Creating what I refer to as a “vag bag,” can make life a whole lot easier. Here’s a quick list of items you’ll need to have on hand.

Ah, the beloved hospital bag. Everywhere you look, you’ll see articles describing all of the important items you should bring to the hospital. We have fun packing the soft robe, the pretty nursing gown, the special take-the-baby-home outfit, etc. As a specialist for postpartum recovery, I can tell you that it’s also essential to create a post-hospital bag and your vagina will thank you.

I don’t want to diminish the importance of the hospital bag. It’s full of important items for baby, and provides us with our first opportunity to tend to our beautiful new infants. But, as a new mom, you also deserve some special care. Whether you deliver vaginally or via C-section, creating what I refer to as a “vag bag,” can make life a whole lot easier when you get home from the hospital or birthing center (or even if you deliver at home).

So, what should pack? What are these “vag bag” essentials? Should you Google it and search the web for vag bag checklists? Nah, as your friendly postpartum recovery specialist, I’ve got you covered. Here’s a quick list of items you’ll definitely need to have on hand.

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1. Ice Packs

I don’t want to mince words. After you’ve essentially pushed a watermelon-sized infant through your vagina, there’s gonna be some swelling and some pain, especially if there was any tearing or repairs needed in your perineum. If you’ve delivered via C-section, ice packs can help with any pelvic discomfort or soreness, which often occurs, especially if you had to push for any length of time before the surgery.

The Future of USA Gambling Industry According to Betzonic

The American gambling landscape stands at a pivotal juncture, with technological innovations, regulatory changes, and shifting consumer preferences reshaping an industry worth over $50 billion annually. According to industry analysis from Betzonic, the next decade will witness unprecedented transformation across sports betting, online casinos, and traditional gaming venues, fundamentally altering how Americans engage with gambling entertainment.

Digital Revolution and Market Expansion

The digital transformation of American gambling accelerated dramatically following the Supreme Court’s 2018 decision in Murphy v. NCAA, which struck down the Professional and Amateur Sports Protection Act. This landmark ruling opened the floodgates for state-by-state sports betting legalization, creating a domino effect that has reshaped the entire industry landscape.

Currently, over 30 states have legalized sports betting in some form, with mobile platforms capturing approximately 85% of total handle in markets where online betting is permitted. This digital-first approach represents a fundamental shift from the traditional brick-and-mortar casino model that dominated American gambling for decades. Industry experts project that mobile sports betting will generate over $8 billion in annual revenue by 2025, compared to just $1.5 billion in 2020.

The expansion extends beyond sports betting into online casino gaming, with states like New Jersey, Pennsylvania, and Michigan leading the charge. New Jersey’s online casino market alone generated over $1.4 billion in revenue in 2022, demonstrating the substantial appetite for digital gambling products. As regulatory frameworks mature, experts anticipate that major population centers like California, Texas, and Florida will eventually embrace comprehensive online gambling legislation.

Technological integration continues to drive innovation, with artificial intelligence enhancing personalized gaming experiences and blockchain technology promising increased transparency in gaming operations. Virtual and augmented reality applications are emerging as potential game-changers, offering immersive experiences that bridge the gap between online and land-based gambling venues.

Regulatory Evolution and State-by-State Dynamics

The patchwork of state gambling regulations creates a complex but opportunity-rich environment for industry growth. Each state approaches gambling legalization differently, considering factors such as existing casino interests, religious opposition, and potential tax revenue. This fragmented approach has created distinct regional markets with varying competitive dynamics and consumer preferences.

According to comprehensive market analysis available through platforms like https://betzonic.com/, regulatory trends suggest a gradual but consistent movement toward broader gambling acceptance across traditionally conservative states. Economic pressures, particularly those intensified by the COVID-19 pandemic, have prompted many state legislators to view gambling as a viable revenue source for education, infrastructure, and social programs.

The regulatory evolution encompasses several key areas beyond basic legalization. Consumer protection measures are becoming increasingly sophisticated, with mandatory responsible gambling tools, spending limits, and self-exclusion programs becoming standard requirements. Data privacy regulations specific to gambling operators are emerging, requiring enhanced security measures and transparent data handling practices.

