Postpartum “Baby Blues”

Many different feelings come with being a new parent. They can range from happiness and joy to unexpected sadness and feeling overwhelmed. “Baby blues” are very common after giving birth. 

 About 75 per cent of new birthing parents experience baby blues. 

What are the baby blues? 

In the first few weeks after giving birth, many new birth parents have mood swings, worry a lot, cry easily and have trouble sleeping. This is often called the baby blues. Baby blues are normal and are caused by changing hormones and adjusting to parenting. Baby blues don’t last long.  These feelings usually begin a few days after birth and go away on their own within two weeks.  

With baby blues you may: 

  • feel very tired 
  • have mood swings, from feeling happy to feeling anxious, worried or panicky 
  • cry for no reason 
  • feel unsure about how to care for your baby 

Coping with baby blues 

  • Be kind to yourself - this is a time of many changes (body, mind, routines).  
  • People want to help. Don’t be afraid to ask for and accept help from friends and family. People can help you by bringing you a meal, doing your grocery shopping or cleaning your house. 
  • See our article, Tips for Self Care 
  • If you have concerns about how you are feeling, talk to your public health nurse, doctor, midwife, nursing station or health centre. 

You can support someone with baby blues by: 

  • listening to how they are feeling 
  • helping with household chores  
  • taking care of baby and other children  
  • making meals  

Did you know? 

Baby blues should go away within two weeks. If the symptoms continue longer or get worse, you may be experiencing postpartum depression (PPD) or anxiety. You are not alone; it is important that you get help. Talk to your health-care provider, midwife, public health nurse, nursing station or health centre. 

For more support you can call:

  • Women’s Health Clinic, Mothering Program – 204-947-2422 ext. 113 
  • Mood Disorders Association of Manitoba, PPD Warmline – 204-391-5983 
  • Manitoba Farm and Rural Support Services toll free – 1-866-367-3276 

Reference: 

Feeling anxious?

Becoming a new parent can be exciting and stressful. Everything is new and babies do not seem to come with an instruction manual. 

New routines, baby care and lack of sleep can make any new parent feel anxious. It is important to know that anxiety is common during pregnancy and after the birth of your baby. For some parents, pregnancy and the postpartum period can trigger anxiety. Anxiety can feel bad and interfere with how much you enjoy your new baby. 

Recognizing the signs can help you know if you are having anxiety. 

What is anxiety? 

Anxiety disorders are very common; one in four people will experience an anxiety disorder in their lifetime. Anxiety is a common and normal reaction to a stressful situation. Anxiety is part of our survival instinct. It helps tell us if we are in danger and helps us focus on getting things done quickly. The nervousness usually goes away once the stressful situation is over. But if you are feeling anxious all the time, it could be an anxiety problem or disorder. 

Anxiety can occur at any time in a person’s life. New parents, caregivers and grandparents may experience anxiety at this time. 

How do I know if I have an anxiety disorder? 

Occasional anxiety is a normal part of life. For people with an anxiety disorder, the anxiety does not go away and can get worse over time. The symptoms can interfere with daily activities such as taking care of your baby and relationships. If you have been experiencing any of the following symptoms, talk to your health-care provider: 

  • Worries or fears that don’t go away
  • Excessive irritability
  • Anger
  • Trouble sleeping
  • Racing thoughts
  • Panic attacks
  • Diarrhea
  • Fear that something terrible might happen to you, your baby or someone else 
  • Heart races or pounds
  • Light-headedness
  • Shaking
  • Sweating or chills
  • Nausea
  • Numbness or tingling
  • Chest and throat feels tight 
  • Loss of appetite
  • Shortness of breath
  • Tight muscles   

There are several types of anxiety disorders, including generalized anxiety disorder, panic disorder, social anxiety disorder and various phobia-related disorders.It can be difficult to stop feeling fearful or worried. 

Reach out: Talk to your health-care provider if anxiety is taking up a lot of your time and energy or affecting your quality of life.  

Note: Some new parents will also experience postpartum depression (PPD), or have both at the same time. 

Where to get help 

  • Your public health nurse, doctor, midwife, nursing station, health centre or other health-care provider.
  • Check if you have coverage through your employee benefit plan at work. You may have some coverage for a psychologist. You may also have an Employee Assistance Program (EAP) that offers counseling. 

If you are having thoughts of harming yourself or your unborn baby, or are in crisis, there is help available 24/7

Other online resources

References

Pooping During Childbirth

The truth is most people poop when they are giving birth. If there is poop in your colon then the pressure of your baby moving through your birth canal will push it out. 

The reason you poop is because you use the same muscles to give birth as you use to poop. You will often hear your nurse, midwife or doctor telling you to “push like you are pooping.” 

Labour and delivery tip: 

  • Try not to resist pushing in fear of pooping. This can make the birth of your baby more difficult and longer. 
  • No need to worry… your nurse or midwife will wipe away any poop and you probably won’t even know it happened. 

