1. Physical changes six weeks after giving birth: abdominal pain and uterine recovery

Why does my stomach hurt while breastfeeding? Is this normal?

"Every time I breastfeed, my stomach hurts... is this okay?"

This pain leaves many mothers confused.
In fact, this is evidence that your uterus is trying hard to return to its original size .

Before you were born, your uterus was a tiny organ about the size of your fist.
However, due to pregnancy, the weight increases by about 20 times.
The volume had increased by a whopping 2,500 times !

This "incredibly enlarged uterus"
Your body shrinks back to normal size in six weeks, and the secret is uterine "memory."

The muscles of the uterus store a "blueprint" of your pre-pregnancy shape and size.
Oxytocin, a hormone released during breastfeeding,
This blueprint is recalled and the command is sent to the muscles to "return to their original shape!"

That's why you experience strong contractions every time you breastfeed .
This pain is a sign that your uterus is working hard.
In fact, the more pain a mother experiences, the faster her uterus tends to recover.

Uterine recovery schedule:

Immediately after birth: Around the level of the belly button 3 days after birth: Approximately 2cm lower per day 1 week after birth: 3cm below the belly button
・2 weeks after birth: You can no longer touch it from the outside ・6 weeks after birth: It has completely returned to its original size

Signs you don't need to worry:

・Temporary increase in bleeding after breastfeeding ・Sudden bleeding when standing up ・Waves of pain similar to menstrual cramps ・Waking up at night due to pain

Signs that you should see a doctor immediately:

・Fever of 38 degrees or higher that lasts for more than two days ・Sudden heavy bleeding ・Strong foul odor ・Abdominal pain so severe that you cannot stand

Instead of "I'm worried because I'm in pain,"
Try changing your thinking from "I'm in pain so everything is going well."
Your body is working hard to get back to normal with incredible resilience.

2. What changes in the color of lochia can tell you: A message of recovery from the uterus

The change from red to brown to yellow has a real meaning.

"Today is the fifth day since giving birth, and I'm still bleeding bright red blood... is this okay?"

Changes in the color and amount of lochia are your uterus's "recovery report" to you .
In fact, there are three distinct, medically proven stages of lochia.

Stage 1: Bloody lochia (1-4 days after birth) – the "spring cleaning" period of the uterus

The initial bright red color is bleeding from the uterine lining where the placenta has detached.
During pregnancy, the area where the uterus joins the placenta has about 10 times the normal amount of blood vessels.
When the placenta detaches during childbirth, bleeding begins all at once from this abundant blood vessel.

Normal bleeding during this period is 150-300ml per day (2-3 times the amount on heavy periods).
I'm worried, "Is it okay to produce this much?"
This is a sign that your uterus is functioning normally.

Stage 2: Lochia serous (4-10 days postpartum) – A sign that "repair work" is about to begin

The reason it turns brown is because the hemoglobin in the blood oxidizes.
This is because regenerating endometrial cells are mixed in at the same time.
During this time, an amazing process of regeneration is taking place inside the uterus.
New cells are regenerated at a rate of about 0.5 mm per day.

Stage 3: Lochia (10 days to 6 weeks after birth) - "Completion inspection" stage

The final stage of lochia is yellowish-white and mainly consists of white blood cells and newly regenerated endometrial cells .
This is to check if the uterus is "infected" or "healing normally."
This is proof that you are checking it yourself.

Characteristics of normal changes:

・The color is changing normally, but the amount remains large. ・Fresh blood is temporarily mixed in after feeding. ・No fever or severe abdominal pain. ・No foul odor.

Dangerous abnormal signs:

・The blood suddenly returns to fresh blood one week after giving birth. ・Frequent blood clots (larger than the size of a 500 yen coin) ・A strong, foul odor like raw fish ・A fever of 38 degrees or higher

The most important thing to observe when observing lochia is the "pattern of color change."
The key point is not the amount, but whether the colors change in the order red → brown → yellow.
If this order is followed, it is considered a normal recovery process even if it takes a little time.

Lochia is by no means "dirty."
It's sent by your uterus
The message is, "I'm recovering well today."

3. How to spot hidden postpartum anemia: Dizziness is just the tip of the iceberg

5 signs you can tell without a blood test

Q: I frequently feel dizzy when standing up. Could this be postpartum anemia?
Is there a way to find out without having a blood test?

In fact, by the time you experience dizziness when standing up, your anemia may already be quite advanced.
The scary thing about postpartum anemia is that it progresses without you even noticing .
The combination of bleeding during childbirth, iron loss from breastfeeding, and lack of sleep due to childcare,
Many mothers dismiss this as just being tired.

