Body Changes

Evidence 

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-14-330 

Emma L Hodgkinson, Debbie M Smith & Anja Wittkowski 

Pregnancy-related physical changes can have a significant impact on a woman’s body image. 

Education 

After giving birth, your body goes through many changes as it recovers from pregnancy and childbirth. These changes happen because hormone levels, like estrogen and progesterone, adjust after pregnancy. 

Stretch Marks  

Stretch marks are a common part of the post pregnancy body. They appear when the skin stretches rapidly during pregnancy, especially around the abdomen, breasts and hips. These marks often start as reddish or purplish lines and may gradually fade to a lighter colour. While stretch marks are permanent, they usually become less noticeable over time. 

Staying hydrated and using moisturising creams or oils can support skin stretch, which may help reduce the appearance of stretch marks and keep skin feeling nourished. Look for products with ingredients like vitamin E, shea butter, or hyaluronic acid to support skin repair.  

Skin Changes 

Hormonal adjustments can also affect skin texture, causing post pregnancy issues like acne, dryness, or even dark patches called melasma. These conditions often improve as hormone levels balance out, although some may need extra care or skincare adjustments. Loose skin, especially around the belly, is common as the skin slowly returns to its pre-pregnancy state. 

If you’re experiencing skin issues like acne or dryness, choose gentle, non-irritating products. Look for skincare options that are sulphate and fragrance free to reduce sensitivity. If melasma is a concern, using sunscreen can help prevent further darkening of the skin and a dermatologist can provide guidance on specific treatments. 

Hair Changes 

Many women experience increased hair shedding after giving birth, known as post pregnancy hair loss. This usually occurs a few months after delivery due to the decline in pregnancy hormones, which allowed hair to stay in a prolonged growth phase. The shedding typically slows down within six to twelve months and hair often regains its fullness. 

Although post pregnancy hair shedding can be difficult, switching to a gentle shampoo, avoiding heat styling, and brushing carefully can protect your hair. Nourishing your scalp with leave-in conditioners or oils may help keep your hair healthy as it regrows. Consider supplementing your diet with nutrients like biotin, vitamin E and iron (if recommended by your provider) to support healthy hair. 

Body Shape and Weight  

Changes in body shape and weight are natural post pregnancy. While some mothers may return to their pre-pregnancy shape relatively quickly, others may find that certain areas, like the hips or waist, are permanently altered. This period of adjustment is unique to each person and many find it helpful to focus on gradual, sustainable steps toward fitness and strength rather than attempting rapid weight loss. 

Engaging in gentle postpartum exercises like walking or yoga, can help restore strength, flexibility and energy. Focus on low-impact activities to begin with, as they can support muscle tone and cardiovascular health without placing excessive strain on your body. Eating a balanced diet with plenty of protein, healthy fats and complex carbohydrates provides the nutrients you need to recover and feel your best. 

Empowerment 

Adapting to a new body after birth can be emotionally challenging, especially when also managing the demands of a baby who is in the Neonatal unit due to prematurity or illness.  

During this period, creating a calm and comforting space for yourself can help you feel stronger. Taking a few minutes each day for small acts of self-care, like gentle skin care, light stretching, or simple breathing exercises to ease stress. Reaching out to family, friends, or other parents who understand what it’s like to have a baby in the hospital can give you both comfort and practical advice.  

If body image concerns or the emotional weight of Neonatal unit begin to impact your mental health, speaking with your healthcare provider, a counsellor or therapist can offer valuable insights and coping strategies tailored to your experience.  

Useful Links 

COPE – Centre of Perinatal Excellence  

https://www.cope.org.au/new-parents/first-weeks/body-image/ 

Pregnancy, Birth and Baby 

https://www.pregnancybirthbaby.org.au/body-image-after-having-a-baby 

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists 

https://ranzcog.edu.au/wp-content/uploads/First-Few-Weeks-Following-Birth.pdf 

PANDA - Perinatal Anxiety & Depression Australia 

https://panda.org.au/ 

For When – Perinatal Mental Health and Wellbeing 

https://forwhen.org.au  

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