SoftCare Clinic
Settling in

Day 21 postpartum

In short: what happens on day 21 postpartum?

On day 21 postpartum many babies go through the three-week growth spurt: for a few days they want to feed almost hourly and may seem unsettled. This doesn’t mean your milk is drying up; frequent feeding boosts supply. At least 6 wet nappies a day, regular yellow poos and weekly weight gain show your baby is getting enough.

Day 21 postpartum – animated guide

Day 21: the 40-day postpartum dial, your womb shrinking, postnatal bleeding, your baby’s stomach capacity and weight change (illustrative animation).

What the animation shows

RING
Coloured ring: the 40-day postpartum period and its stages; the gaps in the ring mark the weeks
LOCHIA
Inner band and pad: the colour of postnatal bleeding (red → pinkish-brown → yellowish-white) and how heavy it is
BLUES
Blue arc: days 3–14, when the baby blues may appear
UTERUS
Womb: its weight (g) and height relative to the belly button (cm); the dashed line marks the belly button
STOMACH
Circle: roughly how much milk your baby can take per feed (ml); dashed rings show day 1, day 3, week 1 and month 1
FEED
Drop and nappy: feeds in 24 hours and the minimum number of wet nappies to expect
WEIGHT
Graph: your baby’s weight compared with birth weight (%)
ICONS
Outer icons: first feed, milk coming in, heel prick test, cord falling off, back to birth weight, 1 month, 6-week check

Stage

Settling in

Postnatal bleeding

Yellowish-white (lochia alba)

Womb

≈ 200 g

Milk

Mature milk

Baby’s stomach (per feed)

80 ml

Baby’s weight (vs birth weight)

+8.5%

Wet nappies (24 hours)

6

Days until day 40

19 days

What’s happening in your body?

Your womb has shrunk to below about 300 g and can no longer be felt through your tummy. Postnatal bleeding continues as a lessening yellowish-white discharge; on days of frequent feeding you may notice mild cramps or a brief increase in discharge. Your supply is moving to mature milk and adjusting to your baby’s demand.

Your baby today

Your baby is 3 weeks old and should be well past their birth weight, gaining about 150–200 g a week. A growth spurt usually lasts 2–3 days; during it they may wake more often, come off the breast quickly and then want it again straight away. Once it passes, feeding settles back into its old rhythm by itself.

Feeding and nutrition

During a growth spurt, watch your baby’s hunger cues (sucking their hands, rooting, lip-smacking) rather than the clock, and feed whenever they ask; adding formula or water in between lowers your supply. Keep a glass of water and an easy snack beside you while feeding.

Emotions and rest

A baby who is constantly at the breast can leave you feeling ‘I can’t keep up’; this feeling is very common and does not mean your milk is insufficient. On growth-spurt days, give yourself permission to let housework wait and rest with your baby.

Care and hygiene

Frequent feeding can make your nipples tender; after feeds, rub a few drops of milk onto your nipples, let them air-dry and choose a breathable cotton bra.

Tips for today

  • Reassure yourself by noting wet and dirty nappies for one day
  • Set up your feeding spot with water, snacks and a phone charger
  • Put off having visitors for a few days during the growth spurt

When to seek medical help

See a paediatrician without delay if your baby has fewer than 6 wet nappies a day, dark urine, is very sleepy and doesn’t wake for feeds, or is not gaining weight.

Postpartum day-by-day table

DayTopicStage
Day 1The First Day After BirthFirst 72 hours
Day 2Colostrum (First Milk)First 72 hours
Day 3Milk Coming In and JaundiceFirst 72 hours
Day 4Breast EngorgementMilk comes in
Day 5The Baby BluesMilk comes in
Day 6Stitch Care and the ToiletMilk comes in
Day 7The End of Week OneMilk comes in
Day 8When Can I Have a Bath?Healing
Day 9Sleep and TirednessHealing
Day 10The Umbilical Cord Falls OffHealing
Day 11Eating Well After BirthHealing
Day 12Yellowish-White DischargeHealing
Day 13Caesarean Wound CareHealing
Day 14The End of Week TwoHealing
Day 15Postnatal DepressionSettling in
Day 16Cracked Nipples and MastitisSettling in
Day 17Visitors and 40-Day BeliefsSettling in
Day 18Pelvic Floor and KegelsSettling in
Day 19Night Sweats and HormonesSettling in
Day 20Can I Go Out With My Baby?Settling in
Day 21The Three-Week Growth SpurtSettling in
Day 22Tummy, Binders and DiastasisSettling in
Day 23Lifting and DrivingSettling in
Day 24Support From Partner and FamilySettling in
Day 25Medicines, Tea and CoffeeSettling in
Day 26Expressing and Storing MilkSettling in
Day 27Anaemia After BirthSettling in
Day 28Week 4: Is the Bleeding Ending?Settling in
Day 29Exercise After BirthRecovery and day 40
Day 30Your Baby’s First MonthRecovery and day 40
Day 31Losing Weight After BirthRecovery and day 40
Day 32Sex After BirthRecovery and day 40
Day 33Contraception After BirthRecovery and day 40
Day 34Hair Loss and Skin ChangesRecovery and day 40
Day 35Week Five: Building a RoutineRecovery and day 40
Day 36Preparing for Your 6-Week CheckRecovery and day 40
Day 37Pelvic Floor and Core StrengthRecovery and day 40
Day 38Saunas and 40th-Day Bath RitualsRecovery and day 40
Day 39What to Watch for After Day 40Recovery and day 40
Day 40Day 40: The End of PostpartumRecovery and day 40

Frequently asked questions

How long does a growth spurt last?

Usually 2–3 days, sometimes nearly a week. Your baby feeds more often during this time, and then their feeding pattern calms down again.

If my baby feeds constantly, does that mean I don’t have enough milk?

Frequent feeding alone is not a sign of low supply. If there are enough wet nappies, regular poos and weight gain, your baby is getting enough.

Do I need to top up with formula during a growth spurt?

Usually not; extra formula can mean less stimulation of the breast and a drop in supply. If weight gain is poor, the decision should be made with your paediatrician.

Postnatal care at SoftCare Clinic

Book an appointment with our specialist doctors for a postnatal check, breastfeeding problems, a stitch or wound check, or support with postnatal depression.

The information on this page is general guidance for an uncomplicated postpartum period and does not replace a medical examination. Heavy bleeding, fever, breathlessness, chest pain, or thoughts of harming yourself or your baby are emergencies: call your local emergency number (999 / 911 / 112).

Medical content editor: Op. Dr. Şükrü Sanus