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Experts recommend waiting 18 months after birth before getting pregnant again. An earlier conception could increase the risk of complications, including premature birth and low birthweight.
Your body needs the time to recover between pregnancies if possible. The pregnant person’s body needs a chance to recover from the pregnancy itself, normalize weight, optimize nutrition, and potentially resolve pregnancy-related medical conditions, and there is evidence of increased maternal mortality and morbidity with these very closely spaced pregnancies as well.
And if you delivered your baby via C-section, the risks of getting pregnant again right away are even greater. The overall healing is particularly important for those who have had a C-section. Births that occur 18 months or less apart have a higher risk of uterine rupture, an emergency situation in which the scar on the uterus opens prior to delivery. That said, while having back-to-back pregnancies isn’t usually recommended, it’s not always a bad thing. Parents should just take extra precautions to ensure a healthy pregnancy, which we outlined below.
Of course, it’s not all bad news if you happen to get pregnant again soon after delivering a baby. Sure, raising two small children at once can be challenging, but there are many wonderful things about having siblings close in age (think of all that baby gear you can reuse!) And when it comes to entertaining your little ones, they’re much more likely to have similar interests and play together if they’re close in age. That said, if you’re expecting again within a year of delivering a baby, here’s what you’ll need to do to ensure a safe and healthy pregnancy.
Because the signs of a rapid repeat pregnancy can be hard to read (you’re still carrying extra weight and possibly not menstruating), it might be difficult to get early prenatal care. Pay attention to nausea (it could be morning sickness) as well as more subtle signs. If you think you could be pregnant, immediately see your caregiver.
You may decide to wean your first baby while carrying the next. Or you may not, and that’s fine, too! It’s totally possible to breastfeed throughout a subsequent pregnancy. In a normal pregnancy, research suggests that nursing throughout is safe and does not increase risks for the pregnant person, the pregnancy, or the existing child. However, you may notice a drop in your milk supply due to hormonal changes expected in pregnancy. It can also become more uncomfortable and difficult to continue breastfeeding due to pregnancy symptoms like breast tenderness, fatigue, and nausea. Discuss the decision with your doctor or midwife and, if you do continue nursing, be sure to drink plenty of liquids.
You’ll still want to gain weight during the second pregnancy, although perhaps a bit less than the usual recommendation. If you’re 20% or more over your ideal body mass, you already have the necessary fat stores. Discuss it with your doctor or midwife, but you can probably gain somewhat less than the usual number of pounds.
A short interval between pregnancies means your body may be at a nutritional disadvantage, so you’ll need to be vigilant about eating properly. Certain nutrients such as calcium and iron must be replenished after delivery, and that takes about six months. In a short-order pregnancy, those mineral levels may be less than ideal. We suggest eating a diet rich in calcium and iron, pregnant people require about 1000 mg calcium, 27 mg iron, and 600 mg folic acid daily throughout pregnancy. Consult with your caregiver about other nutritional supplements you might need.
Because the second pregnancy progresses in a different environment—there’s now a demanding newcomer to consider—you have to carve out adequate rest time. At the least, consider sleeping whenever your older baby does. If possible, arrange child care or household help throughout the pregnancy. Also, don’t be shy about asking your partner, family, and friends for their assistance.
Exercise is always recommended during pregnancy, as long as you listen to your body and don’t work too hard. Exercise is great for the pregnant person’s health and reduces the risk of some medical conditions in pregnancy. There’s also good evidence it reduces the duration of labour. Whether you choose prenatal yoga, walking, or something in between, make sure to stay hydrated and don’t set overly demanding goals. Do what feels right, and consult your doctor or midwife before embarking on any new or different forms of exercise. Also, focus on your health and not your figure. If you didn’t lose weight between pregnancies, don’t try to work it off now.”
Carrying a non-walking baby while pregnant can cause painful muscle spasms in your neck, lower-back problems, and other discomfort. Exercises that reestablish abdominal wall tone should help relieve back stress. Other strategies: Enlist child care help, eliminate unnecessary lifting, and always lift with proper form (making sure to bend at the knees).
Since you’re already physically worn down, try to avoid any person or situation that could make you more likely to come down with a virus. Many pregnant people find that back-to-back pregnancies deplete their immune system, making them more susceptible to colds, flu, and other illnesses. Eating healthfully and getting a lot of rest is your best preventive strategy. Also, make sure you’re up-to-date on vaccines.
A close second pregnancy wreaks havoc on your body—but taking breaks will help you to cope. Above all, don’t try to be perfect. Remember that first-pregnancy lesson: Every challenging phase passes.
If you don’t want a quick second pregnancy, use birth control when your doctor gives you the green light to resume intercourse. We generally recommend waiting six weeks before resuming sexual activity after birth. Whether the birth was vaginal or C-section, healing is required!
When it comes to birth control pills, we recommend avoiding estrogen-containing contraceptives right away after birth due to an increase in the risk of blood clots and because they may impact milk supply. If you rely on a diaphragm for contraception, it should be refitted at your six-week postpartum checkup (you might have gotten larger after giving birth). You might also decide to use an IUD, condoms, implant, or another form of contraception. Talk to your doctor for more information.
Breastfeeding may delay the return of your menstrual cycle due to the production of the hormone prolactin, which naturally suppresses ovulation. But conception before your first post-delivery period is still possible!
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