
What to Expect During Your Hospital Postpartum Stay: Podcast Episode #317
In this episode of theĀ Ask the DoulasĀ podcast, weāre joined by Kristin Morter, a Certified Elite Postpartum Doula and Certified Lactation Consultant, for a clear and reassuring look at what really happens during your hospital postpartum stay. Ā Kristin walks us through the typical timeline from immediate recovery and newborn assessments to feeding support, rest, and those first big milestones. Ā Kristin is a hospital lactation consultant in addition to her work with Gold Coast Doulas as a postpartum doula.
Whether you’re preparing for your first birth or looking for a smoother experience this time around, this conversation offers practical tips, insider insights, and the support every family deserves during those early hours and days after delivery.
This episode is sponsored byĀ Cozy Earth. Ā Use the code GOLDCOAST to receive a discount in addition to their Black Friday sales. Ā
Hello, hello!Ā This is Kristin Revere with Ask the Doulas, and I am excited to bring back our own Kristin Morter to the podcast, the daughter of a NICU postpartum nurse.Ā She is an amazing overnight and daytime postpartum doula with our team.Ā She also works in lactation in an area hospital as a certified lactation consultant who is on the path to becoming an IBCLC.Ā So welcome, Kristin!
Thank you so much!
So our topic today is what to expect at the hospital postpartum, and since you work in the hospital, youāre the perfect one to help guide us, not only our listeners who are expecting or new parents and planning for other deliveries down the road, but also the birth workers who listen who may not fully understand what the postnatal experience is for their client.
Yeah, thatās actually why I want to talk about this, because I think going from being somebody who had been attending births, and also having my own, now weāre hitting the postpartum side.Ā Iām starting to see a whole new light on what actually happens postpartum, and I was like, oh, wow, I didn’t even know that before.Ā And I didn’t know how to help my clients know what to expect as far as what postpartum care looks like, what those hours look like, and what to ask for and what to expect.
Exactly, yes, because before you worked in the hospital system, you were a birth doula with us, so you had that perspective.Ā And the follow-up postnatal visit, as well as, of course, supporting postpartum clients.Ā But to fully understand how they can better prepare for the hospital experience after baby ā I know with my own births, even working with birth doulas, I wasnāt fully prepared.
It’s kind of one of those things that youāre not in it until youāre in it, and then you fully understand.
And it changes over time.Ā Certainly, the pandemic changed the postnatal hospital experience.Ā Our clients were getting released a lot sooner than in the past.Ā Often, a night sooner than they had before, and certainly, there were restrictions with visitors.Ā Thatās always a common question with my childbirth students and my birth doula clients is how the visitor process would go and what sort of things they should even pack in their hospital bag and all the things that might be given to them postpartum.Ā So you have firsthand experience of whatās in the room, whatās important, and how to maximize all the experts, like lactation consultants, who are coming in and out of the room, and the nurses and how to have the best experience possible.
I think thatās a great place to start, too, what to pack, because I think thatās one of the hot topics of what should you bring with you to the hospital.Ā Because weāre packing that bag weeks before we even have the baby.Ā Is it all right if I talk on that just for a little bit?
Yes!
I would say especially now working with postpartum, I think I would have had this whole list of what to bring in your hospital bag, but in reality, you donāt really need as much as you think, just because with all of the nurses coming in to check on you, to do vitals on your baby, really the hospital provides more than you think it does.Ā So I have a lot of people that bring swaddling blankets and outfits for their babies.Ā One thing that we donāt realize, especially as first time parents, is how messy little newborns are.Ā So let the hospital do your laundry.Ā They have little cute shirts for your baby to wear, and they have all the swaddling blankets and all the burp cloths and everything.Ā So I would say leave your good ones at home for at first and let the hospital provide all that for you.Ā They have diapers and wipes available that you donāt have to pay for.Ā Itās all included in your room, and you can even take some of them home with you.Ā I would say just make sure that you have something packed thatās comfortable for you to be in, as those gowns really are not the most comfortable.Ā I think theyāre kind of awkward and weird.Ā So for yourself, absolutely pack something comfortable, but the baby is going to be fine in the little hospital shirts and blankets.
Yeah, other than the going home outfit or unless youāre taking advantage of the hospital photographer, for example, or have fresh photos while youāre still in the hospital, then you donāt have to worry about it.Ā And certainly, there are all of these fancy swaddles versus the swaddle that the hospital provides, so some of my clients want to bring their own, which is totally fine.Ā But like you said, there are so many things that are provided, everything from the bulb syringes to Vaseline to nipple cream and things like that for the mother.Ā Itās not just baby supplies like diapers and wipes and things like that.
