How to Ask for — and Get — the Help You Need in the 4th Trimester

A new mom needs lots of help in the early weeks after giving birth. This “4th trimester” for moms — the 12-week timeframe of postpartum recovery — is overwhelming and filled with conflicting emotions of joy and anxiety.

When does the 4th trimester start and what does it feel like?
Essentially, the 4th trimester starts as soon as you give birth. One of the reasons that the early postpartum weeks are deemed part of the pregnancy is because your baby is still wishing she was in your womb. This means your baby is likely to need you often and without distraction.

4th trimester symptoms:

Sleep deprivation
You’ll be tired all of the time. In fact, most of what you’ll want to do is sleep in all the available time slots when your baby doesn’t need you. After all, if you follow the common advice that I was given, “sleep when your baby is sleeping,” you’re likely to not have time for anything other than sleeping and caring for your baby.

Feeling overwhelmed
Dealing with older kids will try your patience and you won’t feel like that afternoon walk with the dog. You’ll have a chore list that grows by the minute. There is more laundry to do, more dishes to do (especially if you are using bottles), and a whole host of normal chores that you just won’t have the energy for.

Mood swings
It can be normal to feel the “baby blues” after you give birth. Your hormones are all over the place. But it isn’t just the blues moms get concerned with. Many moms in the 4th trimester experience extreme mood swings of joy and elation to depression.

Body changes
Having a baby can wreak havoc on your body. Your feet can actually grow a shoe size during pregnancy. On top of dealing with unsightly stretch marks, you’re dealing with potential tears and hemorrhoids. Intercourse may be painful due to the lack of estrogen production and pelvic floor dysfunction. Making your postpartum health checks is important to make sure you’re on the right track to recovery.

Many will offer to lend a hand, but choose your help wisely

When to seek professional help in the 4th trimester

If your baby blues are inhibiting your ability to properly care for yourself, your baby, or your family, you should talk to your doctor. Your doctor will help you get the help you need, whether it is meeting with a lactation expert or seeking treatment for postpartum depression.

If you suspect you are dealing with postpartum depression, there are many resources to get help. Those with postpartum depression express extreme feelings of sadness, anxiety, and exhaustion that prevent them from being able to manage daily tasks such as caring for themselves or their baby. If you need help before you can make it to your doctor, try an organization such as Postpartum Support International at 800-944-4773 to talk to a trained professional.