The Fourth Trimester: What No One Tells You About Postpartum Recovery
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Having a baby changes your body dramatically, so why does postpartum care so often amount to a single visit around six weeks later?
Dr. Nick is joined by Scarlett Grandy, Rejuvenated Medical Spa’s newest nurse practitioner and certified nurse midwife, who brings more than 20 years of experience caring for women. Together, they discuss why postpartum recovery should be viewed as an entire season of care rather than something that ends at the six-week checkup.
Scarlett breaks down what she calls the fourth trimester and the five major areas she believes deserve attention during the postpartum year: hormone recovery, metabolic health, pelvic floor and core recovery, mental wellness, and sexual health. They also discuss how sleep deprivation, breastfeeding, changing relationship dynamics, and shifting identity can affect both women and their partners.
The conversation also gets into the topics women often feel uncomfortable discussing after childbirth, including painful intercourse, vaginal dryness, urinary leakage, pelvic floor changes, and changes in sexual function. Dr. Nick and Scarlett discuss approaches used at Rejuvenated, including pelvic floor physical therapy, topical hormones when appropriate, platelet-rich plasma treatments, and ThermiVa radiofrequency therapy.
They also explain why nutrition and recovery matter so much during breastfeeding, why protein and other nutrients play an important role in healing, and how pregnancy can affect thyroid function, insulin resistance, blood pressure, and metabolism.
Plus, they discuss diastasis recti, rebuilding core strength, electrical muscle stimulation, pelvic floor rehabilitation, and why the goal shouldn’t simply be to “get your pre-baby body back.” The bigger goal is helping women become strong, healthy, comfortable, and confident in the body they have after childbirth.
Postpartum recovery doesn’t stop at six weeks, and it’s never too late to start addressing the changes pregnancy and childbirth left behind.
Websites:
RejuvenatedMedSpa.com
Maverick-MensHealth.com