Can I prevent this? 

Not really! The practice of giving enemas is no longer standard practice. So for the concerned parent-to-be, take heart because it isn’t as bad as you imagine. Enjoy everything that you can about your experience of having a baby. Pooping is the last thing you should have to worry about…poop happens!

Baby Bath Time

Some babies love being in the water and find it very relaxing, while some take a while to warm up to the idea. It is up to you how often you give your baby a bath. As long as you wash all your baby’s folds and creases daily and their diaper area during changes, your baby doesn’t need to have a bath everyday. 

Did you know? 

You do not have to wait until your baby’s umbilical cord has fallen off to give them a bath. Just be sure to pat it dry. 

What you need for bath time 

Whether you are bathing your baby in a basin/baby tub or an adult tub, gather the things below and have them within your reach: 

  • a few clean washcloths 
  • a towel 
  • mild baby soap 
  • a clean diaper and clothes to dress your baby in after the bath 

Bathing your baby in a basin or tub 

Infant tubs, shallow basins or plastic tubs are convenient for bathing your baby. Once you have everything in reach: 

  1. Line the basin or sink with a clean towel. 
  2. Before putting baby in, fill the tub with about five centimetres (two inches) of water.
  3. Run cold water into the tub first and then add warm (not hot) water until it is a comfortable temperature. Mix the water with your hand to get rid of hot spots. 
  4. Check the temperature with your elbow before you put your child in the tub. If the water feels hot to you, it is too hot for your baby. Cool it by adding cold water.
  5. Babies are slippery when wet — be sure to keep one hand on your baby at all times and support your baby’s head and neck. 

Bathing with your baby 

  • Use non-slip strips on the bottom of the tub and a cushion over the water faucet to help prevent your child from being injured. 
  • The tub and your baby are both slippery. You should get in the tub first and have someone hand you the baby. 
  • When bath time is over, it is best to hand your baby to someone else before you get out of the tub. If you are alone, have a clean towel on the floor beside the tub and place baby there before you get out. 

Now to wash your baby…

  • Use mild soap or baby shampoo. 
  • You can hold your baby wrapped in a towel over the wash basin and wash their face and hair. 
  • Then unwrap your baby and place them in the wash basin with your arm underneath for support. 
  • Work from “head to toe” or “top to tail.” Use plain water only to wash baby’s face. Then wash the rest of their body and finally the diaper area with a mild soap. 
  • Be sure to clean the baby’s creases under the arms, behind the ears, around the neck and the genital area. 
  • Avoid bubble bath products as they can irritate your baby’s skin. 
  • When finished, dry your baby using a clean towel on a flat surface. 

After the bath 

  • Wrap your baby in a towel to keep them warm and dry after the bath. 
  • Pat your baby dry and be sure to dry skin folds and the umbilical cord if it hasn’t fallen off yet. 
  • Drain the tub immediately after use. 

Check out this video from Parenting in Ottawa – Here Comes Baby – Bathing Your Baby 

Note: Other videos may be recommended by the host channel (e.g. YouTube, Vimeo).  These suggestions may be based your personal search history and other factors. The Manitoba Government does not control these suggestions and is not responsible for and may not endorse the content.

Safety tips

To prevent drowning: 

  • Babies can drown in as little as 2.5 centimetres (one inch) of water in just a few seconds. 
  • Supervise at all times: Never leave your child in the bathtub alone or with an older sibling. Take your child with you if you need to answer the door or phone. 
  • Never use bath seats and bath rings as they give a false sense of security. Babies can slip under the bath ring or the bath ring can tip over. 

Prevent hot tap water scalds 

Scalds are painful burns that can be caused by hot liquids or steam. Every year young children get painful scalds from tap water. 

Keeping your tap water at 49C (120F) will help keep your child safe. For information on how to test and adjust your water temperature, see Hot tap water FAQ – Parachute Canada

Prevent falls 

Babies can roll off change tables and counters and get injured. 

Always keep one hand on your baby if you are laying them on a counter, change table or another raised surface. 

Reference: 

 Parachute  

How much weight should I gain?

Healthy Weight Gain in Pregnancy

Gaining a healthy amount of weight during pregnancy is a natural process to help your baby grow and develop, and to prepare your body for breastfeeding/chestfeeding. The amount of weight that you need to gain depends on your Body Mass Index (BMI) before you became pregnant. Use Health Canada’s pregnancy weight gain calculator to find out your BMI before you became pregnant, and the amount of weight you are recommended to gain during pregnancy. With most pregnancies, a lot of the weight gain happens in the second and third trimesters. 

Where does the weight go? 

