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Artwork for Fourth Trimester: The First Months and Beyond

Fourth Trimester: The First Months and Beyond | Parenting | Newborn Baby | Postpartum | Doula

Sarah Roselinda Trott
Postpartum Care
Parenting
Breastfeeding
Mental Health
Postpartum Depression
Postpartum Support
Maternal Mental Health
Fourth Trimester
Nutrition
Maternal Health
Diastasis Recti
Preeclampsia
Fatherhood
Morning Sickness
Sleep Training
Maternal Mortality
Postpartum Health
Doulas
Hyperemesis
Baby Sleep

My name is Sarah Trott. I started this show when I became a new mama to a vivacious baby girl and this podcast is all about postpartum care for the few months following birth, the time period also known as the Fourth Trimester. My postpartum doula, Esther Gallagher, is my co-host. She’s a mother, grandmother, perinatal educator, birth and postpartum care provider. I've benefitted hugely from her s... more

PublishesTwice monthlyEpisodes169Founded10 years ago
Number of ListenersCategories
Kids & FamilySelf-ImprovementEducationParenting

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Artwork for Fourth Trimester: The First Months and Beyond

Latest Episodes

If you've ever felt like you're carrying the weight of keeping your family organized, fed, scheduled, and functioning, you're not alone. In this episode, learn how to identify the hidden mental load of parenting, understand why it often falls unevenl... more

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Many parents enter pregnancy and postpartum believing they can prepare enough, plan enough, or perfect their way through uncertainty. But becoming a parent often challenges the very patterns we once relied on to feel safe. In this episode, learn how ... more

YouTube

Community doula support can change how you experience pregnancy, birth, and the fourth trimester. In this episode, you’ll learn how having the right support in place can help you feel safer, more confident, and better equipped to navigate real-life c... more

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Postpartum recovery after 38 is not just about healing from birth. It is about protecting your metabolism, stabilizing insulin, and understanding the hormonal shifts that can quietly influence your long-term health. In this episode, you’ll learn what... more

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Recent Guests

Britta Bushnell
Author and psychologist with a focus on mythology and childbirth
Transformed by Birth (book) / Transformed by Birth podcast
Episode: Replace Parenting Perfectionism and Other Myths With Self-Trust
Marlee-I Mystic
San Francisco-born birthworker and co-founder of SisterWeb
SisterWeb
Episode: Community Doula Support Provides Families With Education, Empowerment, and Love with SisterWeb
Alli Cuentos
Co-executive director of SisterWeb
SisterWeb
Episode: Community Doula Support Provides Families With Education, Empowerment, and Love with SisterWeb
Megan Pfiffner
Perimenopause Nutrition Expert and Creator of the Perimenopause Matrix
Megan Pfiffner Nutrition
Episode: Postpartum Recovery After 38 - Supporting Insulin, Hormones and Long-Term Health
Kathleen Lockyer
Occupational therapist with nearly three decades of experience; author of Wild Inside and creator of Nature-Led framework
Kathleen Lockyer.com
Episode: Baby Nervous System Development for Calmer Babies and Better Sleep
Erin Acharya
Birth education and hypnotherapy practitioner referenced as a guest
Birth Evolved / Calm and Confident Birth
Episode: Reduce Birth Anxiety and Feel Calmer About Birth
Claudia Penate
San Francisco-based birth and postpartum doula, childbirth and lactation educator
Self-employed doula; Evergreen Perinatal certification
Episode: Prepare for Life After Baby with the Right Postpartum Support
Christine Eck
Special guest; Ayurveda and Sacred Window expert
Sacred Window School
Episode: Postpartum Recovery Support Through the Sacred Window
Nancy Myrick
Certified nurse midwife and co-founder, San Francisco Birth Center Foundation
San Francisco Birth Center Foundation
Episode: Birth Center vs Hospital Birth - Which Is Right for You

Hosts

Sarah Trott
Host of the Fourth Trimester podcast
Esther Gallagher
Co-host, postpartum doula and educator

Reviews

4.4 out of 5 stars from 206 ratings
  • Wide variety of topics

    This podcast covers so may different topics of postpartum. You can tell Sarah has a passion for encouraging new mothers in their journey.

