The Fourth Trimester NP Show

The Fourth Trimester NP Show

We provide health education that promotes healthy pregnancies and beyond... Disclaimer: The primary purpose of this podcast is for private, non-commercial use. It does not constitute medical or professional advice.


June 25, 2023 16 mins

Why do we avoid therapy?

  • Stigma against mental illness
  • Fear of being judged
  • Fear of being vulnerable
  • May feel like it is a luxury activity instead of

a health activity

  • Treatment cost
  • Insurance issues
  • May have to discuss painful past events


How to choose a therapist?

First, consider the type of therapy that they use…

For perinatal depression & anxiety, the two most effective therapies are:

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                                                          The Bonding Edition


    What is a mother? Some definitions include:

    • The female parent
    • To mother is to bring up a child with care and affection
    • “a mother understands what a child does not say”
    • “Motherhood has the greatest potenti...
    May 17, 2023 29 mins

    What is a mother? Some definitions include:

    • The female parent
    • To mother is to bring up a child with care and affection
    • “a mother understands what a child does not say”
    • “Motherhood has the greatest potential influence in human life”
    • “a beetle is a beauty in the eyes of his mother” 

    What is bonding?

    • Must be attached first to bring up a child with care and affection.
    • Bonding is the formation of a close hu...
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    April 29, 2023 23 mins

    This is the conclusion of the conversation with Ivette. Please enjoy, we start abruptly and dive into acne.

    If you get acne during pregnancy, take these steps to treat your skin -


    • Wash your face twice a day with a mild cleanser and lukewarm water.
    • If you have oily hair, shampoo/cowash every day and try to keep your hair off your face.
    • Avoid picking or squeezing acne sores to lessen possible scarring.
    • Choose oil...
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    April 22, 2023 19 mins

    Self-Love while pregnant can be anything that restores you. I think that the basics are essential to consider, nutrition, exercise, keeping your prenatal appointments, paying attention to dental hygiene, following your healthcare provider’s advice and attending childbirth education classes. Other important things are the ones that you choose. If you are not sure what restores you consider journaling and observing what brin...

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    April 14, 2023 39 mins

    Skin Changes in Pregnancy

    Skin Changes in Pregnancy occur because of -

    • Hormonal changes (estrogen, progesterone, relaxin, human placental lactogen, Hcg, prostaglandins)
    • Vascular changes – blood vessels
    • Metabolic changes – chemical changes that make energy
    • Immunologic changes – ability to resist or avoid disease



    • Excess coloration or darkening of skin
    • Melasma – mask of pregnancy, “f...
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    How to choose a supplement with pharmacist Dr. Azelia Brown

    First Nutrition is the key
    - Eating a variety of foods is the best way to obtain your vitamin and mineral needs
    - Supplements are just an aid

    How are supplements regulated?
    - Food & Drug Administration (FDA) does not do premarketing analysis but they perform post marketing surveillance
    - However they must adhere to current good manufacturing practi...

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    How to choose a prenatal vitamin (PNV) with pharmacist Dr. Azelia Brown

    Fast Facts




    Why do we need a prenatal vitamin?



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                                                             Preconception Care

    Preconception Care helps to decrease poor outcomes for mom and baby. It has been found that health decisions that are made prior to conception can decrease the likelihood of gestational diabetes, pre-eclam...

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    I had my first guest for my podcast today. Crystal Ann Roberts is a high risk antenatal nurse and a business owner of a health education company specializing in childbirth education. We discussed all that you need to know before you become pregnant. This was so great, as we were candid and revealed quite a bit about our personal experiences. This is Part 1 of 2. The second part will be published on 3/17/2023. All resources...

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    February 24, 2023 11 mins

                                                 Postpartum Psychosis

    Postpartum Psychosis is rare, however the impact on the family unit can be catastrophic. As promised, I have included the link for support groups for moms with a history of postpartum mood disorders. There are 30 different groups run by Postpar...

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    February 21, 2023 9 mins

    Eat Well

    To facilitate postpartum recovery:

    Continue prenatal vitamin

    Prioritize Protein (meat, fish, beans, peas, nuts) 

    Eat a variety of Fruits 

    Eat a variety of Vegetables

    Consume Fats like avocados, nuts, olive oil and seeds 

    Drink enough Water

    Ask your healthcare provider if you should supplement:

    • Vit D3 • Iron • Vit B12 • Folic acid • DHA

    Try to obtain these in a natural form in your diet.

    Recovery S...

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    February 15, 2023 9 mins

    Here is the link for online support groups that are facilitated by PSI: 

    PSI Online Support Meetings | Postpartum Support International (PSI)

    Postpartum Support International (PSI) What to expect: First choose a group, there are about 20 different ones. Groups are 90 minutes (1.5 hours) in length. The first ~30 minutes is providing information, education, and establishing group guidelines. The next ~60 minutes is “tal...

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    February 9, 2023 15 mins

    This is our initial foray into Postpartum Depression. As promised there is a link here for the screening test for Postpartum Depression. If your score is greater than 10 please let your healthcare provider know. If you answer "Yes" to Question 10, please discuss with your healthcare provider asap. In the next episode we will discuss creating a community.

    Edinburgh Postnatal Depression Scale  (EPDS)...

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    February 3, 2023 4 mins

    We would like to help improve maternal health in the USA. The US has the highest rate of maternal death in developed countries. We would like to tackle that with evidenced based health education. This episode explains the why?

    We included our ribbon cutting ceremony (tongue in cheek) after minute 4 for your amusement. 

    If you would like to see the video use the link below:



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