However, there are "5 hidden signs" that I have discovered from my experience as a midwife.

Sign 1: "I have an uncontrollable craving for ice"
This is medically known as "pagophagia" and is a characteristic symptom seen in approximately 60% of cases of iron deficiency anemia.
A lack of iron disrupts the brain's temperature regulation function, and consuming cold foods temporarily restores concentration.

Sign 2: Changes in nail shape
The center of the nail becomes concave, giving it a spoon-like shape.
This is because iron deficiency prevents normal cell division in the nails.

Sign 3: The color of your lower eyelids
Check the color when you gently pull your lower eyelid.
When healthy, it is a deep pink color.
If it turns whitish, it may be due to low hemoglobin levels in the blood.

Sign 4: "Shortness of breath when walking up stairs"
If you start to feel short of breath or have palpitations when walking up the stairs to the second floor, which you were fine with before you were pregnant, you should be careful.
Anemia reduces the blood's ability to carry oxygen,
This is because the heart has to work harder to pump more blood.

Sign 5: Loss of concentration
"I try to call my baby's name but the words don't come out" or "I can't do simple calculations."
These symptoms may not simply be due to lack of sleep, but rather to a lack of oxygen to the brain.

Q: What is a safe way to improve anemia while breastfeeding?

Taking iron supplements while breastfeeding is generally safe.
Rather, if a mother continues to suffer from anemia, the quality of her breast milk will decline and her physical strength will not recover.

Safe ways to improve anemia while breastfeeding:

・Active intake of heme iron (beef, pork liver, bonito, etc.)
・Combined intake with vitamin C (citrus fruits, broccoli, etc.)
・Consult with your doctor about using safe iron supplements while breastfeeding ・Adjust the timing of intake (higher absorption rate when taken on an empty stomach)

Combinations to avoid:
Tannins in green tea, black tea, and coffee, calcium from milk and cheese, and dietary fiber from brown rice and whole wheat bread inhibit iron absorption, so avoid these foods for one hour before and after consuming iron.

With proper treatment, symptoms will begin to improve in about two weeks .
Anemia is not just about feeling tired.
This is a condition that will definitely improve with appropriate treatment.

4. Symptoms of postpartum depression and early detection: Differences from maternity blues

The two-week rule and warning signs you shouldn't overlook

"I don't feel happy when I see my baby... am I a bad mother?"
"Everyone else seems happy, why am I the only one suffering so much?"

If you are feeling this way, I want you to know that it is not because you are weak-minded.

Postpartum depression is a medical condition caused by a sudden hormonal shift in the brain . After giving birth, blood levels of estrogen and progesterone plummet to one-hundredth of pre-pregnancy levels within 24 hours —the equivalent of experiencing the 10-year changes of menopause in just one day.

Characteristics of maternity blues:

Onset: Begins 3-5 days after giving birth. Duration: Recovers naturally within 2 weeks. Symptoms: Tearfulness, anxiety, irritability. Daily life: Able to care for baby. Incidence: Approximately 70-80% of postpartum mothers.

This is a normal, temporary hormonal response.

Characteristics of postpartum depression:

Onset period: 2 weeks to 6 months after birth (peaks at 1-3 months)
Duration: lasts for more than two weeks and does not improve naturally. Symptoms: deep feelings of despair, suicidal thoughts, lack of interest in childcare. Daily life: basic care becomes difficult. Incidence: about 10-15% of postpartum mothers.

The "two-week rule" is important here. Neuroscience research has shown that the normal hormonal adaptation period is 10-14 days after giving birth . If symptoms persist beyond this period, it may be that there is something wrong with the serotonin receptors in the brain.

Symptoms that require immediate medical attention:

・Feelings of wanting to die cross your mind ・You don't find your baby cute at all ・You get irritated by your baby's crying and feel like hitting him ・You are completely unable to focus on housework or childcare for more than a week ・You can't eat or you can't stop overeating ・You haven't been able to get more than 2-3 hours of continuous sleep for more than a week

If you experience any of these symptoms, we recommend that you see a doctor within 24 hours .

Factors that may help alleviate symptoms:

・Partner's active participation in childcare ・Sunbathing for at least 30 minutes a day ・Regular interaction with other moms of the same age ・Having the mindset that "it's okay if you're not perfect"

Postpartum depression is sometimes called the "common cold of the mind."
Like a cold, it is a condition that can be cured with proper treatment.
The important thing is not to deal with it alone, but to seek appropriate support early on.