Absolutely, and the hospital has great disposable underwear for you to use and wonderful pads.Ā Ice pads are amazing at the hospital, and they have heat packs, too.Ā Really, thereās a lot there.Ā We have pump kits that are available, too.Ā A lot of people think they need to bring their own personal pump to the hospital with them.Ā In reality, we have a whole pump system thatās hospital grade. Ā The nice thing about our pumping system, too, is that it comes with colostrum collectors.Ā Typical personal pumps donāt come with that.Ā And thatās going to save all that colostrum in one little section of the pump instead of losing it in little bits and pieces, because colostrum is thick, but thereās not a lot of it.Ā Being able to use that hospital grade pump while youāre there ā you get to take all the parts home with you, so if you did have the same type of pump at home, then you can use those parts on your pump at home, as well, which is great.
Thatās such a good point, Kristin.Ā And my daughter was in the NICU due to glucose issues for four days, and I briefly breastfed her after the birth, but then went right to pumping in my room.Ā So as you mentioned, all of those pumping supplies are given, and when I had lactation support, it was for pumping, since my daughter wasnāt with me in the room.Ā So I really appreciated the advice from lactation about how to transition from pumping to my goal of breastfeeding.Ā I ended up going back and visiting with lactation consultants and my friend even rented me a hospital grade pump at home, because I went home without my daughter, and that helped keep my supply up for when I did transition to breastfeeding exclusively.
Absolutely.Ā And itās so hard to go home without your baby.Ā What a great way to be able to still prepare for baby while youāre at home and to give you physical ways to be able to still provide even when itās really difficult emotionally to go home without your baby.
Yes.Ā And then nipple shields are something that our clients occasionally need for that extra support with the latch.Ā That is something that you have in the hospitals.
Yes.Ā Anything as far as helping you out with breastfeeding.Ā We have multiple sizes of nipple shields.Ā Most hospitals have various sizes of flanges, but theyāre only going to be for the pump that they have an agreement with.Ā So every hospital has an agreement with a certain brand of pump.Ā So at the hospital that I work at, we work with Medela.Ā All of our stuff would be able to go along with that pumping system.Ā But we also have something called nipple everters, which is a good step to try before you use the nipple shield, too.Ā Weāll teach you how to use them, teach you how to clean them, and we even have little wash basins and soaps that you can use to make sure that those are clean and itās all safe for baby.
Yes.Ā And then certainly milk storage, colostrum storage, is something that I took advantage of, as well.Ā So I didn’t need to bring all of those supplies, either.
Right.Ā Especially at a baby-friendly hospital, theyāll have a breastmilk fridge that is designated for breastmilk only.Ā And they have a system where they are going to have a sticker, which is just a patient sticker.Ā It matches the same bracelet that you have on, and exactly how they do the system of checking your baby in and out of your room when they need to do testing in the NICU or in the nursery, they also do the same system with your breastmilk as well. Ā So theyāre going to make sure that itās yours.Ā Theyāre going to double check that itās yours, and itās very safe and well done.
Good point.Ā And for our listeners who donāt know what a baby friendly hospital is, and I know you work in one, would you be able to elaborate on maybe the difference in the support thatās given and how your postpartum stay might be a bit different in a baby friendly hospital?
Yes, so baby friendly is an initiative thatās really trying to promote keeping the babies in an environment that is the best for them, which would be in the same room with their parents.Ā Weāre trying to encourage breastfeeding as much as possible and limited separation of mom and baby.Ā There are certain guidelines that we need to follow, and a person actually comes to the hospital to make sure that we are doing everything and following those guidelines to make sure that minimal separation is done, the golden hour is being held to, and that babies are rooming in with parents as much as possible.
Now, for families who medically canāt breastfeed or choose not to, how does that work in a baby friendly hospital?
So back when I had my kids, which seems like a long time ago, we would go home with bags that had formula in it, right?Ā It was almost like that was your gift on your way out the door was to give you cans of those trial-size formulas and different bottles and pacifiers and stuff.Ā In a baby friendly hospital, weāre not advertising formula, and weāre not freely gifting it to everyone.Ā However, we do have formula available, an we support every type of feeding style.Ā So even though we are trying to promote breastfeeding because according to the CDC, breastfeeding for the first six months is the recommendation, but we still know thatās not a possibility for everybody.Ā So we have various different forms of formula.Ā You can choose between two different brands that we have, and if your baby has any dietary issues or anything, we do have other things that they can also have.
We also have access, and a lot of hospitals have access, to donor milk, which is great for parents who donāt want to use formula but also arenāt able to breastfeed.Ā So you can always ask your provider if you are eligible to use the donor milk, as well.
