Baby Notes: The Fourth Trimester

Baby Notes: The Fourth Trimester


(upbeat music) – Most people are aware of the three trimesters of pregnancy, but many are not still familiar with the term of the fourth trimester. And that’s the first six weeks
of the postpartum period. So in the fourth trimester
there are many things happening both with the mom and the baby. For the baby, the baby’s learning to feed. That’s probably the biggest thing happening in the fourth trimester. For the mom, the mom is still recovering from either her vaginal delivery
or her cesarean section. So she’s having to take
care of her newborn baby, but she’s also taking care
of her vagina, her breasts, and all the things that are
recovering from her birth. – I think from a physical standpoint, some things that I didn’t think about in that fourth trimester is just how tired I
was really going to be. Like it is a huge adjustment from going from no kids
to your first child and I remember thinking I’m so tired. Am I gonna be able to keep my eyes open? – After delivery, there
is a rapid depletion of mom’s hormone levels. Even up to 40% really in the first couple of days after delivery. And that can really send a mom
into an emotional tailspin. – New moms go through many new emotions. We think of joy, but sometimes we forget that new moms feel overwhelmed,
afraid, and very tired. So those emotions are very
prevalent in the newborn period because it’s a huge undertaking
to have a newborn at home. So many women, as many as
three out of four women, will get what we call the baby blues, which is feeling down at
times, crying at times, and feeling a little overwhelmed. That usually resolves in the
first few weeks postpartum. – When it starts to
last much beyond there, especially if a mom does
not wanna be engaged with her family, engaged with her baby, engaged in daily activities, that’s when we start to get concerned for more severe mood disorders. Postpartum anxiety and depression tends to kind of run hand in hand. It’s not often clearly one or the other. It can be, but it isn’t often. It’s often a mix of the two. And in the event that that happens, then certainly the number one
thing we want a patient to do is to reach out to somebody
so that we can help. – I think that a lot of women probably suffer with postpartum depression because they’re afraid to say something and they’re afraid that the
society’s gonna judge them because they’re supposed to
be like this strong woman or maybe you feel like I’m a strong woman. I got this, I can do this. Hormones are not something
that you can control. You feel like there is something wrong or that something isn’t quite right. Make sure you speak up and
talk to your doctor about it. (upbeat music)

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