TRAINING FOR TWO

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Written by

Gina Conley, MS

Postpartum Recovery Tips: Roxanne’s First Month with Baby #4

Table of Contents

The first few weeks after having a baby can look drastically different from one postpartum experience to the next. In this episode of the MamasteFit Podcast, Roxanne shares what the first five weeks postpartum have been like after welcoming her fourth baby, Harvey — along with the postpartum recovery tips that made this her smoothest healing season yet.

This postpartum has been unique for one major reason: it was the first time Roxanne did not experience a postpartum hemorrhage. That difference alone dramatically changed how she felt physically and mentally during recovery.

From navigating pelvic floor healing and prolapse symptoms to breastfeeding challenges and returning to gentle movement, Roxanne walks through what early postpartum has looked like for her this time around.

If you’re currently pregnant, newly postpartum, or planning for future recovery, here’s a transparent look at what the first month postpartum can actually feel like.

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A Different Postpartum Experience This Time

After giving birth to Harvey, Roxanne immediately noticed a huge difference compared to her previous births.

For the first time, she did not hemorrhage postpartum, which meant her recovery felt dramatically easier.

Instead of extreme fatigue and feeling faint for weeks, she was able to:

  • Walk to the bathroom without feeling like she might pass out

  • Take a full shower by the second day postpartum

  • Stay awake and interact with family

  • Move around her home comfortably

In previous postpartums after hemorrhaging, Roxanne described spending much of the first month exhausted and sleeping, simply because her body was recovering from significant blood loss.

This time felt completely different.

“This is what people feel like after having a baby and not losing half their blood volume? This is great.”

What Helped Reduce the Risk of Hemorrhage

While postpartum hemorrhage can sometimes be unpredictable, Roxanne believes several factors may have helped reduce her risk this pregnancy.

1. Improving Nutrient Levels During Pregnancy

One of the biggest changes was focusing on improving key nutrient levels, particularly:

  • Iron

  • Vitamin D

In previous pregnancies, Roxanne struggled with anemia. This time she focused on maintaining better iron levels through both diet and supplements earlier in pregnancy.

She also prioritized increasing her vitamin D levels through:

  • Spending time outdoors

  • Supplementation

  • Monitoring blood levels during pregnancy

Optimal vitamin D levels may play a role in lowering the risk of postpartum hemorrhage, and Roxanne ensured hers were within a healthier range throughout pregnancy.

2. Giving Birth at Home

Roxanne also chose a home birth, which may have supported better hormonal regulation after delivery.

Being surrounded by family, including watching her daughter meet the new baby, created a powerful emotional moment that likely triggered a strong oxytocin surge.

Oxytocin plays a key role in helping the uterus contract after birth and can help minimize bleeding.

3. Active Management of the Third Stage

Roxanne also opted for active management of the third stage of labor, which included receiving Pitocin after birth to help the placenta detach and reduce bleeding risk.

This combination of preparation, environment, and medical support may have contributed to a smoother recovery.

First Postpartum Milestones

Even small postpartum milestones can feel huge in those early days.

For Roxanne, some of the biggest early wins included:

Showering Without Feeling Faint

After hemorrhaging in previous births, even standing in the shower was difficult for weeks. This time she was able to take a full shower by day two postpartum.

Having the First Bowel Movement

For many postpartum parents, the first bowel movement can be nerve-wracking.

Roxanne also lives with a rectocele, which means the rectum pushes into the vaginal wall. This can make bowel movements more complicated, especially early postpartum when the pelvic floor is still healing.

However, this time she experienced:

  • Daily bowel movements

  • No constipation

  • No tailbone pain

A few factors likely helped:

  • Staying hydrated

  • Eating a high-fiber diet

  • Gentle movement

  • Prior pelvic floor preparation

Monitoring Prolapse Symptoms

Because Roxanne has a history of pelvic organ prolapse, she closely monitored symptoms during recovery.

In the first few weeks postpartum, it’s common for pelvic organs to sit slightly lower while tissues heal.

For Roxanne, symptoms included:

  • A feeling of heaviness in the vagina

  • Pressure in the rectum

  • Increased bleeding after activity

She described the heaviness sensation as feeling like a tampon sitting low in the vaginal canal.

When symptoms increased, she used a simple strategy:

Rest more.

At one point, after a particularly active day, she took two days mostly in bed to allow her body to recover.

Giving herself permission to slow down helped prevent worsening symptoms.

