The Unique Struggles of Postpartum Autistic Women

Autistic Mom Postpartum struggling with baby gets helps from a neurodiversity affirming perinatal mental health therapist in Middlesex NJ

Navigating the postpartum period can be a challenging journey for any new mother, but for Autistic women, the transition to motherhood comes with its own unique set of hurdles. From sensory sensitivities to difficulties in emotional regulation and communication, the complexities can be overwhelming.

In this blog, we delve into the specific challenges faced by Autistic women during the postpartum period, shedding light on how sensory sensitivities impact baby care and breastfeeding, the struggles with emotional regulation and social isolation, and the executive functioning challenges in parenting tasks. Understanding these obstacles is vital, but equally important is knowing how to support autistic mothers during this critical time. We explore practical ways partners can provide meaningful support, from fostering open communication and flexibility in parenting roles to offering sensory accommodations, patience, and emotional validation.




Challenges Faced by Autistic Women during the Postpartum Period



  • Sensory Sensitivities in Baby Care: The tactile, auditory, and olfactory aspects of caring for a newborn, such as diaper changes, bathing, and soothing techniques, can trigger sensory sensitivities in Autistic mothers, leading to discomfort, anxiety, or avoidance behaviors. Adapting baby care practices to accommodate sensory preferences and providing opportunities for sensory breaks can promote maternal comfort and bonding with the infant.


  • Sensory Sensitivities in Breastfeeding: Breastfeeding can present unique challenges for Autistic mothers due to sensory sensitivities related to physical contact and breastfeeding mechanics. Difficulties with latch, discomfort from nipple stimulation, and aversions to certain textures or sensations may complicate the breastfeeding experience, requiring patience, support, and alternative feeding options.


  • Emotional Regulation: Autistic individuals may experience difficulties with emotional regulation, leading to heightened anxiety, depression, or meltdowns, especially during times of increased stress such as childbirth and early motherhood. Hormonal changes and sleep deprivation can exacerbate these challenges, making it crucial to provide support and coping strategies for managing intense emotions.


  • Social Isolation and Loneliness: Autistic women may face barriers to social connection and engagement with peers, leading to feelings of isolation and loneliness during the postpartum period. Difficulty initiating and maintaining friendships, attending parent groups, and participating in community activities can limit opportunities for social support and exacerbate feelings of alienation and depression.


  • Changes in Routine: Autistic individuals often thrive on routine and predictability. The unpredictable nature of newborn care, including irregular sleep patterns and feeding schedules, can disrupt established routines, leading to increased stress and difficulty coping.


  • Executive Functioning Challenges in Parenting Tasks: In addition to managing their own self-care and daily activities, Autistic mothers may encounter difficulties with organizing and prioritizing parenting tasks, such as scheduling appointments, tracking infant milestones, and maintaining household routines. Executive functioning challenges can contribute to feelings of overwhelm and inadequacy, requiring tailored strategies and accommodations to support effective parenting.


  • Communication Difficulties: Difficulties with verbal and nonverbal communication can pose challenges for autistic mothers, particularly when expressing their needs and seeking support from others. Misunderstandings and communication breakdowns may contribute to feelings of frustration and inadequacy.

Autistic mother gets support postpartum due to being overwhelmed. She sees a neurodiversity affirming therapist for counseling in Middlesex NJ


Supporting Autistic Women During the Postpartum Period


Support from partners is crucial during the postpartum period, especially for Autistic women who may face unique challenges. Here are a few ways that partners can provide helpful support:


  • Open Communication: Establishing open and honest communication with your partner is essential for understanding their needs, preferences, and concerns during the postpartum period. Encourage your partner to express their feelings, share any difficulties they may be experiencing, and communicate their expectations for support.

  • Flexible Parenting Roles: Recognize that traditional gender roles may not align with the needs and abilities of Autistic women. Be willing to negotiate and adapt parenting roles and responsibilities based on each partner's strengths, preferences, and capacity. Collaboratively discuss and divide tasks such as infant care, household chores, and self-care activities to ensure a balanced and equitable distribution of responsibilities.

  • Sensory Accommodations: Be mindful of your partner's sensory sensitivities and preferences when caring for the newborn and interacting in the home environment. Offer sensory accommodations such as adjusting lighting, minimizing noise, providing soft textures or weighted blankets, and creating quiet spaces where your partner can retreat and recharge when feeling overwhelmed.

  • Patience and Understanding: Practice patience and understanding when supporting your partner through the challenges of early motherhood. Recognize that autism may influence your partner's communication style, emotional expression, and sensory experiences, and be empathetic to their unique perspective and needs. Avoid judgment, criticism, or pressure, and instead offer reassurance, encouragement, and unconditional support.

  • Emotional Support: Provide emotional support and validation to your partner as they navigate the emotional ups and downs of early motherhood. Listen actively to their concerns, offer empathy and validation for their experiences, and reassure them of your love and commitment. Encourage your partner to prioritize self-care and seek support from healthcare professionals, peer mentors, and support groups as needed.

  • Advocate for Their Needs: Advocate for your partner's needs and preferences within the healthcare system, community, and social networks. Be a vocal ally in ensuring that healthcare providers, family members, and friends understand and respect your partner's neurodiversity and provide appropriate accommodations and support.


In conclusion, the postpartum period poses unique challenges for Autistic women, encompassing sensory sensitivities, emotional regulation difficulties, social isolation, changes in routine, executive functioning challenges, and communication barriers. By understanding these obstacles and exploring practical ways to provide support, we can help alleviate the burdens faced by Autistic mothers during this critical time. Partners play a crucial role in offering meaningful support through open communication, flexibility in parenting roles, sensory accommodations, patience, emotional validation, and advocacy. By fostering an environment of understanding, empathy, and empowerment, we can ensure that every new mother, regardless of neurodiversity, receives the support and care she deserves as she navigates the journey of early motherhood.


Janine Kelly, MSW, LCSW, RPT-S™, PMH-C, C-DBT, CBT-C, ADHD-CCSP, ASDCS, CCATP-CA, CATP, is a neurodivergent Certified Perinatal Mental Health Therapist and the Founder of True Reflections Mental Health Services in Middlesex, NJ. With her lived experience and role as a mother, Janine brings a unique and compassionate perspective to her practice. She specializes in supporting parents during the prenatal and postpartum period who are struggling with anxiety, depression, and trauma. Additionally, she provides Neurodiversity Affirming Comprehensive ADHD & Autism Evaluations both in-person and virtually throughout New Jersey.

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Janine Kelly Play Therapist and Perinatal Mental Health Therapist in Middlesex NJ for childhood anxiety, childhood OCD, childhood trauma, childhood ADHD, childhood Autism, Pregnancy and Postpartum Anxiety and Depression
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