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Writer's pictureDr. Shaenor Ishmael

Preparing for Postpartum


Preparing for Postpartum
Maternal Health

The postpartum period, often called the "fourth trimester," is a significant phase for new mothers. It’s a time filled with physical recovery, emotional adjustments, and the challenges of caring for a newborn. Preparing for this period while still pregnant can be crucial in ensuring a smoother transition into motherhood. This article will focus on the importance of addressing postpartum mental health during pregnancy and planning for the postpartum period emotionally.


Understanding Postpartum Mental Health

One of the most critical aspects of preparing for postpartum is understanding that mental health challenges can arise during this period. Conditions such as postpartum depression (PPD), anxiety, and postpartum psychosis are real and can affect any new mother, regardless of her previous mental health history. It’s essential to acknowledge that experiencing these feelings is not a sign of weakness but rather a common part of the postpartum experience.

Identifying Potential Triggers and Warning Signs

During pregnancy, it's crucial to begin identifying potential triggers that could contribute to postpartum mental health challenges. Factors such as a history of depression or anxiety, stressful life events, lack of support, or even the baby’s temperament can all play a role. It’s helpful to discuss these concerns with your healthcare provider to develop a proactive plan. The Postpartum Plan provided by Postpartum Support International (PSI) is an excellent resource that outlines various mental and emotional health considerations for the postpartum period.


According to the PSI Postpartum Plan, new mothers should identify personal warning signs that indicate they may be feeling overwhelmed and in need of additional support. Recognizing these signs early can help in seeking timely help. Additionally, pregnant women should start thinking about small activities that bring joy or relaxation, which can be incorporated into their daily routines postpartum, even if just for a few minutes.

Building a Support Network.

Having a strong support network is another crucial step in preparing for postpartum mental health. It's essential to identify at least three people you can rely on for help and emotional support once the baby arrives. This support team could include your partner, close family

members, friends, or even professional support like a therapist or postpartum doula. The PSI plan suggests sharing your postpartum plan with your main support person, ensuring they are aware of your needs and can help you reach out to others if necessary

Discussing Mental Health with Your Healthcare Provider.


It’s also essential to have open and honest conversations with your healthcare provider about your mental health during pregnancy. If you have a history of mental health issues, discuss this with your provider so they can monitor you closely during the postpartum period. They can also provide resources such as the PSI HelpLine and the US National Maternal Mental Health Hotline, which are invaluable in case you need immediate support


Planning for the Postpartum Period Emotionally

Setting Realistic Expectations


Emotionally preparing for the postpartum period starts with setting realistic expectations. Many new mothers find that their preconceived notions of motherhood don't always match the reality. It's essential to understand that postpartum recovery is a time of significant change, and it’s okay if everything doesn’t go according to plan. The PSI postpartum plan suggests that new mothers might need to adjust their cleanliness and organization standards during this time.

Allowing yourself some grace and flexibility can make a big difference in how you handle the emotional demands of motherhood.

Establishing Boundaries


Part of emotional preparation includes setting boundaries, especially when it comes to visitors. The PSI plan encourages new mothers to establish a policy for visitors ahead of time. This could include asking visitors to call before coming over, limiting the length of visits, and communicating any specific boundaries, such as whether or not they can hold the baby. By setting these boundaries in advance, you can avoid feeling overwhelmed by an influx of visitors during a time when you need rest and recovery.

Planning for Physical and Emotional Recovery.


Physical recovery after childbirth is closely tied to emotional well-being. Ensuring that you have a comfortable space to rest and recover is essential. The PSI plan advises preparing your home in advance for your recovery, including considering factors like whether stairs will be difficult to navigate or what items you might need for physical healing.

In addition, planning how you’ll cope with stress and fatigue can prevent burnout. Simple activities such as deep breathing, taking a short walk, or even listening to your favorite music can help manage emotional strain.

Communicating with Your Partner


If you have a partner, it’s essential to communicate openly about both of your concerns regarding the postpartum period. The PSI plan highlights the importance of considering your partner’s emotional needs as well. Discussing how you’ll support each other, manage household responsibilities, and care for the baby can help prevent misunderstandings and reduce stress. If either of you feels overwhelmed, having a plan in place for seeking help is crucial

Creating a Plan for Self-Care.


Self-care is often the first thing to be neglected in the whirlwind of caring for a newborn, but it's essential for maintaining emotional health. As you prepare for postpartum, think about small, manageable ways to incorporate self-care into your daily routine. The PSI plan encourages new mothers to identify activities they can do in just 5 or 10 minutes that make them feel good, such as reading a book, taking a warm shower, or meditating.



Preparing for the postpartum period is as much about mental and emotional preparation as it is about practical planning. By addressing potential mental health challenges during pregnancy, building a robust support network, and setting realistic expectations, you can navigate the postpartum period with greater confidence and resilience. The Postpartum Plan from Postpartum Support International offers a comprehensive guide to help you think through these aspects in detail, ensuring that you are as prepared as possible for the emotional journey ahead. Remember, you are not alone in this—help and support are available, and taking steps to prepare now can make all the difference in your postpartum experience.






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