’s normal? Flourish. https://blog.prismahealth.org/postpartum-emotions-whats-normal/
• Bodily. (2023). Postpartum emotions: What to expect & what's normal. https://itsbodily.com/blogs/birth-recovery-postpartum/postpartum-emotions-changes-after-giving-birth
• Cleveland Clinic. (2023). Postpartum: Stages, symptoms & recovery time. https://my.clevelandclinic.org/health/articles/postpartum

 

 

Gentle Exercises to Regain Strength and Core Stability Post Child Birth

  

Recovering after childbirth requires patience and the right approach. Your body has undergone major changes, and jumping back into intense workouts too soon can do more harm than good. Instead, focus on gentle, science-backed exercises that help rebuild core strength, improve stability, and prevent injuries.  

Why Core Stability Matters 

Pregnancy stretches and weakens the abdominal muscles, including the deep core and pelvic floor. Without proper recovery, issues like diastasis recti (ab separation), lower back pain, and pelvic organ prolapse can develop. Strengthening these muscles gradually ensures a safe return to physical activity.  

Guidelines for Safe Postpartum Exercise  

✔ Wait for clearance – Most women can begin gentle movement a few days after a vaginal birth. C-section recovery takes longer, typically 6–8 weeks. Always get your doctor’s approval before starting exercises.  

✔ Listen to your body – Pain, excessive fatigue, or increased bleeding means you’re doing too much. 

✔ Focus on breath control – Proper breathing engages the deep core and prevents pressure on healing muscles.  

✔ Avoid crunches and planks early on – These can worsen ab separation.  

 

Gentle Exercises to Rebuild Strength  

 1. Diaphragmatic Breathing (Deep Core Activation)  

Why? Reconnects the deep core and pelvic floor, reducing tension.  

How to do it:  

- Lie on your back with knees bent.  

- Place one hand on your chest, the other on your belly.  

- Inhale deeply through your nose, expanding your belly.  

- Exhale slowly through your mouth, drawing your belly inward.  

- Repeat 5–10 times, focusing on slow, controlled breaths.  

 2. Pelvic Tilts  

Why? Gently strengthens the lower abs and relieves lower back pain.  

How to do it:  

- Lie on your back with knees bent, feet flat on the floor.  

- Inhale, keeping your back neutral.  

- Exhale and tilt your pelvis slightly, pressing your lower back into the floor.  

- Hold for a few seconds, then release.  

- Perform 10 reps.  

 3. Heel Slides  

Why? Engages deep core muscles without putting strain on healing tissues.  

How to do it:  

- Lie on your back with knees bent.  

- Inhale, keeping your core engaged.  

- Exhale and slowly slide one heel away until your leg is straight.  

- Inhale and bring it back. 

- Alternate legs for 10 reps per side.  

 4. Glute Bridges  

Why? Strengthens the glutes, core, and lower back.  

How to do it:  

- Lie on your back, knees bent, feet hip-width apart.  

- Engage your core and squeeze your glutes.  

- Lift your hips toward the ceiling.  

- Lower slowly and repeat 10–12 times.  

 5. Seated Knee Lifts  

Why? Activates the lower abs and improves balance.  

How to do it:  

- Sit tall on a chair, feet flat on the ground.  

- Engage your core and slowly lift one knee toward your chest.  

- Lower and switch sides. 

- Perform 10 reps per leg. 

 6. Side-Lying Leg Lifts  

Why? Strengthens the outer thighs and stabilizes the hips.  

How to do it:  

- Lie on your side, legs straight.  

- Engage your core and slowly lift your top leg.  

- Lower with control and repeat 10 reps per side.  

 7. Bird Dog Exercise  

Why? Builds core stability and improves posture.  

How to do it:  

- Get on all fours, hands under shoulders, knees under hips.  

- Engage your core and lift one arm and the opposite leg.  

- Hold for a few seconds, then switch sides.  

- Repeat 10 reps per side. 

 

When to Progress  

If these exercises feel easy and you experience no pain or pressure in your abdomen or pelvis, you can gradually add more challenging movements. Always prioritize form over intensity to prevent injury.  

 

Final Thoughts  

Postpartum recovery is a process, not a race. Strengthening your core takes time, but small, consistent steps lead to big improvements. If you experience pain, incontinence, or a persistent “pooch” in your abdomen, consult a physical therapist specializing in postpartum recovery.  

💡 Start slow, stay consistent, and listen to your body. Healing comes first!