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35: Navigating the Fourth Trimester: Insights from Dr. Diane Speier

Dr. Diane Speier Episode 35

The “fourth trimester” – the three months following childbirth – is a critical period of physical and emotional adjustment for new parents. But what happens when this time is marked by loss instead of joy? I recently had the pleasure of speaking with Dr. Diane Speier, author of “Life After Birth: A Parent’s Guide for Thriving in the Fourth Trimester,” about the challenges faced during this time, particularly for those experiencing perinatal loss.

Key Takeaways:

  1. Physiological changes: The body undergoes significant hormonal shifts after birth, regardless of the pregnancy outcome. This can lead to emotional fluctuations and physical symptoms like milk production.
  2. Grief and recovery: Parents who have experienced a loss face a unique set of challenges, balancing physical recovery with profound grief. The psychological healing process often takes much longer than the physical.
  3. Partner support: It’s crucial for partners to work together as a team during this difficult time. Blame and “what ifs” can strain relationships.
  4. Acknowledging loss: Society often downplays the impact of miscarriage and stillbirth. Dr. Spire emphasizes the importance of recognizing these losses and allowing space for grief.
  5. Ceremonies and rituals: Creating meaningful ceremonies can help parents process their loss and connect with their support network. These rituals can incorporate elements that honor the baby and allow for emotional expression.
  6. Holistic approach: Dr. Speier advocates for addressing the physical, mental, emotional, and spiritual aspects of recovery during the fourth trimester.
  7. Subsequent pregnancies: Parents who have experienced loss may face heightened anxiety in future pregnancies. Extra support and monitoring are often necessary.

Dr. Speier’s work aims to fill the gap in literature and support for the postpartum period, whether parents are bringing home a baby or grieving a loss. Her book and companion app, Digital Doula 2.0, offer resources for navigating this challenging time.

For those seeking support or more information, Dr. Speier can be reached at https://dianespeier.com/life-after-birth/ or found on social media as @DrDianeSpeier

Remember, the fourth trimester is a time of immense change and vulnerability. Whether you’re celebrating a new arrival or mourning a loss, it’s crucial to seek support and allow yourself time to heal and adjust.


Jennifer Senn is a certified life coach who is also a bereaved mom of twin girls born at 32 weeks. She helps stillbirth moms let go of guilt, process their grief, and figure out what’s next for their future. You can learn more about her and schedule a free support session at  jennifersenn.com.

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