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Postpartum Hormonal Changes: What to Expect and How to Navigate Them

Writer: Susy CaracasSusy Caracas

Bringing a new baby into the world is a beautiful and transformative experience, but it also comes with unexpected emotional and physical changes. Many new mothers are surprised by how different they feel in the days, weeks, and even months after giving birth. One of the biggest reasons? Hormones.


As a Certified Postpartum Doula and Certified Lactation Educator in Orange County, CA, I have supported countless families through this transition. Understanding postpartum hormonal changes can help you feel more in control, validate your emotions, and guide you toward the right support.


Why Do Hormones Fluctuate So Much After Birth?

During pregnancy, your body is flooded with high levels of estrogen and progesterone, which help support your baby’s development. The moment you give birth, these hormone levels drop dramatically, triggering many of the emotions and physical sensations new mothers experience.

These fluctuations are completely normal—but knowing what to expect can make the transition smoother.


The Most Common Postpartum Hormonal Changes & Their Effects


1) Estrogen & Progesterone Drop – The Emotional Shift

🩷 After birth, estrogen and progesterone levels plummet within 24 hours, which can lead to:


✔ Mood swings & heightened emotions


✔ "Baby blues" (which affect up to 80% of new moms)


✔ Increased sensitivity to stress & overwhelm


📌 Tip: Emotional highs and lows in the first two weeks are normal. But if you feel persistently sad, anxious, or detached, it may be postpartum depression (PPD)—and seeking support is key.


2) Oxytocin – The Love & Letdown Hormone

Oxytocin is the hormone responsible for:


✔ Bonding with your baby


✔ Uterine contractions (helping your body heal)


✔ Breastfeeding & milk letdown


📌 Tip: Skin-to-skin contact, breastfeeding, and even hugging loved ones can naturally boost oxytocin and promote feelings of calmness.


3) Prolactin – Milk Production & Emotional Sensitivity

✔ Encourages milk supply


✔ Heightens maternal instincts


✔ Can cause tearfulness & emotional highs/lows


📌 Tip: Even if you are not breastfeeding, your body still produces prolactin. Staying hydrated and well-nourished helps balance this hormone.


4) Cortisol – The Stress Hormone

✔ Sleep deprivation + hormonal shifts = higher stress levels


✔ Can lead to feelings of anxiety, overwhelm, or irritability


📌 Tip: Even 5 minutes of deep breathing or gentle stretching can help regulate stress hormones.


5)Thyroid Hormones – Energy & Mood Regulation

✔Some women experience postpartum thyroid imbalances, leading to:


✔ Extreme fatigue, brain fog, or sudden mood swings


✔ Unexplained weight gain or loss


📌 Tip: If you feel persistently exhausted, foggy, or overly emotional, ask your doctor for a thyroid check-up.


How Postpartum Nutrition Supports Hormonal Balance

One of the best ways to support your body’s recovery and balance hormones is through nourishing postpartum meals. Proper nutrition can:

✅ Stabilize blood sugar & mood


✅ Support milk production


✅ Reduce inflammation & promote healing


✅ Boost energy levels naturally


🌿 What Should You Eat in Postpartum?

🍠 Iron-rich foods (spinach, lentils, lean meats) to combat fatigue


🥑 Healthy fats (avocado, nuts, salmon) to support brain function


🍚 Complex carbs (quinoa, brown rice, oats) for sustained energy


🍵 Warm, nutrient-dense meals (bone broth, soups, stews) for gut healing


📌 Tip: Meal prepping before birth or asking for postpartum meal support from loved ones (or a doula!) can make a big difference in your recovery.


Postpartum hormonal changes can feel like a rollercoaster but understanding them empowers you to take care of yourself and ask for help when needed. You are not alone, and support is available.



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