Episode 8: Preparing for Postpartum in the First Trimester

In this episode of the Rhode to Pregnancy podcast, Malia and Ashley talk about why it’s never too early to start thinking about the postpartum period, even in the first trimester. They break down what happens to your body physically and emotionally after birth, what “the fourth trimester” really means, and how pelvic floor muscle training during pregnancy can significantly reduce postpartum complications. They also highlight how to prepare a flexible postpartum plan, recognize early signs of postpartum depression and anxiety, and access local Rhode Island resources for both physical and emotional support.

Key Topics Covered

• What “postpartum” really means and why it’s called the “fourth trimester”
• Physical recovery after birth: uterine involution, lochia, perineal or C-section healing, pelvic floor changes, breast and core recovery
• Pelvic floor muscle training: what it looks like and why starting in pregnancy is most effective
• How to create a postpartum plan: meals, rest, division of care, and mental health support
• Recognizing signs of postpartum depression and anxiety
• Why recovery is not “one-size-fits-all” and how to set realistic expectations

Rhode Island Resources 

• Open Circle RI – Prenatal and postpartum classes with sliding scale payment options
• Urban Perinatal Education Center – Doulas and educators supporting postpartum recovery
• Rhode Island Community Health Centers– Women’s health services and referrals
• Postpartum Support International (RI Chapter) – Free virtual groups, peer mentors, resource directory
• RI Department of Health: Perinatal Mental Health – Signs, resources, and local help
• Women and Infants’ Postpartum Health Guide
• Care New England’s Spaulding Outpatient Center for Pelvic Health
• National Maternal Mental Health Hotline – Call or text +1-833-943-5746 (available 24/7)

Important Links & Sources

• Pelvic Support Problems  – ACOG
• Pelvic Floor Exercises – NHS
• Rhode Island Birth
• Pelvic Floor Exercises in Pregnancy – OSF Healthcare 
• 5 Things I Wish All Women Knew About Pelvic Organ Prolapse – ACOG
• Understanding Pelvic Organ Prolapse – ACOG

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