The pain you are feeling is by no means a sign of being "spoiled" or "unfit to be a mother."
It's proof that your body and mind are working hard to adapt to supporting a new life.

5. Postpartum mental care and coping with hormonal changes

Scientific ways to deal with the lack of maternal instinct

"I heard oxytocin is the love hormone,
Even when I hold a baby, I don't feel any special emotions..."

"Why is it only me when other moms naturally have this maternal instinct?"

In fact, there is a big misunderstanding about the "oxytocin myth" that has been believed until now.
The latest neuroscience research
It turns out that mother-child bonding is a more complex process than we might have imagined.

The Truth Behind the Oxytocin Myth <br>Oxytocin is commonly known as the "love hormone."
Its actual function is to "increase vigilance."
The true function of oxytocin is to "increase vigilance against external dangers in order to protect family members."
In other words, even though there is an instinct to protect the baby,
It is not necessarily the same as the feeling of "love."

Understanding this will free you from the guilt of not having a maternal instinct.

Three factors contribute to the formation of a mother-child bond:

Genetic factors (approximately 30%): Differences in the oxytocin receptor gene
There are individual differences in sensitivity to hormones. Birth experience (about 40%): length of labor, method of delivery,
The amount of skin-to-skin contact immediately after birth has an effect. Environmental factors (approximately 30%): Support from the partner,
Sleep duration and stress levels play a major role

In other words, the lack of love is not a problem with your personality.

Practices that promote bonding:

1. Improving the quality of physical contact <br>Quality is more important than quantity.
For five minutes a day, gently stroke your baby's back in a clockwise direction while focusing on deep breathing.
This slows your heart rate and stimulates the release of oxytocin.

2. Make use of eye contact <br>Make sure to look into your baby's eyes for at least 10 seconds each time you breastfeed.
The exchange of gazes creates empathy circuits in both people's brains.

3. Scientific methods of speaking to your baby <br>When talking to your baby, be sure to consciously use baby talk .
By speaking in a high-pitched voice, slowly, and with intonation,
It promotes your baby's emotional development and strengthens the bond between you.

Mom's own self-care practices:

"One small achievement a day" rule: "I took a shower today" or "I took a 10-minute walk today"
Make it a habit to praise yourself even for small things.
This gradually restores self-efficacy.

Practice verbalizing emotions
At the end of each day, try to express how you felt that day in three words. Putting your emotions into words, such as "tired," "anxious," or "a little relieved," will help you see them objectively.

Breaking away from the "perfect mother fantasy"
The "ideal child-rearing" seen on social media is
Most of the time, it's a production that captures just a moment.
In reality, parenting is usually a series of things that go wrong.

Finally, please remember that love takes time to develop . There is instantaneous love, like love at first sight, and
There is also affection that slowly grows through daily care.
Both are equally valuable and genuine love.

It's okay to build a relationship with your baby at your own pace and in your own way.
You don't have to be a perfect mother.
Being a "good enough mother" is enough.

6. Nutritional Management Guide for Breastfeeding
Why you need 2500kcal a day

The mystery of gaining weight despite breastfeeding being supposed to help you lose weight, and how to identify thyroid dysfunction

"I heard that breastfeeding would help me lose weight naturally, but for some reason I'm gaining weight..."
"I'm hungry all day and no matter how much I eat I'm never satisfied"

In fact, nutritional management during breastfeeding involves:
There is a physiological mechanism that many mothers are unaware of.

First, let's understand why you need 2500 calories a day while breastfeeding.

The incredible energy consumption of breastfeeding <br>It takes about 67kcal to produce 100ml of breast milk.
Newborns drink about 800ml of breast milk per day (up to 1000ml for some babies),
Milk production alone burns approximately 500-700 kcal per day .
This is the same energy expenditure as jogging for about an hour.

Additionally, there is a hidden energy expenditure during the milk production process:

・Maintaining breast tissue: Approximately 100 kcal per day
・Regulating breast milk temperature: Approximately 50 kcal per day
・Hormone production: Approximately 80 kcal per day
・Synthesis of immune substances: Approximately 70 kcal per day

In total, you need about 800-900kcal of additional energy per day in addition to your basal metabolic rate. In other words, the average woman needs 1200kcal of basal metabolic rate + 300kcal of daily activities + 800kcal of breastfeeding = about 2300-2500kcal .

