Building Together
Navigating couples’ health post-baby
20 MINUTE READ
Published August 2024
AUTHOR
Sarah Hosseini, Psy.D.
Contributing Expert, Licensed Psychologist
As the diaper changes and midnight feedings settle into a routine, couples often find themselves faced with a new challenge: prioritizing and maintaining their relationship. Beyond the chaos of parenthood lies an opportunity for partners to reconnect while navigating this transformative phase together. Here we will uncover practical tips on how couples can thrive physically, emotionally, and romantically post-baby.
Teamwork makes the dream work
Adjusting to parenthood is a major life transition and can be incredibly challenging. Even the strongest relationships are impacted by adding a baby into the mix. Maneuvering through the challenges of parenthood changes each individual as well as the dynamic of the couple. It presents unique struggles such as shifts in priorities, balancing one’s roles and responsibilities, and difficulty communicating with one another. Obstacles during this vulnerable time can also impact parents’ expectations of one another and their ability to empathize with each other’s means of adjusting to parenthood. These unique challenges often require teamwork in order to survive and thrive within a relationship after welcoming a baby to the family.
Breaking it down further
So what are the unique challenges couples face after having a baby? Research shows that these challenges generally stem from difficulties in one or more of the following four categories: shared meaning, intimacy, conflict, and kids¹,² . It is important to note that these categories contain some overlapping factors and can impact one another, so it is likely that you and your partner may identify several areas that could use some work. However, this suggests that improvement in one area can also strengthen other domains¹,². Our KISS acronym provides a deeper understanding of each category to help you identify areas of your relationship that could benefit from healing.
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The arrival of a child typically leads to a shift in priorities from the relationship to the baby. Parents may prioritize the needs of children over their own needs or the needs of their partner, leading to potential feelings of neglect, frustration, or resentment³. Having a baby can make parents feel they do not have the time or privacy to put effort into nurturing their relationship. This shift in dynamic can change how time and attention are allocated between partners, which can strain a relationship or make partners feel isolated in their transition to parenthood³, ⁴ .
It's important to remember that while you may experience apathy or indifference towards your partner temporarily, it doesn't mean you no longer care about each other or your relationship¹. Addressing these feelings involves open communication, prioritizing time together, and seeking support from friends and family³. Taking steps to nurture the relationship and maintain the connection can help couples navigate the hurdles of parenthood together. Despite the challenges, many couples also report an increased sense of partnership and support from each other. Sharing the experience of parenthood can strengthen emotional bonds and foster a deeper connection³, ⁵.
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This category is centered around the connection between partners and foundational friendship. Connection between partners can take on many forms, including emotional, physical, relational, spiritual, etc¹, ⁵. It is common for partners to feel less connected to one another after having a baby. There is often a decline in sexual intimacy and romantic involvement after childbirth. This can be influenced by many factors, including physical changes, exhaustion, time constraints, and emotional adjustments to parenthood², ⁶. Increased stress and the shift in priorities after introducing a baby into the picture can reduce emotional availability between partners and thereby result in partners feeling less connected to one another⁶, ⁷.
While the added stress of a baby can strain emotional intimacy, the experience of raising a child together can also strengthen your bond as you navigate parenthood together. It may require some creativity to identify new ways to express affection for one another¹, ². A good first step would be to clearly communicate your needs and be open to hearing your partner’s desires as well. Scheduling time to spend with your partner away from the baby can go a long way towards rebuilding intimacy. It is important to note that patience is key when it comes to reconnecting with your partner³, ⁵. The shift towards feeling disconnected likely did not happen overnight and may take just as much time to rebuild with enough time and commitment. It also requires a lot of empathy and understanding that your partner may not feel as ready as you do, so finding a feasible and realistic approach to reconnect is key¹, ⁵.
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This category refers to the sense of understanding and agreement that both partners have regarding their goals, beliefs, and values⁵. After having a baby, partners may realize they have different values and beliefs related to parenting and division of responsibilities. Differences in parenting styles can be a major source of conflict or tension, especially if it is not communicated², ³.
It is important that both partners learn to make decisions together and share responsibility. Engaging in open conversations with your partner about parenting strategies, goals, and values can provide both partners the opportunity to express their viewpoints and feel heard⁶, ⁷. It is important to collaborate and find common ground when you and your partner have different parenting styles. This may involve finding a compromise that incorporates both partners’ values⁵. It also may involve reevaluating your approach over time and being open to changes not only as your child grows up, but also as your relationship evolves.
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Conflict is a natural occurrence in relationships and tends to occur when partners have opposing viewpoints, often resulting in a disagreement or tension. Studies show that couples often experience heightened stress levels and increased conflict after becoming parents¹, ², ³, ⁴, ⁷. Parenthood comes with significant changes and pressures that can feel overwhelming. That heightened emotion can impact how we communicate and we may even end up projecting our own insecurities as parents onto our partners by lashing out. Misunderstandings and frustrations may also arise if expectations are not clearly communicated between partners¹, ⁶. Oftentimes conflicts arise about topics related to the other three domains, such as balancing roles and responsibilities, time management, and approaches to parenting³.
