Postpartum hair loss is a normal and temporary, however, not all women experience postpartum hair loss, but it is quite common. Fortunately, this is a totally temporary situation. Typically, it’ll take three to four months for the hair growth phase to cycle through.

During pregnancy, your hormones change dramatically. Hormones are the biggest reason for your pregnancy hair changes and postpartum hair loss.

So after your baby arrives and your hormone levels drop, your hair makes up for the lost time by falling out in much bigger clumps than it normally does. The total volume of your hair loss probably isn’t more than you would have lost over the last nine months, it just seems like it because it’s happening all at once.

Postpartum hair loss can set in any day after your baby arrives, and it sometimes continues as long as a year. It usually peaks around the 4-month mark, so if your baby is a few months old and you’re still losing clumps of hair, that doesn’t mean it’s time to panic!

Causes

While breastfeeding is often blamed for hair loss, there is no evidence to show that breastfeeding causes or increases hair loss in the postpartum period. Unfortunately, this is a symptom that almost all moms will experience. While this condition can become extreme (called Postpartum Alopecia) some hair loss is normal and a natural part of postpartum. Most moms will experience this symptom somewhere around three months postpartum. It can last a few weeks or a few months, depending on how long your hair cycles last. Often moms forget that they are still considered postpartum by this point and don’t think to relate childbirth to this symptom.

Blame it on hormones. During pregnancy, estrogen increases, which typically encourages hair growth and improves texture. But in the postpartum period, estrogen levels drop. Plus, you may have vitamin deficiencies lingering from pregnancy.  All these factors along with the exhaustion that accompanies being a new parent can lead to hair loss.

The other reason is that when you are pregnant your hair goes into a dormant cycle and you lose less hair. This is called the telogen phase. Eventually, your hair will go into the next phase (telogen effluvium) and fall out. Therefore, when you have the baby you start losing all of the hair that you didn’t lose when you were pregnant. The hair loss and regrowth will probably be most apparent in the area above your forehead. If you gained a lot of extra hair when you were pregnant, this can look quite dramatic.

How to Handle Postpartum Shedding

It’s normal for your hair to thin out after pregnancy. If it’s not worrying you, you don’t need to do anything to treat it. And, unfortunately, there is nothing that has been shown to prevent or slow postpartum hair loss. But if your hair loss is bothering you, there are treatments you can try to make your hair appear fuller and healthier.

• Skip the styling

Heating your hair with a dryer or curling iron may make it look thinner. Try to hold off on fancy styling and let your hair air-dry till the thinning tapers out. Brushing too hard can also cause your hair to fall out in bigger clumps, so be gentle when brushing and don’t brush more than once a day. You can use the extra time to cuddle your baby or catch up on sleep!

• Consider a haircut

It may sound counterintuitive, says Sheppard, but a short ‘do can disguise thinning hair. If you’re ready for a change, try a bob, lob, or pixie cut, she recommends—with shorter hair, you’ll naturally have more volume because you’ll have removed the weight.

• Eat right

What you eat can help control hair loss. Aim to get lots of protein, vitamin-rich foods, green leafy vegetables, and eggs and dairy. Taking vitamin D, B-complex vitamins, and omega-3 is recommended to help reduce postpartum hair loss.

• Switch up your product routine

If your postpartum hair is very different from your pregnancy hair or your pre-pregnancy strands it only makes sense to try different products. Look for options that include the words volumizing or thickening in their name or description. A new shampoo is also a good idea.

• Take your vitamins

Vitamins shouldn’t be a substitute for a varied diet, especially when you’re a new mom with a baby to take care of. But they may help as a supplement if your diet is not well-balanced. While no specific vitamins have been shown to affect hair loss, they are important for overall health. It is often recommended to continue your prenatal vitamins after your baby is born, especially if you are breastfeeding.