3 reasons why breastfeeding doesn't make you lose weight:

1. Mechanism of fat accumulation by prolactin <br>Prolactin, the hormone that secretes breast milk,
At the same time, it sends a signal to store fat in preparation for starvation .
This is an evolutionary mechanism that allows lactating women to maintain milk production during times of food shortages.

2. Metabolic disorders caused by nighttime feedings
Feeding every 2-3 hours disrupts growth hormone secretion patterns.
Growth hormone is an important hormone that promotes fat burning, so insufficient secretion of it reduces metabolic efficiency.

3. Increased secretion of stress-related cortisol <br>Chronic lack of sleep and the stress of child-rearing cause the adrenal glands to over-secrete cortisol (a stress hormone).
Cortisol promotes the accumulation of visceral fat, especially around the abdomen. It is especially difficult to lose fat around the stomach area.


On the other hand, about 20% of mothers end up being "too thin."

[Risks of being too thin while breastfeeding]

Dangerous symptoms:

・Loss of 5kg or more from pre-pregnancy weight

・Weight loss of 2kg or more in one month

- BMI falls to less than 18.5

Extreme fatigue, dizziness, palpitations


If you have these symptoms,
You may have hyperthyroidism (Graves' disease) .



[How to identify thyroid dysfunction]

Thyroid hormone levels fluctuate dramatically after childbirth,

Approximately 5% of mothers experience temporary dysfunction.


Symptoms of hypertension:

・You can lose weight even if you eat

Hand tremors, palpitations

-Excessive sweating

Irritability, insomnia

Bulging eyes


Symptoms of hypothyroidism:

・Gaining weight even if you don't eat

Swelling, sensitivity to cold

Extreme fatigue

Constipation, hair loss

・Deterioration of memory ability


If these symptoms persist for more than two weeks,
We recommend that you undergo blood tests (TSH, FT3, FT4).

So, what is the best way to manage nutrition while breastfeeding?

Nutritional strategies while breastfeeding

1. Prioritizing essential nutrients

Priority: Protein (80-85g per day)
It is the main component of breast milk and is also necessary for maintaining the mother's muscles.
Obtained from meat, fish, eggs, and soy products.

Second priority: Calcium (650 mg daily)
Approximately 300 mg is transferred into breast milk per day, helping to prevent a decrease in bone density in mothers.
Obtained from dairy products, small fish, and green and yellow vegetables.

Third priority: Iron (8.5 mg per day)
Necessary for milk production and prevention of anemia.
Get it from liver, red meat, and spinach.


2. Optimize meal timing

Breakfast: Protein + complex carbohydrates (for blood sugar stability)
Lunch: Balanced (equal amounts of each nutrient)

Dinner: Light carbohydrates + vegetables (improves breast milk quality at night)

Snacks: nuts, yogurt (to prevent blood sugar levels from dropping when fasting)


3. The scientific basis for hydration


Because breast milk is 87% water,

You need to drink 2.5-3 liters of fluid per day .


However, taking large amounts at once can put a strain on the kidneys.

Drink about 200ml every hour .



[Foods to avoid and safe intake amounts]


Alcohol: Avoid it completely (it passes to your baby through breast milk)

Caffeine: 200mg or less per day (about 2 cups of coffee)

Raw fish: about once a week (risk of mercury accumulation)

Stimulants: spicy foods (irritating to the baby's stomach and intestines)



Finally, I will tell you the correct way to think about weight management .



When breastfeeding, rather than "losing weight,"

Maintaining good nutrition is a top priority.


With proper nutrition,

Your weight will naturally stabilize around six months after giving birth.


Don't rush, and put your health and that of your baby first.

Please manage your nutrition.

Key points for postpartum checkups

What the doctor really checks at the one-month checkup

Items and preparation methods

How to determine if the cervix is ​​closed

The true meaning of "Let's wait another week"

"At the one-month checkup, I was told, 'Everything is going well,' but

What exactly were they checking?"


"My teacher told me to wait another week, but

I don't know what went wrong..."



Postnatal checkups are not just a "check-up."


In fact, the tests doctors perform include

There are hidden important criteria that will determine the mother's future health .



Rather than passively receiving postnatal checkups,

Understanding the meaning of the test

You will be able to accurately assess your recovery status.



[The true purpose of the one-month checkup]


Generally, it is explained as "checking whether the patient is recovering smoothly,"

The true medical objectives are as follows:


1. Early detection of infectious diseases

Postpartum intrauterine infections

If left untreated, it can cause infertility and chronic pelvic pain.

