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Center for Maternal and Infant Health Spring 2017 newsletter

Kristin Tully — Fri, 30 Jun 2017 14:06:30 +0000

Please see the UNC Center for Maternal and Infant Health Spring 2017 newsletter

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Connection

Kristin Tully — Fri, 30 Jun 2017 14:01:16 +0000

Those interested in following efforts to better enable optimal postpartum health outcomes may follow the team on Facebook and Twitter @4thTriProject.

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ZERO TO THREE Journal

Kristin Tully — Fri, 30 Jun 2017 13:50:43 +0000

Drs. Sarah Verbiest, Kristin Tully, and Alison Stuebe published “Promoting maternal health in the 4th trimester” in the ZERO TO THREE Journal.

“Health care providers may not recognize or encourage close contact with infants, nor view infant behavior as shaping the health and well-being of parents. The concept of the 4th trimester moves the conversation forward from treating mothers and infants as separate individuals to considering them as mutually regulating dyads.”

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American Journal of Obstetrics and Gynecology

Kristin Tully — Fri, 30 Jun 2017 13:48:00 +0000

Drs. Kristin Tully, Alison Stuebe, and Sarah Verbiest published “The fourth trimester: a critical transition period with unmet maternal health needs” in the American Journal of Obstetrics and Gynecology.

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Kristin Tully — Sat, 19 Nov 2016 15:00:05 +0000

Please see our Fall 2016 newsletter!

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4th Trimester Project 2016 Engagement Meeting on YouTube

Kristin Tully — Fri, 04 Nov 2016 11:54:31 +0000

Patient partners and stakeholders gathered for 4th Trimester Project Unmet Health Needs Engagement Meeting, held in Chapel Hill, NC on March 23, 2016. Watch presentations from stakeholders on our YouTube channel.

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What is the 4th Trimester Project?

Kristin Tully — Thu, 31 Dec 2015 12:03:34 +0000

In the 12 weeks following delivery, a woman must recover from childbirth, adapt to changing hormones, and learn to feed and care for her newborn. During this “4th Trimester,” many women experience considerable challenges, including fatigue, pain, breastfeeding difficulties, depression, lack of sexual desire and incontinence.

Amid these concerns, postpartum care is often fragmented among maternal and pediatric providers, and 20 to 40% of women do not attend a postpartum visit. Rising maternal mortality and morbidity in the US have made this work an even greater priority. Our goal is to bring together mothers, health care providers, and other stakeholders to define what families need most during the 4th Trimester.

Based on the unmet health priorities that stakeholders identify, we will design research studies to deliver optimal care during this critical period, improving outcomes for mothers, infants and families.

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Work Plan

Kristin Tully — Fri, 18 Dec 2015 18:58:21 +0000

New mother-infant dyads are at risk for a host of clinical concerns, including unmet breastfeeding goals, perinatal mood disorders, unsafe infant sleep practices, incontinence, tobacco recidivism, chronic disease and lack of access to acceptable contraception. These problems are extraordinarily common – affecting between one quarter and more than half of the 4 million women who give birth each year – but treatment is uneven, and health care is often fragmented. To our knowledge, no project has identified patient-centered outcomes in this period or prioritized questions for comparative effectiveness studies. Our project aims to address this gap.

The 4th Trimester Project will engage stakeholders around these issues for two in-person meetings, interim webinars and online discussions. The first conference will be held in March in Chapel Hill, NC, immediately following the Breastfeeding and Feminism 2016 Conference.

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Platforms

Kristin Tully — Fri, 18 Dec 2015 18:58:09 +0000

Like us on Facebook

Join our mailing list 4thTrimester@unc.edu

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The 4th Trimester

Kristin Tully — Fri, 18 Dec 2015 18:57:56 +0000

The term “4th Trimester” reflects the concept that during the first months of life, newborns continue to function like a fetus in many ways; they require months of intense, ‘womb-like’ nurturing. A 4th Trimester perspective views the mother and infant as a mutually dependent unit, behaviorally and physiologically intertwined via breastfeeding and other interactions such as skin-to-skin contact. These infant demands require a substantial transformation for mothers, who are recovering from the physical sequelae of childbirth and coping with altered sleep patterns.

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