Signs You Might Be Doing Too Much Postpartum

One of the clearest indicators of overdoing activity postpartum is increased vaginal bleeding.

Roxanne noticed that whenever she pushed activity too far, she would experience:

  • Heavier bleeding the following day

  • Bright red blood returning after it had slowed

Typically postpartum bleeding follows this pattern:

  1. First 1–2 weeks: dark red bleeding

  2. Weeks 2–4: lighter bleeding or spotting

  3. Later weeks: pink, yellow, or minimal discharge

If bright red bleeding returns after activity, it can be a sign your body needs more rest.

The Challenge of Feeling Good Too Soon

One unexpected challenge this postpartum was actually feeling too good.

Because Roxanne wasn’t recovering from hemorrhage, she had more energy earlier than in previous recoveries.

That created a new struggle: wanting to do more than her pelvic floor was ready for.

Around four weeks postpartum, she felt ready to return to the gym—but her body quickly reminded her to slow down.

This experience helped her understand why many parents feel ready to exercise early postpartum.

“Mentally and mostly physically I felt great. But my pelvic floor said, sit down.”

Gentle Movement in the Early Weeks

Instead of jumping back into workouts, Roxanne focused on gentle reconnection work in the early postpartum period.

She followed MamasteFit’s Early Postpartum Recovery Program, which includes:

  • Breathwork

  • Gentle mobility

  • Pelvic floor reconnection

  • Light core engagement

The program progresses over four weeks, but Roxanne adapted it to her needs.

For example:

  • She repeated certain weeks twice

  • She did exercises only a few times per week

  • Some days she simply rested with the baby

This flexible approach allowed her to support healing without pressure.

Returning to the Gym with a Baby

By week five postpartum, Roxanne began easing back into the gym with bodyweight movements.

Working out with a newborn required flexibility.

Some strategies she used included:

Accepting Interruptions

Workouts sometimes took much longer due to:

  • Feeding breaks

  • Diaper changes

  • Soothing the baby

Instead of rushing, she embraced the slower pace.

Creating Safe Baby Spaces

Helpful tools included:

  • Baby swings

  • Floor mats

  • Rockers

These allowed the baby to stay nearby while she moved.

Babywearing

Baby carriers can make workouts possible when babies want to stay close.

Roxanne often used carriers with her previous babies while exercising.

Splitting Workouts

Another strategy many parents find helpful is breaking workouts into smaller pieces, completing different sections on different days.

Even short bursts of movement can support recovery.

Breastfeeding Challenges and Tongue Tie

Like her previous children, Harvey was born with a tongue tie and lip tie, which made breastfeeding painful at first.

Early challenges included:

  • Nipple damage

  • Shallow latch

  • Frequent feeds

To help improve feeding, Roxanne worked with:

  • A chiropractor for bodywork

  • A lactation consultant

  • Tongue strengthening exercises

Eventually, Harvey underwent a tongue tie release, which improved feeding significantly.

Navigating Mastitis

Roxanne also experienced clogged ducts and early mastitis symptoms twice during the first month.

Symptoms included:

  • Fever

  • Chills

  • Breast pain

One episode occurred after a long outing when she forgot to pump while the baby was bottle-fed.

Thankfully, with treatment and improved feeding after the tongue tie release, things improved.

Sibling Adjustment

One pleasant surprise this postpartum was how smoothly Harvey’s siblings adjusted.

Instead of jealousy, the older kids were excited and eager to help.

They frequently asked to:

  • Hold the baby

  • Play with him

  • Spend time with him

This enthusiasm actually gave Roxanne opportunities to rest.

Fitness Goals for the Months Ahead

Looking ahead, Roxanne has a few personal fitness goals.

Her biggest one?

Getting back into running.

Both Roxanne and Gina ran competitively earlier in life, and Roxanne hopes to rediscover the joy of running without the pressure of competition.

She is also planning to participate in the RunDisney Wine & Dine race weekend, where she signed up for both:

  • A 10K

  • A half marathon

For now, the focus remains on gradual strength building and pelvic floor recovery before increasing running volume.

Roxanne’s Biggest Postpartum Recovery Tips

Reflecting on the first month after Harvey’s birth, Roxanne shared a few key takeaways:

Listen to Your Body’s Signals

Symptoms like:

  • Pelvic heaviness

  • Increased bleeding

  • Fatigue

are important feedback that your body needs more rest.