Yes.Ā That is a good point.Ā And of course, for our listeners who may be in a rural area or may have a smaller hospital that doesnāt have, say, the amenities that a large metro hospital would, then certainly youāre going to get a lot of those basic supplies, and certainly not only are there lactation consultants that go room to room, but there are also nurses that are trained to support lactation and all types of feeding in the postpartum days.
And also with lactation, too ā lactation works different for every hospital, so I think especially coming in to the L&D setting, ask what the hospital situation is for lactation.Ā Smaller hospitals probably have a more limited lactation team who only have a certain amount of hours, whereas a bigger, more metro hospital is going to have almost round the clock lactation available to them.Ā At one hospital, you may have to ask more readily for lactation, whereas at another hospital ā like at the metro hospital that I work at, we have a team that is there for 20 hours a day.Ā So every one of our patients that is choosing to breastfeed will be seen by lactation without even needing to request it.Ā So if you are at a bigger hospital, you donāt necessarily have to request lactation the minute you get to a postpartum floor, whereas at a smaller one, you might have to do that.
And some smaller ones, depending on when the baby is delivered ā lactation may not work weekends, for example.
Exactly, yeah.
Now, as far as the different breastfeeding pillows ā this is always the question my students have.Ā Should they bring their own pillow, like My Breast Friend pillow or the one that they registered for?Ā Or will the hospital have things that can work?Ā I often just take pillows and fold them over and that will work if my client either doesnāt have a pillow or doesnāt want to cart it from home, because theyāre quite big.
Theyāre big and clunky, and theyāre not the most easy to transport.Ā So thatās one funny thing, I think, as a lactation professional that I never thought of before working in this field.Ā My Breast Friend pillows and the boppy pillows and breastfeeding pillows in general ā when youāre home in a comfortable chair or couch or even in your own bed ā they are 100% wonderful.Ā I absolutely loved using them myself and found them very beneficial.Ā In those hospital beds, though, itās kind of 50/50.Ā Sometimes theyāre just a big pain.Ā They donāt fit in the bed very well.Ā Like you said, we call them pillow forts.Ā We just build up support with all the hospital pillows we can get, and that usually works a lot better than a breastfeeding pillow does.
Yes, unless youāre seated on a couch or a different spot.Ā When I was going back and forth to the NICU, you may be on a chair or couch and have those timed feedings that way, but youāre right, in the bed where we spend most of our time postpartum when weāre in the hospital, it is a little bit more clumsy and isnāt set up for that.
And postpartum hospital beds are great for what they are.Ā They have to be that way, right?Ā Theyāre going to be the best way for you to get the care that you need.Ā So itās not that itās the bedās fault or anything.Ā Itās just that in that setting, it doesnāt always work real well.Ā There are hospitals that do provide ā if they have certain grants for funding, they do have breastfeeding pillows that are available for you to use.Ā So depending on where you are, thatās a great question when youāre doing your hospital tour.Ā Do you have breastfeeding pillows available?Ā Do I have to bring my own?Ā And then you can kind of weigh it out; is that something that you really want to bring with you?Ā Obviously, every family is different, so you have to do whatās right for you.
Exactly.Ā And some hospitals, your birthing room will be your postpartum room, so you donāt transfer over.Ā But the larger ones tend to have different floors for labor and delivery than postpartum.
Yes.Ā I know that the hospital that my mom worked at, your birthing room was your postpartum room.Ā And then the hospital that I work at, we have two labor and delivery floors, and we have three postpartum floors.Ā So itās completely different.
And just thinking about what youāre bringing, knowing that you likely have to transfer to a different room.Ā You can always leave things in the car and have your partner or family bring them up later if you want to bring more than just the basic hospital bag.
Absolutely.Ā Yeah, thatās a really good idea, actually.Ā If you have a labor bag, and then also a postpartum bag.Ā Sometimes that makes a big difference, to have two separate bags.
Yeah.Ā Letās talk about what your patients wear and bring for their own self-care and for themselves.
Iāve seen a lot of those ā theyāre kind of like a knit or T-shirt material, gowns that have their own snaps that go up to the shoulders.Ā I think a lot of people buy them on Amazon, and they are absolutely wonderful.Ā Theyāre still kind of a gown.Ā Theyāre very comfortable and cozy, but the nurses and providers can get to whatever they need to get to without you being in a scratchy hospital gown.
And I agree, theyāre so cute for photos.Ā Pretty Pushers was the first brand to come out, and now Amazon has a lot of options.Ā There are so many that are accessible for feeding and comfortable and also allow for any sort of monitoring or cords that would need to be utilized postpartum.