It is important to detect the disease in its early stages when symptoms are less likely to appear.


2. Assessment of future gynecological disease risk

Depending on your postpartum recovery,

It can predict the severity of menopausal symptoms and the risk of uterine prolapse.


3. Determining suitability for next pregnancy

Depending on the state of uterus involution,

A medical determination will be made as to the recommended interval between pregnancies.



[5 Important Tests Doctors Secretly Conduct]


1. Accurate measurement of cervical closure


During a pelvic examination, the doctor will:

It is not a simple "open or closed" determination.


Successful closure criteria:

・External cervical os: completely closed (not even a single finger can fit inside)

・Internal cervical os: Over 95% closed

・Cervical length: 3.5cm or more


If this standard is not met,

The decision was made to wait another week.


If you resume sex or bathing while your genitals are still incompletely closed,

This is because the risk of ascending infection increases approximately 10-fold.


2. Bacteriological evaluation of lochia


Doctors can tell you from the color and smell of lochia.

We can even estimate the type of pathogen .


Characteristics of normal lochia:

・Color: Light yellow or colorless and transparent

Odor: Odorless or slight blood odor

・Amount: 20ml or less per day

・Viscosity: Watery


Signs that something is wrong:

・Green or gray: Suspected Pseudomonas aeruginosa infection

・Strong fishy odor: Possible anaerobic bacterial infection

・Cheese-like: Suspected Candida infection


3. Confirmation of internal organ location by abdominal palpation


In abdominal examinations, not only the size of the uterus is measured,

The location of other internal organs is also confirmed .


The stomach, liver, and intestines are pushed up by pregnancy.

Evaluate whether it has returned to normal position.


Especially for Caesarean section moms,

The presence or absence of intestinal adhesions is determined by palpation.


4. Cardiovascular assessment using blood pressure and heart rate


It's not just a simple numerical check,

We evaluate the sequelae of pregnancy-induced hypertension .


Approximately 30% of mothers who had high blood pressure during pregnancy

Hypertension persists after delivery and requires ongoing management.


5. Detailed observation of the breast


Breast checks not only check breastfeeding status,

Future breast cancer risk assessment is also being conducted.


Pregnancy and lactation cause changes in mammary gland tissue,

The condition of the breasts at this stage is

This will become the standard value for future breast cancer screening.



[Self-check items you can do before your health check]


To make more effective use of health checkups,

Please check the following in advance.



1. Detailed record of lochia


Please record the following starting one week before your checkup.


・Total amount per day (estimated based on number of times you change your sanitary napkins)

- Color change pattern

・Changes in odor

- Presence and size of blood clots


2. Changes in body temperature


Take your temperature at the same time every morning

Check for slight fever.


If you have a fever of 37.5 degrees or higher that lasts for more than two days,

You will need to have a medical examination before your medical checkup.


3. Defecation and urination status


Number of days of constipation

Pain during urination or feeling of residual urine

- The degree and frequency of urinary incontinence


This information is an important indicator for assessing the recovery status of the pelvic floor muscles.


4. Objective assessment of mental status


The Edinburgh Postnatal Depression Questionnaire was self-administered before the checkup.

Report the results to your doctor.


In many cases, doctors do not proactively ask questions about mental health issues.

It is important to provide information yourself.



[Five questions you should always ask during a health checkup]


To make effective use of limited consultation time,

Be prepared with the following questions:



1. "What is the recommended interval between pregnancies?"


The WHO recommendation is 18-24 months.

It will be tailored to your individual recovery situation.


2. "How long will the exercise restrictions last?"


"Light exercise," "intense exercise," and "strength training"

Please check the specific start times for each.


3. "Please tell me about taking medication while breastfeeding."


Cold medicine, painkillers, supplements, etc.

Please check the specific drug names.


4. "Does it affect menopause?"


Depending on the number of births and breastfeeding period,

Menopausal symptoms may appear differently.


5. "Are there any future risks I should be aware of with this birth?"


Due to a history of cesarean section, pregnancy-induced hypertension, gestational diabetes, etc.

Future risks may change.



[How to use the 2-week and 3-month checkups]


The two-week and three-month checkups, which have been increasing recently,

Each has a different purpose.



Purpose of the 2-week checkup:

・Early detection of postpartum depression

-Evaluation of breastfeeding establishment status

- Checking newborn weight gain


Purpose of the 3-month checkup:

・Consultation about contraception methods

・Health evaluation for returning to work

・Developing long-term health management plans



[How to correctly interpret health checkup results]


Understand the meaning behind a "No abnormalities" result.



