The fourth trimester: What you should know

We hear a lot about the three trimesters of pregnancy. But many women (and even some medical professionals) know little about a newly described and critical time period in women’s lives that desperately needs our attention: the fourth trimester. As a practicing obstetrician-gynecologist, I know that the medical care of women before, during, and immediately after pregnancy has long focused on the goal of achieving a healthy pregnancy and a healthy baby. But too often, the fourth trimester — that time between birth and 12 weeks postpartum — is swept aside. For example, we encourage all women to start taking prenatal vitamins before conceiving and meet with their primary care providers to optimize their health before conception. During pregnancy, women’s schedules are filled with appointments for prenatal

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