Yes.Ā And I even saw the other day for the first time ever, there was a gown that matched the babyās little swaddle.Ā It was so cute!Ā They were adorable.
That is adorable!Ā And then thinking about temperature ā hormone fluctuations can have you feeling hot one minute and cold the next.Ā Are you seeing robes or other layers, especially in a cold area like Michigan as weāre entering fall and winter?
Yes.Ā A lot of robes; however, I do feel like a lot of the rooms that I go into, especially in the postpartum ā you know, I usually see people between six and twelve hours after they have delivered their baby, and they are usually very warm, and the rooms I go to are extremely warm.
Much different from labor and delivery where theyāre freezing!Ā Intentionally, because youāre so hot in labor, so it makes sense.
Itās funny because Iāll come out sweating because Iām not hormonal.Ā Definitely bring layers, because youāre going to want to take things off and put things on.Ā Bringing your own slippers, as well.Ā Youāll get those little socks that have those grippy things on the bottom, but definitely bring nonslip slippers to wear, too.
I agree.Ā So much more comfortable.Ā And I tell my students and clients to bring a sleeping mask, because even though you can control the lights in the room, people come in and out, and if youāre trying to get a little bit of rest, that can also be helpful, if youāre someone that needs a completely dark room to sleep.
Yes.Ā I think a lot of people think that once youāve had your baby, that you get to just rest in your room and enjoy your baby.Ā The truth is, there are people who need to come check in on you, and it is a little bit more frequent than I think most people would expect it to be.Ā Your room is not this quiet place that you kind of get to just hunker down until you get to go home.Ā I think keeping in mind that bringing a mask, making sure that youāre intentional about times that you get to rest, and just noticing that there are going to be a lot of people in and out of your room, but thereās a purpose and a reason for it.Ā Itās not just to bother you.Ā Itās to do good things and check up on you and do your vitals and make sure everything is going well.
Agreed.Ā And depending on the hospital, sometimes the pediatrician will come in, if they have rounds and access to the hospital, or there would be a hospitalist pediatrician to check the baby out.Ā And then of course the OB or midwife thatās on call would come in to also do that check out visit.Ā And there are teaching hospitals, so you might have nursing students come in your room, as well, depending on the hospital or what your birth plan allows.
Absolutely.Ā You also have birth records, which are going to come in and go over paperwork and stuff with you.Ā And a new thing that Iāve been seeing a lot, too, is that certain hospitals are getting hospitality groups, and those hospitality people come ā itās different than the environmental services people that come and clean your room.Ā These people help you order all your meals, make sure youāre comfortable, that you donāt need anything extra.Ā Itās just kind of going above and beyond in your hospital experience.Ā If you donāt want them to come in, you can absolutely tell your nurse, hey, thatās really nice, but I donāt need that right now.Ā Advocating for yourself doesnāt stop in the labor and delivery room.Ā It can go into the postpartum room, as well.Ā So making sure that youāre communicating well with your care team that, hey, I need a break.Ā I need to take a nap.Ā I need two hours of nobody coming into my room.Ā Some hospitals have stop signs that you can put on your door to make sure that youāre going to get that time of rest.
Yes.Ā Now, one thing that I know a lot of our area hospitals are working on is educating ā in our case, our clients, but their patients, to ask for assistance from a nurse or their partner before getting up out of bed, trying to reduce the slip and falls, and of course, trying to make sure that partners and patients are not falling asleep with baby in the bed or couch.
Even if you think youāre not going to, I think we underestimate how tired our bodies are.Ā You just went through something huge and life changing, and your body needs rest.Ā And a lot of times, those sweet moments of snuggling can turn into, oh, you fell asleep because it was so comfy.Ā So making sure that if youāre feeling the littlest bit of drowsiness, put your baby back int the bassinet.Ā And again, like you said, getting out of bed, too ā itās really hard to know, if youāve had an epidural or a C-section ā itās hard to feel exactly how much of your legs have feeling back.Ā You could still be really wobbly.Ā Also, your blood pressure can change really rapidly going from a laying down position to automatically standing up.Ā So always ask for help until your care team is confident that you can get to and from the bathroom by yourself.
Yes, itās their job to help, so itās not an inconvenience to hit that button and ask for assistance.
No.Ā And thereās more people ā nurses have multiple patients, but there are also nurse techs and other people on the floor that want to help you and that are there for you, as well.Ā Youāre not being a burden.Ā You are doing the right thing by calling and asking for assistance.
Exactly.Ā So what else should our listeners expect from their postpartum stay in a hospital?