The meaning of "Uterine recovery is good":

It didn't just return to its original size,

This means that muscle contraction, blood flow, and endometrial regeneration are all good.


"Lochia reduction" means:

There were no signs of infection, and healing in the uterus was progressing smoothly.

It also indicates a stable hormone balance.


"Normal blood pressure" means:

Your circulatory system will return to its pre-pregnancy state

We have been able to confirm that there are no aftereffects of pregnancy-induced hypertension.



Your postnatal checkup is a valuable opportunity for a medical evaluation of your recovery.


Instead of passively receiving,

Please actively seek out information and use it to manage your health in the future.


By not being shy about asking even small questions,

You will be able to live a safer and healthier postpartum life.

11. Postpartum marital relationships and partnerships

When to resume sex life

How to get through the six-month crisis

Why does a difference in attitude occur between you and your partner?

Hormonal effects on couples

"My partner is the same as before,

I just couldn't feel anything..."


"The baby is cute,

For some reason, I get irritated with my husband.



Confused by the changes in your relationship after giving birth?

You are definitely not alone.


In fact, the "hormonal storm" that occurs during the six months after giving birth

It can have a dramatic effect on a marriage relationship

This is revealed in the latest research.



By understanding these changes scientifically,

Deepen your relationship with your partner

It can be developed into something even stronger.



[4 Effects of Postpartum Hormones on Marital Relationships]


1. Oxytocin-induced "affection change"


Oxytocin, which is secreted after birth,

Strengthening the bond between mother and child,

It temporarily suppresses affectionate expressions towards your partner .


This is evolutionarily

It is a mechanism developed to allow the mother to focus on her baby.


In other words, it's not that your love for your partner has waned,

It's just a temporary shift in affective priorities .



2. Low estrogen levels leading to decreased libido


Postpartum estrogen levels

It drops to about one-tenth of pre-pregnancy levels.


This condition is similar to menopause,

Loss of libido and vaginal dryness are natural physiological phenomena.


This condition continues especially during breastfeeding,

A decrease in sexual interest is normal.


3. Prolactin puts you on "alert mode"


Prolactin, the lactation hormone,

It puts the mother into "baby-protecting alert mode."


This allows you to be more responsive to your partner's behavior.

You will become more sensitive than before .


"They don't help with childcare" "They don't understand"

This is why such feelings are so strong.


4. Elevated cortisol levels can cause emotional instability


Lack of sleep and the stress of raising children

Chronically elevated levels of the stress hormone cortisol.


This makes it difficult to control emotions,

You become easily annoyed by small things.



These hormonal changes

It peaks six months after giving birth and then gradually stabilizes .



[The scientific mechanism behind the six-month postpartum crisis]


The phenomenon in which marital relationships become most unstable around six months after childbirth is:

It's called the "six-month crisis" and is medically recognized.



Three factors that cause a crisis:


1. A period of rapid change in hormone balance

The longer the interval between feedings, the more unstable the prolactin levels become.

Your emotions will fluctuate more.


2. Peak of accumulated childcare fatigue

Six months of chronic sleep deprivation

Physical and mental fatigue reaches its limits.


3. Pressure to return to work

This coincides with the time when many mothers are about to return to work,

Anxiety about the future is at its peak.



To get through this period,

Advance preparation and strategy are key.



[Medical guidelines for resuming sexual activity]


Many couples worry about resuming their sex life.

We will advise you on the appropriate timing and method from a medical perspective.



Conditions for reopening:


Lochia has completely stopped

- Healing episiotomy or cesarean section scars

・Doctor's permission given at one-month checkup

The mother herself is motivated


The important thing to remember is that "medically possible" and "psychologically ready" are different things .



Phased reopening steps:


Step 1: Restoring skin-to-skin contact

Holding hands, hugging, light kissing, etc.

Start with non-sexual physical contact.


Step 2: Deepening communication

We openly discuss our feelings and concerns,

Deepen your understanding.


Step 3: Slowly restoring intimacy

Don't rush, go at mom's pace

Gradually restore intimacy.



[Effective communication with your partner]


To maintain a good relationship between husband and wife after childbirth,

Here are some specific ways to communicate.



1. "Verbalizing Emotions" Technique


Instead of vague expressions like "I'm irritated" or "I'm tired,"

Be specific about your feelings and their causes.


Before: "I'm too tired, I can't do it"

After improvement: "I woke up three times today to breastfeed and I'm at my physical limit.