When to Talk to Your Practitioner

Usually, by the time your hair begins to thin, you have already had your postpartum checkup with your doctor or midwife. If your shedding becomes extreme or you are losing large patches of hair, call your practitioner and mention it. Occasionally hair loss is the sign of other postpartum issues, like hypothyroidism. You want to be sure to rule those out. If you are still losing hair around your baby’s first birthday, call your practitioner. Typical hair loss does not usually continue that long into the postpartum period.

Water birth is the process of giving birth in a tub of warm water. Some women choose to labor in the water and get out for delivery. Other women decide to stay in the water for the delivery as well. It is believed that water birth results in a more relaxed, less painful experience for mothers.

During a water birth, you’ll be submerged in water, usually in a stationary or inflatable tub, and you’ll birth your baby in the water. This may be a good option if you want the benefits of hydrotherapy, along with the benefits of delivering in a hospital. The theory behind water birth is that since the baby has already been in the amniotic fluid sac for nine months, birthing in a similar environment is gentler for the baby and less stressful for the mother. Ask your hospital beforehand if they allow women to labor in water.

It can take place in a hospital, a birthing center, or at home. A doctor or midwife helps you through it. Beyond location, more and more women are choosing water births as the way their babies enter the world.

What are the benefits of water births?

Benefits for Mother:

• Warm water is soothing, comforting, relaxing.
• may help shorten the duration of labor.
• Speed up your labor
• Laboring in water may also decrease your need for epidurals or other spinal pain relief and more oxygen for the baby.
• Labor in water may also have a lower cesarean section rate
• The water seems to reduce stress-related hormones, allowing the mother’s body to produce endorphins which serve as pain-inhibitors.
• As the laboring woman relaxes physically, she is able to relax mentally with a greater ability to focus on the birth process.
• Water provides a greater sense of privacy, it can reduce inhibitions, anxiety, and fears.
• Floating in water helps you move around more easily than in bed.

Benefits for Baby:

• Provides an environment similar to the amniotic sac.
• Eases the stress of birth, thus increasing reassurance and sense of security.

What are the risks to the mother and baby?

• You or your baby could get an infection.
• chance of umbilical cord damage
• trouble regulating the baby’s body temperature
• Your baby could breathe in bath water.
• Your baby could have seizures or not be able to breathe.
• respiratory distress for baby

Water birthing may not be recommended if you have any of the following complications or symptoms:

• maternal blood or skin infection
• fever of 100.4 F (38°C) or higher
• excessive vaginal bleeding
• Difficulty tracking fetal heartbeat, or need for continuous tracing
• history of shoulder dystocia
• Sedation
• carrying multiples

What situations are not ideal for water birth?

• If your baby is breech: Although water birth has been done with bottom or feet first presentations, you should discuss this risk thoroughly with your healthcare provider.
• If you are having multiples: Although water births have been successful around the world with twin births, you should discuss this risk thoroughly with your doctor.
• If preterm labor is expected: If a baby is preterm (two weeks or more prior to due date), water birth is not recommended.
• If there is severe meconium: Mild to moderate meconium is fairly normal. Since meconium floats to the surface in a tub, your health care provider will watch for it and remove it immediately, or help you out of the tub. Meconium usually washes off the face of the baby and even comes out of the nose and mouth while the baby is still under water. If the water is stained and birth is imminent, the woman can lift her pelvis out of the water to birth the infant.
• If you have toxemia or preeclampsia: You should thoroughly discuss this risk with your healthcare provider.

Some science suggests that the water may lower chances of severe vaginal tearing. And it may improve blood flow to the uterus. But study results about these points aren’t clear.

You may also reach out to friends or family who has had previous water births to learn more about their experiences. What’s most important is choosing a birthing plan that’s right for you and your baby.

If you’re planning a water birth, it’s also a good idea to come up with a backup plan in case you have complications as your pregnancy progresses, or during labor.

There isn’t enough formal evidence to support the benefits or risks of labor and delivery while submerged in water. Much of what you will read is anecdotal. More research is needed to assess the benefits for both mother and baby.

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