Childbirth Archives - UNC Collaborative for Maternal & Infant Health https://www.mombaby.org/tag/childbirth/ Improving the health of North Carolina's women and infants Mon, 28 Aug 2017 13:37:06 +0000 en-US hourly 1 https://wordpress.org/?v=6.4.3 https://www.mombaby.org/wp-content/uploads/2016/02/cropped-logo-circle-only-150x150.png Childbirth Archives - UNC Collaborative for Maternal & Infant Health https://www.mombaby.org/tag/childbirth/ 32 32 What is the 4th Trimester Project? https://www.mombaby.org/2015/4th-trimester/ Thu, 31 Dec 2015 12:03:34 +0000 https://4thtrimester.web.unc.edu/?p=114 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... Read More →

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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.

NM speak out graphic

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The 4th Trimester https://www.mombaby.org/2015/the-4th-trimester/ Fri, 18 Dec 2015 18:57:56 +0000 https://4thtrimester.web.unc.edu/?p=138 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... Read More →

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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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Physical Recovery from Childbirth https://www.mombaby.org/2015/physical-recovery-from-childbirth/ Fri, 18 Dec 2015 18:56:15 +0000 https://4thtrimester.web.unc.edu/?p=108 Physical Recovery from Childbirth Key questions Patients: What aspects of recovery were most challenging for you? What do you wish you’d been told before birth? What questions did you have that your health providers unable to answer? What did your maternity provider say about weight gain during pregnancy & weight loss postpartum? What advice was... Read More →

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Physical Recovery from Childbirth

Key questions

Patients: What aspects of recovery were most challenging for you? What do you wish you’d been told before birth? What questions did you have that your health providers unable to answer? What did your maternity provider say about weight gain during pregnancy & weight loss postpartum? What advice was helpful? What was not? What were your expectations for postpartum weight loss? What would be helpful to achieving those expectations? What do you consider “successful” postpartum weight loss?

Providers: What do you know about prevalence and management about common postpartum complications? What would you like to know and understand? What recommendations do you consider to be evidence-based? What concerns are unaddressed or poorly studied, and what research is needed to determine appropriate treatment? How do you discuss weight with your maternity patients? What educational materials do you offer? Have you been trained in motivational interviewing? Have staff members? Are there resources in your community to which you refer mothers?

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