What to expect in the Fourth Trimester of Pregnancy
Congratulations. The fourth trimester, also known as the postpartum period, is a time of significant physical and emotional adjustment for both birthing people and their partners, and the newborn baby. The fourth trimester is the 12 week period after the birth of your baby.
It is important if you are worried about you or your baby, please consult your midwife or Dr Lazanyi at any time.
Symptoms you might experience during the second trimester of your pregnancy
Uterus involution
The uterus returns to its pre-pregnancy size over the first 6 weeks
Vaginal discharge (“lochia”)
Lochia consists of blood, mucus and tissue, that will gradually decrease over the first few weeks. If your vaginal bleeding becomes heavy or you start passing large clots, please consult your doctor or midwife.
Breast changes
Your breasts initially produce colostrum in the first few days post birth. Milk productions gradually increases in respond to breastfeeding demands.
Abdomen, stretch marks and swelling
Stretch marks may fade with time but they don’t always disappear.
Fluid retention often resolves in the first few weeks.
Fatigue
Post birth, you will be exhausted, sleep deprived and emotionally exhausted so it is very normal to feel tired.
Maintain a nutritious food intake and gentle exercise can help alleviate fatigue.
Aim to rest when your baby is sleeping.
Accept any offers of support from family and friends that may aid in reducing stress and fatigue.
Pain
Some postpartum pain from your perineum or abdomen is expected, and will usually resolve with time and returning to daily activities.
If your pain is severe, uncontrolled, or preventing you from mobilising or functioning, please consult Mikhaila or midwife, Prue, or present to your nearest emergency department or dial ‘000’
Hair loss
Some experience hair loss post birth or during the 4th trimester. This is typically temporary.
Emotions
Baby blues are common in the first few days post birth and are characterised by mood swings, tearfulness and anxiety.
If your emotions are severe, longer lasting or are impacting your functioning, please consult your midwife or doctor.
Relationships
The arrival of a newborn can impact relationships with partners, family and friends. It is also common to not be interested in sex for several week or months after giving birth.
What about your new baby?
Your baby will continue to grow rapidly in size and weight. Their brains are forming new connections and pathways and their senses including vision, hearing, taste, smell and touch, are developing.
The fourth trimester is a time of both challenge and joy. It's important for mothers to be patient with themselves and their bodies as they adjust to life with a newborn. Seeking support from family, friends, and healthcare professionals can be helpful. And remember the old saying that definitely holds true during this time; “It takes a village to raise a family’ ~ accept offers of support, help and assistance during this time.
Ready for Pregnancy Care?
If you’re ready to start your journey with a passionate female obstetrician, it’s time to make an appointment with Dr Mikhaila Lazanyi.