Months 1 – 12
Second Month After Birth, The Fourth Trimester
Two months in, and you're starting to get a feel for this new life, even on the days it still feels like a lot. Things are shifting, slowly but really, and that's worth noticing.
Physical changes you might notice
Fatigue is still common, along with soreness in the perineum if you had a vaginal delivery, constipation, and a gradual, steady loss of the weight you gained. Noticeable hair loss often starts around now too, usually a few months after birth, and it can be alarming if you don't know what it is. It's caused by a drop in the hormones that kept your hair from shedding normally during pregnancy, and it typically resolves on its own within six months to a year, with most women back to their usual fullness by the time their baby turns one. Achiness in your arms, legs, and back from carrying a growing baby around all day is also completely normal.
Emotional changes you might notice
Elation and low moments can still both show up, sometimes within the same day. A deepening love for your baby often comes with growing confidence in yourself as a parent, right alongside pressure, real or imagined, to get back to your old routine before you're ready. It's also common to think about your body differently now, less as something just for you and more as the thing feeding and caring for your baby, and that shift in how you relate to your own body is normal even when it feels strange. Some anxiety about leaving your baby with another caregiver, even someone you trust, is common too.
Appetite changes
Appetite is usually settling back toward your pre pregnancy patterns now, though it stays higher than usual if you're still breastfeeding.
The inside story
See Month 11. Most of the major internal healing from delivery has wrapped up by now, though full recovery, especially of your abdominal muscles and pelvic floor, can genuinely take several more months.
Sleep and energy
See Month 11. Many women start feeling a bit less wrecked by fatigue this month as their own sleep rhythm finds some overlap with the baby's. Some parents find that keeping the baby nearby overnight helps everyone sleep more, though what works varies a lot from family to family.
Easing the stress
Keep easing back into exercise the way Month 11 described, most healthy postpartum bodies can handle a full return to regular activity by around 12 weeks, though it's always worth checking with your doctor first if you had a C-section or a complicated delivery. This is also a reasonable month to think about easing back into being sexually active if and when it feels right, no set timeline applies to everyone. If you're heading back to work, start firming up daycare or childcare arrangements now rather than the week before, and give yourself permission to simplify anything that isn't essential right now.
Special risks worth knowing about
Postpartum depression can still develop or continue this far out, and it's genuinely common, current data suggests roughly 1 in 8 women report depressive symptoms after giving birth. Signs worth taking seriously include ongoing trouble sleeping even when the baby is sleeping, no appetite, little interest in yourself or your baby, and feelings of hopelessness or being out of control. None of that means you're failing, it means it's time to call your doctor.
Call your doctor if you notice any of the warning signs from Month 11, or if you experience two or more signs of ongoing postpartum depression, trouble sleeping, loss of appetite, no interest in yourself or your baby, or feelings of hopelessness, helplessness, or being out of control.
If any of this sounds like more than the usual new parent exhaustion, the CDC's Hear Her campaign has a clear list of urgent warning signs worth keeping on hand through your baby's whole first year, well beyond these first two months. Looking back at how far you've come, our month by month pregnancy guide covers the whole journey from Month 1 on.
Sources:
- Cleveland Clinic: Braxton Hicks Contractions
- Cleveland Clinic: Signs Labor Is Starting
- Mayo Clinic: Fetal Development, Third Trimester
- March of Dimes: Why at Least 39 Weeks Is Best
- Healthline: The 5-1-1 Rule for Labor
- Cleveland Clinic: Lochia
- Cleveland Clinic: Postpartum Recovery Timeline
- CDC HEAR HER: Urgent Maternal Warning Signs
- ACOG: What to Expect at a Postpartum Checkup
- UPMC: How Much Energy Does Breastfeeding Take
- CDC: Postpartum Depressive Symptoms Vital Signs
- Cleveland Clinic: Postpartum Hair Loss
- Mayo Clinic: Exercise After Pregnancy