Can I rest until tomorrow morning?"


2. "Gratitude Visualization" System


For small daily contributions,

Express your gratitude in concrete words.


Instead of saying "thank you,"

"Thanks to you changing my diaper, I was able to eat my meal in peace."

Specific gratitude is effective.


3. Introduction of "regular meetings"


Once a week, we have a 15-minute couples meeting.

Discuss the following:


What went well this week

・Things you want to improve

・Next week's schedule and division of roles

・Each other's physical condition and feelings



[Contraception and family planning]


Postpartum contraception is an important issue that directly affects future family planning.



When to start postpartum contraception:


If exclusively breastfeeding:

The LAM method (lactational amenorrhea method) is effective for up to six months after giving birth,

It is not 100% effective in preventing pregnancy.


For mixed/artificial feeding:

Ovulation may resume 6-8 weeks after giving birth,

Contraception is required once sexual activity resumes.


Safe birth control methods while breastfeeding:


Condoms (the most recommended method)

- Progestin-only pill (mini-pill)

・IUD (intrauterine device)

Contraceptive implant


Combined pills (containing estrogen)

Do not use while breastfeeding as it suppresses breast milk production.



[Three strategies to strengthen your marriage]


1. Securing some "baby-free time"


Leave your baby with someone you trust, even if just once a month.

Make time just for the couple.


Watching a movie, talking at a cafe, taking a walk, etc.

Even simple activities can make a big difference in your relationships.


2. "Clarifying roles and making gratitude a habit"


Clarifying the division of childcare and housework responsibilities,

Make each other's contributions visible.


Even if it's something trivial, expressing gratitude in words can

Increased relationship satisfaction.


3. "Sharing a vision for the future"


Parenting policies, careers, housing, family planning, etc.

Regularly discuss your vision for the future

Make sure you are walking in the same direction.



Changes in marital relationships after childbirth

It is both a crisis and an opportunity for growth.


By understanding and supporting each other,

You will be able to become a couple with a stronger bond than before.


Don't rush, respect each other's pace,

Build a new relationship with your family.

12. Proven Effective Postpartum Care Methods

Truly effective, chosen by experienced moms

Top 3 health management items

The truth about pelvic belts, folic acid supplements, and postnatal yoga

A hidden gem recommended by midwives

Are postpartum care products really effective?

"I bought it because everyone else was using it, but I don't really feel the benefits..."


There are many products in the postpartum care market,

The reality is that there are some that are effective and some that are not.



A midwife who has supported over 8,000 postpartum mothers over the past 30 years,

With the help of three experienced mothers who have actually experienced postpartum care,

We carefully select items and methods that are truly effective .



It's not about price or popularity,

We will tell you the truth based on scientific evidence and real-life experience .



[Mom A: First-time mother, exclusively breastfed, experienced postpartum depression]


The most effective items:

"Postpartum iron supplement (containing heme iron)"


Experience: "I started to feel dizzy when standing up about three months after giving birth.

I was even afraid to hold my baby.


I couldn't continue taking regular iron supplements because they gave me stomach pains.

Heme iron supplements put less strain on the stomach and intestines,

Within two weeks, my condition had clearly improved.


Not only did I no longer feel dizzy,

My mood has become more positive and my symptoms of postpartum depression have been alleviated."


Midwife's comment:

"Postpartum anemia is experienced by approximately 70% of mothers.

Adequate iron supplementation can lead to dramatic improvement.


Heme iron is absorbed about five times more efficiently than non-heme iron.

It is also ideal for breastfeeding mothers as it puts less strain on the stomach and intestines.


A recommended daily intake is 15-20mg.



[Mom B: Second child, mixed feeding, Cesarean section]


The most effective items:

"Pelvic floor muscle exercise cushion"


Testimonial: "I was suffering from postpartum urinary incontinence,

I didn't feel any effect from regular pelvic floor muscle training.


By using a special cushion,

You will learn the correct muscle position and how to apply force.

Within 6 weeks, the urinary incontinence was completely resolved.


I think this is a more fundamental solution than commercially available pelvic belts."


Midwife's comment:

"Pelvic floor muscle dysfunction is also associated with a future risk of uterine prolapse.


By using a special cushion,

You can learn the correct pelvic floor muscle contraction pattern,

Long-term effects can be expected.


A typical pelvic belt provides external support,

Exercise is essential for fundamental muscle improvement."



[Mom C: First child, exclusively formula-fed, gave birth to twins]


The most effective items:

Postpartum protein powder


Experience: "I couldn't find time to eat because I was raising twins.

