In the midst of all the excitement of planning for a new baby, many couples don't think ahead about the adjustments that parenting brings.
It is common for relationships to become tense in the first few months after a baby is born. Like other types of stress, the stress of caring for a new baby can build or destroy a couple's relationship. A new addition to the family poses a number of challenges, including changes in roles, dealing with unfamiliar tasks, physical and emotional exhaustion, and shifting attention away from the partner and toward the baby. As a result of these challenges, open and caring communication among partners becomes essential.
Sexual difficulties are common after the birth of a baby. Such difficulties may include:
- One or both partners feeling so tired that they have little
interest in sex
- One partner having more interest in sex than the other
- Sexual conflicts or increased arousal with breastfeeding
- Interrupted lovemaking
- Postpartum depression
- The most important thing you can do is discuss your feelings
and problems with your partner. Together, you can develop a plan to
resolve problems before they affect your relationship.
Be sure you have given yourself sufficient time to recover from the birth of your baby before resuming sexual relations. Doctors usually advise waiting six weeks before resuming sexually activity. Furthermore, if you have had a
cesarean delivery, you will need to allow yourself plenty of time to heal. It is very important to check with your healthcare professional prior to engaging in sexual intercourse after delivery.
- You may find it difficult to focus on sex when you are thinking about your baby. This is a perfectly normal reaction of many new mothers. Although it can be frustrating to you and your partner, accept and discuss your circumstances. In time, your focus on the baby will not be quite so intense and distracting.
- It will be very tempting to interrupt lovemaking if you hear
your baby wake up. It is common for babies to wake periodically and
then go back to sleep. You do not need to interrupt lovemaking unless the
baby is crying.
You can increase sexual pleasure by toning the muscles around your vagina, urethra, and anus with
Kegel exercises. Kegel exercises involve slowly tightening the muscles you use to stop urination. These exercises are very convenient because they can be done almost any time, anywhere.
Low sexual desire can be a sign of
depression. Postpartum blues are normal for many women for the first few days after birth. However, if you are feeling blue for longer than a couple of weeks after giving birth, or if you are feeling severely depressed, you should seek professional help.
Parental roles have historically been very clear and well-defined. Typically, the mother stayed home with the children and the father worked to support the family financially. In the majority of households today, this is no longer the case. Nowadays, many mothers and fathers both work, and as a result, parental roles have become less clear. This can often result in conflict and increased stress. Couples and families can reduce stress by taking the time to discuss and agree upon roles, responsibilities, and schedules. Discussion should be ongoing, since roles will change as parental responsibilities change.
Women may feel especially tired and overburdened if they work outside the home. Men may feel added pressure to succeed financially. Conflicts often occur when women need companionship or help around the house and their husbands are spending long hours at work. Men often feel unappreciated and left out when their spouses are spending so much time and attention on the new baby.
Tips for New Moms
- Accept that you will probably feel overwhelmed by your new
responsibilities. Most new mothers feel the same way.
- At times, you will probably feel unappreciated, resentful,
envious, or even scared. Do not keep these feelings inside. Make time to
talk calmly and openly with your partner about how you are feeling
and to ask for help and emotional support.
- Encourage your partner to help you care for your baby. Be supportive of his help, even when he does not do things the way you would like them done. Make it a point to thank him for helping and to tell him how much this means to you.
- Look for the humor in your new experiences—it will help make
the rough times smoother.
- Be sure that you and your partner schedule some regular time to
be together each day, even if it is not much.
Tips for New Fathers
- Keep the lines of communication open with your partner. She
needs to know what you are feeling and how she can help. At the same
time, she needs your support. If you want to talk, try to schedule
it at a time when your partner is not overwhelmed and exhausted
(such as after being up all night with a crying baby. It may be
best to schedule time to talk when the baby has gone to bed or
when someone else is watching
the baby. If you are feeling frustrated and stressed, talk about
your feelings instead of blaming or criticizing your partner.
- If you are worried about finances and feel the need to work
longer and harder at your job, communicate this to your partner.
Although you may feel this pressure, it is important to balance work and home life until a routine is established. Try to work your normal day and go home to pitch in. Once things even out, you can discuss working longer.
- It is normal to feel a bit awkward handling your new
baby. However, the more you participate in caring for your baby,
the easier it will get and the more comfortable you will feel.
for opportunities to help out. Holding and cuddling your new baby
will help establish an important bond. Help your
partner with diaper changing and bottle-feeding, and be supportive
and encouraging if your partner decides to breastfeed.
- If your
spouse has been trying to comfort a crying baby for a while, offer
to hold and comfort the baby yourself, or help with some of the
other chores to ease your partner's burden. Keep in mind that your
partner may be feeling exhausted and unappreciated, especially
during the first three months. Find opportunities to relieve her
burdens and be sure to show your appreciation.
10 Tips for New Fathers. World of Psychology Psych Central website. Available at:
Updated June 2011. Accessed January 11, 2013.
30 Tips for New Dads. Being the Best Father You Can Be Before, During, and After Delivery. Parent Wonder website. Available at:
http://www.parentwonder.com/30-tips-for-new-dads-being-the-best-father-you-can-be-before-during-and-after-delivery/. Updated November 12, 2007. Accessed January 11, 2013.
Citak N, Cam C, Arslan H, et al. Postpartum sexual function of women and the effects of early pelvic floor muscle exercises.
Acta Obstet Gynecol Scand. 2010;89(6):817-822.
Johnson, CE. Sexual health during pregnancy and the postpartum.
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Postpartum period. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what. Updated October 12, 2012. Accessed January 11, 2013.
Recovering from Birth. US Department of Health and Human Services Womens Health website. Available at:
http://womenshealth.gov/pregnancy/childbirth-beyond/recovering-from-birth.html. Updated September 27, 2010. Accessed January 11, 2013.
Roles Within the Family. American Academy of Pediatrics Healthy Children website. Available at:
http://www.healthychildren.org/English/family-life/family-dynamics/Pages/Roles-Within-the-Family.aspx. Updated January 2, 2013. Accessed January 11, 2013.
Last reviewed January 2013 by Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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