    Apple Podcasts
    5
    brizka_87
    United States5 months ago
  • Thankful for this resource

    Finally a podcast that is compassionate and non judgmental about the parenting experience! I deeply appreciate the efforts taken to provide perspectives and education to this important phase of life. Sarah and her team bring a thoughtfulness that often does not exist in these forums and I am so grateful!

    Apple Podcasts
    5
    Allformamas
    United States5 months ago
  • Binging them all!

    I just found this podcast and am working my way through them all. Such a great resource for new parents - sharing with all my new mom friends!

    Apple Podcasts
    5
    MeganPBrooklyn
    United States5 months ago
  • A warm cup of tea

    I love Sarah’s conversation style where she brings to light so many important topics in a way that actually helps reduce parent overwhelm! What a fabulous resource for new parents and beyond.

    Apple Podcasts
    5
    RxOutside
    United States5 months ago
  • Great Experience!

    I had the opportunity to be a guest on this show, and I was so impressed by Sarah & Esther’s knowledge and passion. It was a great experience! If you’re looking to prepare for parenting, or want support going through it, this is the show for you!

    Apple Podcasts
    5
    Mitchfosmond
    Canada6 months ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Engaging, compassionate coverage of postpartum topics.
Sound quality can vary; guests frequently feel well-supported and informed.
Shows breadth of topics useful for new parents and caregivers.
High-quality conversations and guest expertise are a strong draw.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

Postpartum Recovery After 38 - Supporting Insulin, Hormones and Long-Term Health
Q: What is biologically different about postpartum recovery after 38 compared to being younger?
Older age brings greater insulin resistance tied to hormonal shifts during perimenopause, making metabolic regulation more challenging, so recovery focuses on stabilizing insulin, supporting sleep, and managing cortisol through lifestyle changes.
Community Doula Support Provides Families With Education, Empowerment, and Love with SisterWeb
Q: What exactly is a Doula and how does SisterWeb define the role in contrast to traditional birth support?
A Doula is a non-medical birth support person who provides education, information, physical and emotional support, resources, and advocacy throughout pregnancy, birth, and the postpartum period, acting as a bridge to ensure the birthing person's voice is heard within healthcare systems.
Postpartum Recovery Support Through the Sacred Window
Q: What is Ayurveda, and why is the sacred window important in postpartum care?
Ayurveda is a 5,000+ year-old medical tradition from India that views postpartum as a pivotal window for reset and balance across physical, mental, emotional, and spiritual layers, providing practical guidance rather than a fixed set of foods. The sacred window is a time to support the body's transition and restoration with personalized, measurable strategies.
Transition to Grandparenthood with Confidence
Q: Dr. Shoshana, do you have any final thoughts you wanted to leave us with?
Yes—if you have feelings that catch you off guard or memories from past experiences resurface, seeking support for yourself is essential to be present for your child and future grandchildren; therapy and mindfulness practices can help you show up in a healthier, more connected way.
When Perimenopause And Postpartum Overlap with Dr. Shosh Bennett
Q: What can be done to address symptoms of overlap between postpartum recovery and perimenopause?
Dr. Bennett discusses the importance of a wellness plan that includes dietary changes, sleep strategies, emotional support, and seeking professional help if symptoms persist.

Audience Metrics

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

A practical, empathetic show focused on the fourth trimester and beyond, exploring postpartum care from physical recovery and nutrition to emotional well-being and family dynamics. Episodes frequently feature birth workers, healthcare professionals, and researchers who illuminate birth equity, perinatal mental health, sleep, infant development, and practical support for parents. Noteworthy is the emphasis on community-based care, evidence-informed guidance, and accessible resources that help families navigate early parenthood with dignity and confidence. The show often centers storytelling and expert interviews to demystify postpartum experiences and connects listeners with concrete strategies and services, from doulas to birth centers and ... more

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this podcast launched 10 years ago and published 169 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on this podcast?

Recent guests on this podcast include:

1. Britta Bushnell
2. Marlee-I Mystic
3. Alli Cuentos
4. Megan Pfiffner
5. Kathleen Lockyer
6. Erin Acharya
7. Claudia Penate
8. Christine Eck

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