I was losing weight and my strength was not returning.


Postpartum protein powder

It contains not only protein but also folic acid, iron, and calcium.

Drinking it twice a day eliminated my nutritional deficiencies.


Within three months, I was feeling much better and my skin and hair were in better condition.

The nutritional balance is completely different from regular protein.


Midwife's comment:

"Poor nutrition after giving birth significantly delays recovery.


Postpartum protein is essential for breastfeeding and physical recovery.

The amino acid ratio is optimized

It's the ideal way to get nutrition for busy moms.


A single serving of 20-25g provides approximately 30% of your daily protein needs.



[Top 3 hidden gems carefully selected by midwives]


1st place: Postpartum exercise balance ball (diameter 55cm)


Effects: Restores core muscle strength, improves lower back pain, promotes blood flow


How to use: Begin with 10 minutes of gentle bouncing per day from one week after giving birth.


Scientific evidence:

Exercise on an unstable surface

Deep muscles (inner muscles) can be trained efficiently.


Studies have shown that back pain can improve by 60% within six weeks of giving birth.


2nd place: Breastfeeding herbal tea (raspberry leaf included)


Effects: Promotes uterine contractions, stabilizes breast milk secretion, and promotes relaxation


Directions: Drink 2-3 cups warm between meals daily


Scientific evidence:

Fragarin contained in raspberry leaves

Gentle stimulation of uterine muscle contractions

It has been proven to speed up postpartum recovery.


3rd place: Postpartum skin care oil (horse oil base)


Effects: Stretch mark care, nipple care, perineal care


How to use: Apply a thin layer to the affected area twice daily.


Scientific evidence:

The fatty acid composition of horse oil is closest to that of human sebum.

It has been confirmed to have extremely high penetration and moisturizing effects.


It is an ingredient that has been proven safe during breastfeeding.



[Items that were ineffective or disappointing]


Experienced mothers said, "It wasn't as effective as I expected."

We will also introduce the items we have reviewed.



1. Expensive pelvic correction girdles


Reasons for disappointment:

"It's too tight and inconvenient when breastfeeding" "It reduces blood flow and makes me feel unwell"

"It's just a temporary improvement in your body shape, and it's not a fundamental solution."


Midwife's opinion:

It is difficult to fundamentally correct the pelvis through external pressure.

Moderate support is effective, but excessive tightness can be counterproductive.


2. Common folic acid supplements


Reasons for disappointment:

"I continued eating the same foods I did during pregnancy, but I didn't get the nutrients I needed after giving birth."

"Feeling tired while breastfeeding doesn't improve"


Midwife's opinion:

Nutritional needs differ during pregnancy and after birth.

After giving birth, your need for iron, protein, and vitamin D increases.

A special blend is preferred.


3. Expensive Postnatal Yoga Studios


Reasons for disappointment:

"It's difficult to attend with a baby" "The monthly fee is expensive and difficult to continue"

"Home methods are more practical"


Midwife's opinion:

Postnatal yoga definitely has benefits,

There's no point if you can't continue.


Online programs that can be done at home are better.

Long-term effects can be expected.



[The most cost-effective home care method]


You can practice it without using any special items.

Here are some effective self-care methods.



1. Pelvic floor muscle training that can be done with just a towel


Lie on your back with your knees bent

Place a towel between your thighs and hold it in place for 10 seconds.


Do this 10 times a day, 3 sets,

It trains the pelvic floor muscles and adductor muscles at the same time.


2. Strength training using two plastic bottles


Holding two 500ml plastic bottles in each hand,

While sitting, slowly raise and lower your arms.


It is effective in improving shoulder stiffness and restoring upper body muscle strength.


3. Hot and cold therapy in the bath


Alternating between hot and cold water in the shower

It promotes blood flow and regulates the autonomic nervous system.


It is effective in recovering from postpartum fatigue and improving metabolism.



The most important part of postnatal care is

"Can it be continued?"


Rather than expensive items,

Find a method that suits your lifestyle

The key to success is to keep going without straining yourself.


Based on the experiences of experienced mothers,

Find the postpartum care method that's best for you.

Don't worry about recovering from postpartum illness alone

We hope this guide will help you live a more secure and fulfilling postpartum life.


Postpartum recovery is different for everyone.

The most important thing is to not strive for perfection and to proceed at your own pace.


If you have any concerns or questions, don't hesitate to consult a professional.

We sincerely hope for the health and happiness of you and your baby.