Managing conflict can be difficult without effective communication skills to navigate concerns⁶. It is key to keep an open line of communication between you and your partner during such a vulnerable adjustment period. It can be helpful to reframe your perspective of conflict to make initiating difficult conversations feel less intimidating. For example, many people have a perception that conflicts are conversations where you are against your partner. However, it can feel a lot more comfortable to have challenging conversations if you view it as you and your partner working on the same team to attack a problem¹, ⁵. Another important consideration when in a conflict is nonverbal communication. It is recommended that you initiate conversations with a gentle manner and use active listening skills to show that you value your partner’s perspective. It is important to validate each other’s feelings and communicate in a respectful manner⁸. Managing conflict tends to be difficult, not because of the content of the fight, but because of the process and manner in which the fight is occurring¹, ⁵.

What the research says
Transitioning to a new role is difficult and along the way we may forget that we are not in the trenches alone. Working together as a team is key when facing relational challenges associated with parenthood¹, ², ⁵. Prioritizing and Improving the relationship after becoming parents has been shown to have numerous benefits, including the following ¹, ², ³, ⁴, ⁵, ⁶, ⁷, ⁸:
Enhanced emotional well-being
Reduced stress levels
Reduced feelings of overwhelm and resentment towards your partner
More equitable sharing of parenting duties and responsibilities
Decreased feelings of isolation and stronger sense of support
Enhanced intimacy
Feeling more close and connected to your partner
Improved communication and more effective conflict resolution
Easier to navigate parenting challenges together
Easier to make decisions as a team
Sets a positive example for children and contributes to healthy emotional development
Greater long-term relationship satisfaction and fulfillment
Increased overall happiness and wellbeing for both partners
Wha does it look like for you
The following accordion provides examples of how you can put your goals into action with examples of skills that you and your partner can begin to implement¹, ², ⁵, ⁸.
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Goals
Prioritize time spent as a couple
Seek support from others
Increase empathy
Actions!
Schedule regular date nights. Create a ritual that you and your partner engage in without the baby. Remember that raising a child is not a group project you are working on together; you and your partner value each other and care about each other’s needs and wishes too.
Ask family, friends, or other members of your support system to watch the baby so you can enjoy privacy as a couple. Determine what types of support you are hoping to receive from which family members.
Try to see your partner’s point of view and understand their experience as a parent may be different from yours. Validate each other’s fears and concerns. Acknowledge any fears and concerns that you share.
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Goals
Improve verbal communication
Improve nonverbal communication
Increase empathy
Practice patience
Enhance the friendship
Actions!
Have an open and clear dialogue with your partner about your feelings, needs, and concerns. Scheduling a regular ‘feedback meeting’ can help partners stay connected. During these meetings, both partners identified something their partner is doing well and an area of improvement. It is important that both partners provide feedback for both categories so one partner does not feel the need to hold back. Consider using humor if/when appropriate to lighten the conversation. Be sure not to use humor to make rude or demeaning remarks.
Start the conversation in a gentle manner, especially if the topic is delicate. Show that you are interested in understanding your partner’s viewpoint by using nonverbal cues such as facing your partner, maintaining eye contact, uncrossing your arms, and nodding your head. Monitor the volume and tone of your voice during discussions.
Accept influence by acknowledging both viewpoints are valid. Listen to understand rather than listening to respond. Demonstrate your understanding by reflecting your understanding of your partner’s perspective back to them. Be open to the possibility that your interpretation was not accurate and allow your partner to provide clarification.
Be patient with your partner if they are not ready to prioritize the areas of intimacy that you wish to focus on. Get creative and identify a temporary compromise that is respectful of both partner’s wishes. For example, if one partner wants to engage in sexual intercourse while the other does not feel ready, they may compromise and engage in more frequent non-sexual physical touch such as cuddling.
Never stop learning about your partner. Ask each other questions and see if you can guess how your partner would answer the question. For example, see if you can guess each other’s favorite family member or biggest fears. Make an intentional effort to express appreciation for one another.
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Goals
Acknowledge the shared experience
Collaborate and compromise
Practice patience
Actions!
Acknowledge that you and your partner are both struggling, even if the struggles don’t look the same. Finding this common ground is a good place to start. Remember, it is not a competition
Nobody wins or loses in a compromise. Both partners gain a little bit and surrender a little bit to meet somewhere in the middle. Each partner should identify a positive need: What are you hoping for? Both partners identify areas of flexibility and areas of inflexibility. Work together to identify a compromise both partners agree with.