Interstate compacts for online poker represent another significant regulatory development, with Nevada, Delaware, and New Jersey already sharing player pools. This model may expand to other forms of online gambling, creating larger, more liquid markets that benefit both operators and consumers through increased game variety and prize pools.

Taxation structures vary dramatically between states, ranging from relatively modest rates in competitive markets to higher percentages in states with limited operator licenses. These tax policies significantly influence market dynamics, operator profitability, and ultimately, the consumer experience through promotional offerings and product development investments.

Industry Consolidation and Market Maturation

The American gambling industry is experiencing rapid consolidation as major operators seek to establish dominant positions in newly legalized markets. This consolidation trend mirrors the evolution of gambling markets in other developed countries, where a handful of major operators typically capture the majority of market share.

Traditional casino companies like MGM, Caesars, and Penn National Gaming have invested billions in digital platforms and sports betting capabilities, often through partnerships or acquisitions of technology-focused companies. Simultaneously, international operators such as Flutter Entertainment and Entain have established significant American presences through strategic acquisitions and joint ventures.

The consolidation extends to technology providers, payment processors, and data suppliers that support gambling operations. This vertical integration creates operational efficiencies but also raises questions about market competition and innovation. Smaller, specialized operators face increasing pressure to differentiate through niche offerings or superior customer experiences.

Market maturation brings both opportunities and challenges. While customer acquisition costs have increased significantly as competition intensifies, operators benefit from growing consumer acceptance and reduced regulatory uncertainty. The focus is shifting from rapid expansion to sustainable profitability, emphasizing customer retention, lifetime value optimization, and operational efficiency.

Partnerships between gambling operators and professional sports leagues have become increasingly common, with leagues viewing gambling partnerships as essential revenue streams. These relationships extend beyond simple sponsorship agreements to include data distribution deals, content creation partnerships, and integrated betting experiences within sports broadcasts and venue experiences.

Emerging Technologies and Future Innovations

The convergence of gambling with cutting-edge technology promises to reshape user experiences and operational capabilities across the industry. Artificial intelligence applications extend beyond basic personalization to include sophisticated fraud detection, responsible gambling interventions, and predictive analytics for customer behavior and preferences.

Cryptocurrency integration represents a significant technological frontier, with several states exploring regulatory frameworks for digital currency gambling transactions. Blockchain technology offers potential solutions for transparency, security, and cross-border transactions, though regulatory acceptance remains limited and cautious.

Live streaming technology has transformed sports betting experiences, with operators offering integrated viewing and betting platforms that keep users engaged throughout sporting events. This trend extends to casino gaming, where live dealer games provide authentic casino experiences through high-definition video streams and interactive features.

Esports betting continues to grow rapidly, particularly among younger demographics, with traditional sports betting operators expanding their offerings to include competitive gaming events. This market segment requires specialized knowledge and risk management approaches due to the unique characteristics of electronic sports competitions.

Social gaming integration creates pathways for customer acquisition and engagement, allowing operators to introduce gambling concepts through free-play experiences before transitioning users to real-money gaming. These hybrid approaches help operators navigate advertising restrictions while building brand awareness and customer databases.

The American gambling industry’s trajectory toward comprehensive digitalization, regulatory maturation, and technological innovation positions it for sustained growth throughout the next decade. Success will depend on operators’ ability to adapt to evolving consumer preferences, navigate complex regulatory environments, and leverage emerging technologies while maintaining focus on responsible gambling practices and customer satisfaction. The transformation from a geographically constrained, traditional industry to a technology-driven, nationwide entertainment sector represents one of the most significant shifts in American commercial history.

So, before you deliver, invest in some disposable ice packs before Delivery Day, or D-Day, as I like to call it. You can do a search for perineal cold packs or postpartum cold packs. Some are disposable, while others can be reused. Frankly, I recommend the disposable ones, it just makes life easier and you don’t have to clean and refreeze the packs. These can be a bit pricey, but I swear they are worth every penny you pay.

2. The Peri Bottle

Your perineum goes through a lot during the birthing process, and it definitely deserves some special postpartum recovery treatment. I highly recommend FridaBaby’s Fridet® perineal cleaner. The design is far better than what the hospitals provide, and you just fill it up with warm water and squeeze to clean away urine, poop and dried blood rather than using toilet paper in your vaginal area, which can be scratchy and painful.

