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Postpartum Expectations Versus Reality

Mother holding her infant baby

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Every new mom probably envisions herself swathed in a soft robe, snuggled up with her freshly-born baby. Beautiful and glowing, she smiles as she blissfully nurses or feeds a bottle to her beautiful pink-faced baby. These moments are precious, and they do exist, but it’s more the expectation than the reality of what the postpartum experience looks like. I spoke to pediatrician Harvey Karp, baby sleep wizard, and the author of the popular book… Read More

Every new mom probably envisions herself swathed in a soft robe, snuggled up with her freshly-born baby. Beautiful and glowing, she smiles as she blissfully nurses or feeds a bottle to her beautiful pink-faced baby. These moments are precious, and they do exist, but it’s more the expectation than the reality of what the postpartum experience looks like. I spoke to pediatrician Harvey Karp, baby sleep wizard, and the author of the popular book The Happiest Baby on the Block, about how to manage postpartum expectations versus reality, including bonding, a lack of sleep, and handling all the new responsibilities of having a newborn.

Expectation Versus Reality: Postpartum

I will immediately “bond” with my baby.

Expectation: I will immediately feel a deep and abiding bond with my newborn. I will look into his/her eyes and feel a deep, sacred connection right away.

Reality: When parents think of bonding, what they often really mean is attachment. Many parents feel that when they see their baby for the first time, an immediate bond will be created. While this is true for many parents, it’s not always the case. When the initial “bonding” feeling seems to be lacking, you might feel like something is wrong with you.

Attachment is a process. The early hours, days, weeks, and months as a parent to a new baby come with a lot of upheaval and adaptations to a new reality. Real attachment forms over time and goes both ways. When you are still pregnant, the emotions you feel, while profound and life-changing, aren’t the same as a genuine attachment. Sincere attachment is a two-way street between you and your child. For that to happen, they need to meet you too!

Encouraging “bonding” with skin-to-skin contact immediately after birth is great. But many moms miss out on this precious skin-to-skin contact following delivery. If this is the case, don’t feel inadequate or unnecessarily concerned that your relationship with your baby will suffer. It’s simply not true! Attachment forms overtime when the baby learns to feel safe, loved, and cared for. This relationship starts after the baby is born and grows over time. So if you’re feeling like something is “missing,” give it time. The process of attachment is different for everyone.

My body will return back to normal after I give birth to my baby.

Expectation: As soon as I give birth to my baby, my belly will go down and my body will look and feel more like myself again.

Reality: Some women are surprised by what their body looks like after giving birth. They thought that once the baby was out that their body would go back to normal, but that simply is not the case. It’s normal for your body to look five or six months pregnant post-delivery. So don’t plan on leaving the hospital with pre-pregnancy clothes. Bring something loose to wear or some of your maternity clothes. Your belly will look a little deflated–not as round as it once was with your baby inside–but still swollen. Your body (hands, legs, and feet) might also be swollen from all of the fluids they gave you during labor. This is normal. It takes time for a woman’s body to involute and heal after giving birth. Remind yourself that it took nine months to grow that beautiful baby. Give your body that same time to recover.

Another thing that can come as a shock is the postpartum bleeding. You will be bleeding (also known as lochia) between two and four weeks after giving birth. This is why you will wear large pads or diapers for a while, but the amount should decrease and the color should get darker each day. Make sure that you aren’t on your feet too much so that you can help stop the bleeding.

Also, your body will be sore no matter how you gave birth–C-section, unmedicated or epidural. You did such an incredible thing. You gave birth to your child! And not only will your nether regions be sore, but your breasts will be too as your milk comes in. If you are experiencing a lot of pain, talk to your nurses, doctor, or midwife and they will give you recommendations regarding what to do and what to take to help you through it.

Lack of sleep won’t be too bad. I’ll take naps!

Expectation: I’ll be okay being tired, I’m used to it. Besides, when the baby naps, I’ll nap!

Reality: All parents expect to be tired after their baby is born. Many people are already used to a lack of sleep. After all, poor sleep habits are rampant in our overworked society as it is. But, it seems that new parents aren’t always prepared for what this next-level of exhaustion is like. As the saying goes, “I wish I was as tired as I thought I was before becoming a parent.” Dr. Karp points out that exhaustion is the number one parent stress.

“On average, new parents get less than 6 hours of total sleep per night, and it’s broken into short stretches. That leads to sleep deprivation. can trigger serious issues like marital stress, anxiety, breastfeeding failure, illness, postpartum depression, car accidents, overweight babies and mothers, and more,” says Karp.

In the early months, realize that other responsibilities may have to be sacrificed. Your house may have to stay messy, the dishes undone, meals ordered-in. This is all for the greater good. A lack of sleep is a slippery slope to burnout, which can have a very negative impact on your parenting.

In fact, surveys of parents show that they feel a lot of pressure to do all the “right” things. This leads to exhaustion, which leads to them doing the wrong things. Then guilt sets in, and more pressure is felt. It’s a cycle you have to let go of. Experts recommend that if you feel you’re impossibly tired and reaching the end of your rope, and hopefully before that point, you seek help. Contact health and child services professionals and be honest. The more parents reach out and request assistance, the more it will become normalized.

My husband and I won’t need extra help. It’s a baby! How hard can it be?

Expectation: My partner and I will be able to handle this all on our own. We’re both capable, responsible adults. We won’t need extra help.

Reality: “Modern parents think that normal moms and dads are supposed to do it all . . . without any help,” says Karp. But this is a new phenomenon and not how we as tribal people are supposed to function. “Historically, nobody ever raised children alone. The proverbial village was literal! Up until a hundred years ago, grandmas, aunties, cousins . . . everyone took turns holding and caring for the baby so new parents were supported. They need support. Nobody can be awake 24/7 to hold and rock and shush the baby,” says Karp.

It’s crucial, according to research, that you keep a picture of yourself as an individual in mind. You might feel that all you are is this tired parent who is struggling to do it all. Balancing expectations is essential in any relationship, including with yourself as a parent. It just isn’t possible to do it all, all of the time. Learn to balance your personal needs with the needs of your child.

Your baby’s needs are probably much less than you think. “You have three main jobs to help your baby thrive: make sure they eat, sleep, and calm their crying,” says Karp. Set some time aside for self-care. Plan a date, even a stay-at-home date, with your partner. Take time for things you used to enjoy pre-baby. Try to find a support network and do not be afraid to lean on it. Dr. Karp recommends groups like La Leche League and local parenting groups.

The bottom line . . .

“Be flexible. It is super helpful to have a plan and expectations, but life— and babies—often throw us curve balls where we have to ditch everything that we ‘thought’ was what we would do and create a new plan without being overly disappointed or self-judging,” says Karp.

The expectation versus reality of the postpartum period is often far different. While it is good to have goals and aspirations for an easy, happy, blissful “fourth trimester,” don’t forget that this time in any new parent’s life is often more difficult than expected. Go easy on yourself, moms and dads—you got this!