Depending on the concern at hand, it may require time and patience while brainstorming ideas and coming to a compromise. It can be helpful to identify a temporary compromise and revisit the conversation again later. Focus on how you can respect each other’s wishes in the present moment.
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Goals
Reframe your perspective of conflict
Manage distress associated with conflict
Improve verbal communication
Improve nonverbal communication
Increase empathy
Actions!
View conflict as an opportunity for you and your partner to work on the same team and attack a problem rather than working against each other.
If tension is high, agree to step away from the conversion and use self-soothing techniques before continuing.
Have an open and clear conversation with your partner about your feelings, needs, and concerns. Consider using humor if/when appropriate to lighten the conversation. Be sure not to use humor to make rude or demeaning remarks
Focus on ‘how’ you are communicating rather than ‘what’ the disagreement is about. Use a gentle start to initiate the discussion. Show that you are interested in understanding your partner’s viewpoint by using nonverbal cues such as facing your partner, maintaining eye contact, uncrossing your arms, and nodding your head. Monitor the volume and tone of your voice during discussions.
Accept influence by acknowledging both viewpoints are valid. Listen to understand rather than listening to respond. Demonstrate your understanding by reflecting your understanding of your partner’s perspective back to them. Be open to the possibility that your interpretation was not accurate and allow your partner to provide clarification.
Sarah Hosseini, Psy.D.
Sarah is a Licensed Psychologist specializing in clinical health psychology, providing individual therapy to diverse age groups with an empathetic and collaborative approach. She has extensive experience in various settings, including primary care clinics, medical centers, outpatient mental health clinics, and inpatient psychiatric hospitals, treating conditions such as depression, anxiety, trauma-related disorders, and neurodevelopmental disorders. . .
About the author
Resources our Experts Love
And Baby Makes Three: The Six-Step Plan for Preserving Marital Intimacy and Rekindling Romance After Baby Arrives ↗
The Gottman Institute - Bringing Baby Home Parents Workshop ↗
The Gottman Institute - The Transition to Parenthood: Thriving, Not Just Surviving ↗
Babyproofing Your Marriage: How to Laugh More, Argue Less, and Communicate Better as Your Family Grows ↗
Nutritionists
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Adult mental health
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Infant & child mental health
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Sleep coaching
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Nutritionists • Adult mental health • Couples mental health • Infant & child mental health • Sleep coaching •
When to get
expert support
How do we know when to seek professional help? The following are several signs that your relationship may be strained and in need of professional support:
You and your partner are having the same fight over and over
You and/or your partner is not as involved as a parent
You and/or your partner are too involved as a parent
Difficulty compromising on parenting approach
You and your partner are engaging in more frequent conflicts
This could be a result of parenting difficulty, different ways of handling stress, etc.
You feel disconnected from your partner since becoming parents
This can include an overall decrease in intimacy (physical, emotional, spiritual, etc.)
You do not feel heard, seen, or understood by your partner
It is also important to consider what format of therapy may be beneficial when seeking help. While couples therapy is a great approach to target the challenges discussed throughout this guide, there are some cases where individual and couples therapy may be recommended simultaneously. This may be beneficial when there are also personal issues that impact the relationship dynamic. Ultimately, it is important to understand the specific needs of each partner and the relationship as a whole when making a decision regarding treatment.
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Gottman, J.M. & Gottman, J.S. (2007). And baby makes three: The six-step plan for preserving marital intimacy and rekindling romance after baby arrives. Three Rivers Press.
Cowan, C. P., & Cowan, P. A. (1992). When partners become parents: The big life change for couples. Basic Books.
Roth, M., Weitkamp, K., Landolt, S. A., & Bodenmann, G. (2022). Couples’ dyadic coping in the context of child-related stressors: A systematic review across three decades. Couple and Family Psychology: Research and Practice. Advance online publication. https://doi.org/10.1037/cfp0000237
Ghinassi, S., Elmi, B., Fioretti, C., Smorti, A., & Tani, F. (2021). Thinking for three: Mothers’ and fathers’ narratives on transition to parenthood. The Open Psychology Journal, 14, Article 53-61. https://doi.org/10.2174/1874350102114010053
Gottman, J. M., & Gottman, J. S. (2008). Gottman method couple therapy. In A. S. Gurman (Ed.), Clinical handbook of couple therapy (4th ed., pp. 138–164). The Guilford Press.
Doss B.D., Rhoades G.K., Stanley S.M., & Markman H.J. (2009). The effect of the transition to parenthood on relationship quality: An 8-year prospective study. Journal of Personality and Social Psychology, 96(3):601-619. doi: 10.1037/a0013969
Bateman L., Bhary K. (2009). The impact of the birth of the first child on a couple’s relationship. Evidence Based Midwifery, 7, 16–23.
Linehan, M.M. (2015). DBT skills training manual (2nd edition). The Guilford Press.