How Long Is Postpartum Recovery Really?

If you’re here, odds are you are pregnant and looking forward to what comes next, or you had a baby and are thinking “oh snap… now what”.

Either way - you’ve come to the right place and we’re excited you’re here and wanting to learn more about your body and perinatal journey! 

A lot of women have this assumption that we “should feel back to normal by 6 weeks postpartum” and… that’s just simply not the case nor is it true for many many women. This myth can easily make you feel more defeated and discouraged. 

Thankfully, 

You’re not alone and postpartum recovery is a process. For many people, it lasts much longer than we think. 

At NOLA Pelvic Health we wanted to talk honestly about what postpartum recovery actually looks like and how we can help you along the way! 

The Short Answer: It Depends—But It’s Longer Than 6 Weeks

The 6-week postpartum checkup is a medical clearance, not a full recovery timeline.

At 6 weeks:

  • Bleeding has usually stopped

  • Major tissue healing has begun

  • You’re often cleared for “normal activity”

What it does not mean:

  • Your core and pelvic floor are fully strong

  • Your body has adapted to load, impact, or exercise

  • You should feel pain-free, confident, or “back to normal”

Everyone is different but for many people, true recovery takes months—not weeks.

A More Realistic Postpartum Recovery Timeline

0–6 Weeks: Healing & Stabilization

This phase is about tissue healing and rest.

The focus here should be:

  • Gentle mobility

  • Diaphragmatic breathing and brain body connection 

  • Gentle core, hip, and postural strengthening to improve function

Things that are happening during this phase are: vaginal bleeding (lochia), afterpains (uterine contractions), perineal or c-section scar healing, breast changes, and hormonal shifts. 

Common experiences during this phase include: 

  • Fatigue

  • Pelvic heaviness or pressure

  • Urinary leaking

  • Core weakness

  • Back or hip discomfort

6–12 Weeks: Rebuilding the Foundation

This is when many people are told they’re medically cleared—but the body is often just ready to start rebuilding strength and endurance, not return to everything all at once.

During this phase:

• The pelvic floor is still learning coordination

• The core is regaining connection and strength

• Strength and endurance are gradually progressing 

It’s important to have started working on a solid foundation up to this point so you can feel more confident returning to exercise.

However, there are many factors that go into whether you are ready to jump back into your normal exercise routine or if we may need modifications or a slower progression. 

Some of these factors include

  • Level of activity during pregnancy 

  • Level of activity during first 6 weeks postpartum 

  • Vaginal or c-section birth 

  • Degree of perineal trauma 

  • Breastfeeding/pumping or strictly formula feeding 

  • Sleep habits, nutritional intake, and support from partner/family/caregivers 

3–6 Months: Strength, Endurance, and Confidence

This is where meaningful strength gains usually begin. This does not mean you can’t strength train prior to this point, but usually exercise will start to intensify and hopefully we have been building a foundation that can keep you progressing!

During this phase, if you notice: 

• Leaking with higher effort

• Core fatigue

• Discomfort/pain with activity

This doesn’t mean something is “wrong.”

It often means the system needs graded load and proper progression which is where your pelvic floor therapist can help guide you.

6–12 Months (and Beyond): Return to Full Capacity

For many people, especially those returning to running, lifting, or high-impact exercise, recovery continues well into the first year postpartum.

At this stage, recovery is less about healing and more about:

• Load tolerance

• Coordination under fatigue

• Confidence in movement

At this point, if you are doing your normal level of function but are still having symptoms, it is better to check in with a provider to assess what area is lacking and where to focus your attention. 

Why Postpartum Recovery Is Often Rushed

Culturally, we tend to:

  • Underestimate what pregnancy and birth demand of the body

  • Overestimate how quickly strength returns

  • Normalize symptoms like leaking or pain

But common does not mean normal—or something you have to live with.

What Postpartum Recovery Should Feel Like

Healthy recovery doesn’t mean perfection. It means:

  • Symptoms gradually improving

  • Confidence increasing over time

  • Exercise feeling supportive, not punishing

  • Your body responding positively to load

If symptoms linger, worsen, or limit your life, that’s not a failure—it’s feedback.

You’re Not Behind

If you’re months (or years) postpartum and still don’t feel like yourself:

  • You didn’t miss your window

  • You’re not broken

  • It’s not “too late”

Postpartum recovery isn’t linear—and support can make a meaningful difference at any stage.

Final Thought

The most honest answer to “How long is postpartum recovery really?”

As long as it needs to be—and that’s okay.

Hi, we’re the team of NOLA Pelvic Health and we would love to help guide you during your perinatal journey.

Learn more here

Book an evaluation with one of our therapists

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Pelvic Health Therapy: You’re Not Alone — And You’re Not Stuck