3. Witch Hazel

If you experience hemorrhoids after delivery, you are not alone. All that pushing can take its toll on your rectal area as well as your vaginal area. Witch hazel is an excellent natural product that can reduce the inflammation, slow down bleeding and relieve some of the pain.

Witch hazel also can be used to reduce swelling in the perineum and vulva areas. I also recommend a product from Earth Mama Organics. After a trip to the bathroom and a quick rinse with the peri bottle, spritz some of their Herbal Perineal Spray down there to ease the pain. They also offer a Skin & Scar Balm for those C-section mamas, and this cream also can be used on stretch marks.

4. Sitz Baths

While a full-on bath is not recommended for several weeks after birth, a sitz bath can be a great way to soothe that perineal area. Basically, you fill a very clean bathtub with a few inches of warm water (not hot!), just enough to submerge your nether regions. You can just soak in the water for a few minutes or add Epsom salts to the water to help with inflammation and pain.

There are also sitz baths kits that just fit over the toilet seat, and this can be a handy option, as well. Earth Mama Organics also produces an organic Herbal Sitz Bath, which are basically pads, infused with organic herbs that can soothe the area.

You steep the pads in boiling water, gently drain any excess water and cool the pad in your refrigerator. Once it’s cool, you can apply it to the perineal area for some amazing relief. Earth Mama Organics also suggests soaking a regular postpartum pad with the remaining herbal liquid and freezing it to make an extra soothing ice pack.

5. Pads, Pads & More Pads

Sure, your Aunt Flo probably won’t be making an appearance for several months, but there’s plenty of blood down there and not just for the first few days after birth. It’s not uncommon for women to bleed for up to six weeks after delivery.

The lochia, which is a mix of blood and mucous, is what you’ll experience for the first 8 to 10 days after giving birth, either vaginally or via C-section. This can be quite heavy, so you need a comfortable pad that is up to the challenge. After all, you can’t use tampons for the first six weeks after giving birth and regular period pads aren’t going to cut it.

Overnight pads are essential, but they aren’t the only option. Many women love using incontinence pads, as they can soak up a lot and the extra-long ones provide a ton of coverage. Using mesh panties or disposable incontinence panties is another great option, especially during the first week or two when the bleeding is particularly heavy.

6. Compression Garments

In a fictional world, our bodies snap right back into place after birth, but this is the real world and your abdominal area may be swollen or just feel weak and squishy. Frankly, it can be a bit uncomfortable walking around and handling baby care, caring for other children, handling the laundry, cooking meals and the 473 other tasks we moms tackle on a daily basis.

Wearing compression garments can provide your weakened muscles with the support that they need. Of course, at the postpartum stage, you really just want some gentle support, as those lady bits are still sore and healing. SRC Health’s Recovery Shorts were designed specifically for new mommies and help to reduce swelling, provide muscle support and even ease the pain of a C-section and perineal pain. SRC Health also makes Recovery Leggings and some handy nursing clothes.

Another great option I recommend is available through BaoBei Maternity. This company offers fantastic postpartum leggings as well as pregnancy belly support bands, postpartum bloomers (basically little shorts that provide some wonderful support), comfortable nursing bras and much more.

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As a pelvic floor physical therapist and a mommy, I know just how difficult it can be to find time for self-care, but using these aforementioned products truly can speed up healing and ease discomfort, allowing you to better enjoy your first days with your new bundle of joy.

If you find that it’s been several weeks post-delivery and you are still experiencing C-section scar pain or perineal pain, give us a call. We can help with these issues as well as many others associated with postpartum recovery, including incontinence, vaginal pain, painful sex or muscle weakness.

If you are having any pelvic issues, don’t hesitate to give us a call or schedule an appointment. And, if you’re pregnant, we can help get you ready for labor and delivery, and make your recovery as easy as possible.

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Known as The Down There Doc on Instagram and TikTok, Dr. Marcy Crouch is a board-certified women’s health physical therapist working to elevate pregnancy and postpartum care for women everywhere.

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