I think one thing that we go into and that we talk about a lot is what to expect as far as feeding your newborn in the first 24 hours.Ā The hospitals will tell you to feed your baby every two to three hours.Ā So I would love to spend some time to clarify, what does feeding your baby in those first two days look like?
In that golden hour right after delivery, thatās probably going to be your babyās best feeding for their first day.Ā I hear that often, that the first feeding is wonderful, that the latch is great, and that they fed for like a half an hour down in L&D.Ā And then parents get up to postpartum, and their babies are sleepy, and thatās very normal.Ā Babies go through something called a period of nonreactivity for 12 to 24 hours where youāre going to have to attempt to feed your baby every two to three hours, but itās not a guarantee that theyāre going to wake up for you and feed for you. Ā So I think āattemptingā is the name of the game for that first day.Ā Donāt expect your baby to be feverishly hungry every two to three hours.Ā Theyāre probably going to be sleepy, and latching might be 50/50, and thatās okay, because theyāre learning.Ā Itās their first time feeding with their mouths.Ā Theyāve had 24/7 room service for the last nine months, and now all of a sudden they have to do something theyāve never done before.
Exactly.Ā And you donāt need to produce a lot.Ā There isnāt that kind of pressure for weight gain that you would have once you get home and your milk has fully come in.
Right.Ā Yeah, colostrum is a baby superfood.Ā Itās absolutely wonderful, and it comes in small amounts, but thatās because your babyās tummy starts out as 5mLs big, so they donāt need a lot.Ā Also after delivery sometimes they have amniotic fluid thatās kind of still in their bellies that they have to work out of their systems over the next few days.Ā Some babies spit up.Ā Some babies gag a little bit.Ā A lot of babies have a lot of wet and dirty diapers that first day, and then the diapers kind of drop off a little bit by the second day because of that residual amniotic fluid that still lasts.Ā But every baby is different, too.Ā Some babies might be sleepy on the first day.Ā Some babies might be really fussy.Ā But there are probably reasons, and a lot of it has to do with how much amniotic fluid they swallow before they came out.
Typically, on the second day, babies start to be a little bit more alert and awake.Ā They start to actually feed for you every two to three hours and then going into that second night, thatās when babies do something called cluster feeding, and thatās when you should expect your baby to be up all night long.Ā I usually tell people, get your favorite snacks.Ā Get some good, hydrating beverages, whether you love water or you want something like Propel or something, and then find a really funny show to binge watch all night and plan on cat napping, because that baby is not going to let you sleep.Ā So donāt try to go to bed.
Good tips!Ā So Kristin, as we navigate visitors and family and friends who want to come in to the hospital to meet baby and support the couple, how do we best optimize the education, the need for, say, a lactation consultant like yourself, along with needing rest and time to focus on feeding and bonding with baby?Ā There are so many concerns as far as protecting time and focusing on rest but also wanting to celebrate this very important occasion.
Yeah.Ā I think if guests are willing to wait until after you guys get home from the hospital, I think thatās probably one of the best decisions, just because nobody knows exactly how theyāre going to feel after delivery.Ā There are all kinds of situations that can come up, so allowing your family to rest, allowing you to bond with your baby, work out all of the feedings ā that would be the best situation.Ā However, I do know that people are going to want to come see you and bring you cards and flowers and good snacks.Ā So I would say to the best of your ability, feel it out for you and your family.Ā Talk with your partner about what he can handle, but maybe for that first day after baby comes, have it just be the family unit, and then allow visitors to come maybe the second day.Ā Obviously, you have to do whatās right for you and your family, but taking a lot of grace into consideration and all the different things that can come up.Ā Thereās a lot that goes on in that room.Ā Holding space for family is not a problem.Ā I think thatās a good thing to do.
I agree.Ā Any final tips for our listeners on what to expect at the hospital?
Yeah, just have grace for yourself.Ā Expect to enjoy your time as much as you can with your baby in those first few days.Ā Itās a wonderful two days.Ā Youāre getting to know them.Ā Youāre watching them change.Ā They change so much in this short little period of time.Ā Just focus on your baby as much as you can and getting as much rest as you can and kind of soak it all in.Ā Itās a wonderful experience.
Well, thank you, Kristin!Ā And for our listeners who are local, Kristin is available for day and overnight postpartum support with us.Ā Sheās a baby registry consultant and a lactation consultant.Ā You can connect with her in many ways.Ā I appreciate you sharing your knowledge, having worked internally in hospitals for years, and also knowing what your clients are asking you during pregnancy, if theyāre hiring you for postpartum well in advance versus after baby arrives.
Thank you for having me on here!
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