  • muscle and fat – about 8.8 pounds 
  • extra blood, fluids and protein – about 7.7 pounds 
  • breasts and energy stores – about 2.5 pounds 
  • the uterus about – 2.5 pounds 
  • the placenta about – 1.5 pounds 
  • amniotic fluid about – 2 pounds 
  • your baby! – depends how much your baby weighs; the average weight at birth is about 7.5 pounds 

Gaining a healthy amount of weight during pregnancy will:

  • Help your baby have a healthy start to life 
  • Reduce your risk of complications during pregnancy and delivery 
  • Can improve your long-term health 

Tips for healthy weight gain

Enjoy being active. Aim for a total of 30 minutes of activity daily. Talk to your health care provider before you increase your activity level. 

Eat as many nutritious foods as possible. Include one or two extra snacks per day to provide the extra calories and nutrients you need for a healthy pregnancy. 

References

Morning Sickness Got You Down?

Nausea and vomiting are common symptoms of early pregnancy, caused by your changing hormones. This is usually called morning sickness, although it can occur any time of day. For some people it can be worse in the morning and ease up by the end of the day. For others it can last 24/7. Morning sickness usually starts around your sixth week of pregnancy and often starts to go away by the 12th week. For some people it can last longer, even the entire pregnancy. You may find certain smells make you feel nauseated.  Things that had never bothered you before might trigger it. 

Tips for coping with nausea and vomiting

  • Keep the air flowing – open windows and turn on the stove fan when you are cooking. 
  • Avoid having an empty stomach and try not to skip meals. 
  • Try eating small meals and snacks often throughout the day. 
  • Try ginger tea or ginger ale to settle your stomach. 
  • Avoid smoke, strong smells, alcohol and caffeine. 

Please see your health care provider if:  

  • Your symptoms are affecting your ability to do everyday activities 
  • You are not taking any fluids or keeping anything down  

For more tips see: Nausea and vomiting during pregnancy  

References: 

Constipation During Pregnancy

Constipation (struggling to poop or pooping less than three times per week) is very common during pregnancy. Here are some signs, causes and suggestions to help relieve constipation. 

What are some signs of constipation? 

  • Hard bowel movements (stools) that are difficult to pass 
  • Discomfort, abdominal pain or bloating 
  • Feeling like you still have to poop after going to the bathroom or straining to poop 

Why does constipation happen in pregnancy? 

  • Your body takes longer to digest food due to changing hormones. 
  • Your body’s blood volume increases which can lead to dehydration and may cause constipation. 
  • Your growing baby’s weight and position may put pressure on your rectum. 
  • Iron in prenatal vitamins can also lead to constipation 

What can help? 

  • Get active – more physical activity can get things moving. 
  • Stay hydrated – don’t wait until you feel thirsty to have something to drink. Six to eight cups of fluid a day will help. 
  • Load up on fibre – Eating foods that are high in fibre can help a lot.  See Managing Constipation with a High Fibre Diet  for a list of high-fibre foods, easy substitutes and yummy high-fibre recipes. 
  • Also see Ways to Help you Cope with Constipation during Pregnancy
  • Avoid using laxatives, mineral oil or suppositories unless they are recommended by your health care provider 
  • Talk to your health care provider if you think that your prenatal vitamins could be causing constipation. 

References

Healthy Start – A Pregnancy and Parent & Baby Program 

Sleep and Newborns – A Parent’s Survival Guide

It can be very difficult to know when and for how long your baby will sleep. Newborns often have their days and nights mixed up. From birth to four months of age, your baby may sleep up to 18 hours a day but will wake often to feed. Many parents feel tired because their sleep is interrupted with night feedings, diaper changes and baby snuggles. 

Just when you think your baby is getting into a sleep routine they will: 

  • have a growth spurt and wake up to feed more often 
  • learn a new skill and be excited to practice it
  • start teething, which can cause pain and irritation

These can all change your baby’s sleep patterns and leave you feeling like it will go on forever. The good news is most babies will settle into a sleep routine within a few months. 

Here are some tips to help your baby sleep 

  • Give your baby naps during the day – an overtired baby can have trouble settling at night. 
  • Put your baby down for a sleep when they start looking tired (e.g., rubbing eyes, yawning, looking away, fussing, etc.). 
  • Create a sleep routine with the goal of settling baby for sleep. Put baby down at the same time, in the same place and with the same “pre-sleep” quiet activities such as feeding, cuddling, songs and stories. 
  • Keep the room at a comfortable temperature — not too hot or too cold.  

These tips, along with time and patience, will help your baby get into a good sleep routine. Parents should be aware that there are many books and some companies that promote or sell “sleep training.” These are not recommended. Talk to your health-care provider if your baby seems to have a lot of trouble falling asleep. 

For more great tips see Healthy sleep for your baby and child – Caring for Kids 

Parent Tip

Rest while your baby sleeps. While this feels hard because you may want to get things done, your body and mind will appreciate the rest.

Did you know?

Keeping your baby safe while they sleep is one of the most important things you can do for your baby. When you create a safe sleep space, you reduce the risk of Sudden Infant Death Syndrome (SIDS).  

For more safe sleep information, read our article Safe Sleeping for Your Baby. 

References/Resources