Rest Even When You Feel Good

Feeling good doesn’t necessarily mean tissues are fully healed.

Recovery timelines still matter.

Healing Isn’t Linear

Some days will feel amazing, and others may bring new symptoms. That’s normal during postpartum recovery.

Support Makes a Huge Difference

Whether it’s family, healthcare providers, or fitness professionals, having support can make recovery smoother and less overwhelming.

Support for Your Postpartum Recovery

If you’re navigating postpartum and unsure where to begin with movement, MamasteFit offers a free Early Postpartum Recovery Program.

The program includes gentle guidance to help you:

  • Reconnect with your pelvic floor

  • Reintroduce movement safely

  • Build a foundation for future strength

Every recovery journey is different, and there’s no pressure to follow a strict schedule.

The goal is simply to support your healing while respecting your body’s pace.

Sample Our Postpartum Fitness Program

Frequently Asked Questions

How long does it take for your body to go back to normal after birth?
Healing follows tissue timelines, not a date on the calendar — the early inflammation phase lasts about 1–2 weeks, new (but still weak) tissue is laid down over weeks 2–4+, and the maturation phase runs from around 4–6 weeks up to 16 weeks or longer. For at least the first year postpartum, patience is essential, and your timeline may be longer after a cesarean, perineal trauma, hemorrhage, or significant fatigue. You can see the full realistic postpartum recovery timeline with what to focus on in each phase.
How long do postpartum stitches take to heal?
It depends on the degree of the tear: first-degree tears affect only the outer skin and usually heal quickly (often without stitches), second-degree tears extend into the perineal muscles and generally heal well with proper care, and deeper third- and fourth-degree tears need careful repair plus pelvic floor physical therapy. Most tears heal well with time, rest, and good hygiene — and even mild tears can benefit from pelvic floor rehab. Learn more about the types of vaginal tears and how they heal.
How to feel normal after having a baby?
Feeling like yourself again comes from supporting your healing rather than rushing it: rest when symptoms like pelvic heaviness or increased bleeding show up, reintroduce gentle movement like breathwork and mobility work, and lean on your support system. Keep in mind that feeling good doesn't necessarily mean your tissues are fully healed — recovery timelines still matter, and healing isn't linear. Some days will feel amazing and others may bring new symptoms, and that's normal.
What is the hardest month of postpartum?
Every postpartum is different, but the first month is often the most physically demanding — it's when bleeding is heaviest, pelvic floor tissues are still healing, and challenges like engorgement, latch issues, or mastitis tend to show up. Even Roxanne's smoothest recovery yet required intentional rest days when prolapse symptoms or bleeding increased. Listening to your body's signals and resting even when you feel good can make those early weeks much more manageable.
What foods help postpartum recovery?
A high-fiber diet paired with plenty of hydration can make a big difference early postpartum — it helped Roxanne have daily, comfortable bowel movements with no constipation, even with a rectocele. Nutrient levels matter too: maintaining better iron levels through diet and supplements, plus healthy vitamin D levels, may support a smoother recovery and even lower the risk of postpartum hemorrhage. Your provider can check your levels and help you fill any gaps.
What not to eat while postpartum?
There's no strict list of forbidden foods postpartum — the focus is on adding nourishment (protein, hydration, healthy fats, fiber, and micronutrients like iron and vitamin C) rather than restricting. Many cultures do favor warm, cooked foods over cold or raw ones after birth, and warm broths and porridge-style grains can feel gentle on a sensitive digestive tract — but if you crave a salad or smoothie, go for it. You can dig into the full postpartum nutrition must-knows from registered dietitian Ryann Kipping.
What is the best drink for postpartum?
Water is the foundation, but electrolytes are what help your body actually absorb and use that water — so a drink with balanced electrolytes (sodium, potassium, and magnesium) can be especially helpful postpartum and while breastfeeding. Adequate electrolyte levels may also support your energy, sleep, muscle cramping, and swelling. Check out our favorite electrolytes review for the options we actually use.
How to naturally heal postpartum?
Gentle reconnection work is the foundation: breathwork, gentle mobility, pelvic floor reconnection, and light core engagement — progressed slowly over the first weeks and adapted to your needs. Rest is just as productive as movement early on; increased bleeding or pelvic heaviness are your body's signals to slow down, not signs you've ruined anything. MamasteFit's free Early Postpartum Recovery Program walks you through this flexible, no-pressure approach.