Exactly how long is the postpartum period? How will I know when my hormones level out, when my body has returned to it’s pre-pregnancy state, when I feel like myself again? These are questions I receive regularly from clients and community members navigating the postpartum time.
In America, our maternity leave often defines the postpartum period, giving us the parameters around our healing and new family cocoon after birth. The six week postpartum check-in creates a guide-post of sorts where providers have you come in and ask how you’re feeling physically and emotionally, sharing a postpartum mental health questionnaire to help get a sense of postpartum anxiety and/or depression and oftentimes skipping a physical exam if your answers suffice. This quick visit will often give you clearance for physical activity or a referral for physical therapy and send you on your way. And of course six weeks post-birth you haven’t “recovered” physically and emotionally as your body and mind have been transformed and the space needed for that transformation takes time, nourishment, resources, and support.

In countries around the world there are long, slow periods of confinement and healing that define the postpartum time. In Peru there is a month long honoring of the new mother’s healing through wrapping her womb, head, and feet to ensure her body retains warmth and allows her physical body and spirit to rest, retaining a sense of a physical boundary around her from the outside world. I learned my womb care practices from Peruvian teachers and was blown away by the stark contrast from their rituals of nourishment and care in comparison to ours in America. In Japan a mother returns to her mother’s home to rest after birth and have a safe space to feel nourished and held, freed from household responsibilities and chores. This period of rest and healing is known as the golden month in so many cultures around the world, similar to that golden hour after birth, a small window where birthing person and baby are allowing their nervous systems and microbiomes to sync, where the world outside can wait.
In her book, The Fourth Trimester, Kimberly Ann Johnson defines the Five Universal Postpartum Needs as:
- An extended rest period
- Nourishing Food
- Loving Touch
- The presence of wise women and spiritual companionships
- Contact with Nature

And I couldn’t agree more. We can talk about the postpartum period at length in so many ways– how the body is healing, how your hormones fluctuate with each passing week and month, the baby’s needs, how you’re both eating, sleeping, and feeling held. And this is some of what we do hopefully prenatally with a partner and perhaps a postpartum doula or friend in creating Postpartum Preferences similar to how you may have made your Birth Preferences in how you envisioned your birth.
How can we gather all of the resources around you mentally, physically, emotionally, spiritually to create a space for you to feel held and nourished and supported? Let’s hold intentional time around this and not just gloss over it as, “Ah, we’re good” because trust me, you’ll want to spend some time here. Create space to talk about your nervous system responses and needs with your partner, your love languages and ways you feel supported and can support one another after birth, identify how you’ll make meals or if you’ll prep ahead of time and how you’ll take shifts sleeping and who might be able to come and alleviate you both at least a few hours each week. Are there neighbors, family, friends with young children who could visit? Can you set up a Meal Train and create a list of boundaries around how you envision your nesting time, however long that might be for you?
These are just a few ideas to start. There are a few Postpartum Prep plans from DONA and Seven Starling that can help guide some of that mapping and of course a postpartum doula can further help guide this process as part of your postpartum team as well. I’m also happy to share my Postpartum Prep Resource Guide with you as well.
Have questions? Want support mapping out your postpartum needs and sanctuary space for healing? Feel free to reach out.