The Fourth Trimester

Comprehensive care and support for your postpartum recovery journey

The postpartum period, often called the "fourth trimester," is the 12-week period after giving birth. This is a time of significant physical and emotional adjustment as your body recovers and you adapt to life with your new baby. Remember: healing takes time, and every mother's journey is unique. It's essential to prioritize your own health and well-being during this transformative period.

Physical Recovery
Healing from childbirth, managing pain, and understanding postpartum physical changes.
Mental Health
Recognizing baby blues, postpartum depression, anxiety, and accessing mental health support.
Infant Feeding
Breastfeeding guidance, formula feeding, pumping tips, and nutrition for nursing mothers.
Sleep & Rest
Strategies for getting rest, managing sleep deprivation, and establishing healthy sleep habits.
Nutrition
Postpartum nutrition needs, meal planning, and dietary support for recovery and breastfeeding.
Exercise
Safe postpartum exercises, pelvic floor recovery, and returning to physical activity.

Physical Recovery Timeline

First Week

Vaginal Bleeding (Lochia)

Heavy, bright red bleeding is normal. Change pads frequently.

Uterine Contractions

Afterpains as uterus shrinks, especially during breastfeeding.

Perineal Care

Use ice packs, warm baths, and pain relief as recommended.

Weeks 2-6

Bleeding Decreases

Lochia changes to pink/brown, then yellowish-white.

C-Section Recovery

Incision care, limited lifting, monitoring for infection.

Postpartum Checkup

6-week visit to ensure proper healing and address concerns.

Weeks 6-12

Gradual Return

Cleared for exercise and intimacy after 6-week checkup.

Pelvic Floor

Continue Kegel exercises and pelvic floor strengthening.

Body Changes

Gradual weight loss, hair shedding may begin.

Postpartum Mental Health

Baby Blues (70-80% of mothers)

Symptoms:

• Mood swings and crying

• Anxiety and irritability

• Trouble sleeping

• Feeling overwhelmed

Usually resolves within 2 weeks without treatment.

Postpartum Depression (10-15% of mothers)

Warning Signs:

• Persistent sadness or hopelessness

• Loss of interest in activities

• Difficulty bonding with baby

• Thoughts of harming self or baby

Seek professional help immediately if experiencing these symptoms.

Supporting Your Mental Health
  • Accept help from family and friends
  • Rest when baby sleeps
  • Eat nutritious, regular meals
  • Get outside for fresh air and sunlight
  • Join a postpartum support group
  • Practice self-compassion
  • Communicate with your partner
  • Don't hesitate to seek professional help

Breastfeeding & Infant Feeding

Common Challenges

Sore Nipples

Ensure proper latch, use lanolin cream, air dry nipples

Engorgement

Feed frequently, use cold compresses, massage gently

Low Supply Concerns

Feed on demand, stay hydrated, consult lactation specialist

Tips for Success

• Find a comfortable nursing position

• Feed 8-12 times in 24 hours initially

• Watch for baby's hunger cues

• Stay well-hydrated and nourished

• Seek help from lactation consultant

• Remember: fed is best

When to Seek Medical Help
  • Fever over 100.4°F (38°C)
  • Heavy bleeding (soaking a pad in 1 hour)
  • Severe abdominal or pelvic pain
  • Red, warm, swollen breast (possible mastitis)
  • Incision showing signs of infection
  • Difficulty breathing or chest pain
  • Thoughts of harming yourself or baby
  • Severe headache or vision changes

You're Doing Great, Mama

Remember to take care of yourself as you care for your baby. Access our mindfulness resources for additional support.