How to Deal During the Fourth Trimester - Model Holding White Flowers

6 Postpartum “Unmentionables” & How to Deal During the Fourth Trimester

in collaboration with Nyssa 



“The complex truths of motherhood will continue to make everyone uncomfortable and ashamed until they are articulated readily and repeatedly.

— Dr. Molly Millwood, PhD

If you’re pregnant, you’ve probably heard of the book What to Expect When You’re Expecting. But what about what to expect after giving birth?  We, the founders of Nyssa, found ourselves studying all about pregnancy and birth....only to wind up with babes in arms and zero idea what was happening to our Fourth Trimester bodies and emotions. 

We started Nyssa to help prevent the next wave of mothers and birthing people from having to navigate the confusion and disappointment we experienced. We do that by talking about what we (or rather society) call the ‘unmentionables’ of postpartum – the things you may expect to encounter in the days, weeks, months and even years after childbirth. Thankfully, the Fourth Trimester is now being recognized by many midwives, doulas and OB-GYNs as lasting a full year following birth, and we have a better knowledge, understanding, and care because of it! 

Of course, just as everyone’s pregnancy and birth experience differs, your postpartum recovery is completely unique to you. And while we have brought together information and guidance provided to us vetted by professionals in our network, we are not healthcare professionals. If you have any cause for concern during your postpartum recovery, please reach out to your doctor, pelvic floor therapist, lactation consultant, therapist etc. as needed. 

Think of this guide as a window into what we wish we had known about postpartum recovery before we embarked on our own journeys. We send you strength and solidarity as you #GoFourth into this wild, challenging, and fantastic time of transformation. 



Unmentionable #1: Vaginal Tearing

Over 90% of people who give birth vaginally for the first time will experience tearing (Royal College of Obstetrics and Gynaecology, 2014). We know that can be heard to hear if you are currently pregnant or planning to get pregnant. The majority of tearing is 1st or 2nd degree; 3rd and 4th degree tears are more severe. 

Nyssa supporter and NYC-based photographer Frances F. Denny wrote one an extremely honest and well-researched account of perineal tearing for Harper’s Bazaar and you can read more about vaginal tearing on the website for the Royal College of Obstetrics and Gynaecology.



What can I do about vaginal tearing?

If you have a birth doula or midwife, speak to them about ways to possibly minimize your risk of tearing. Stay informed about the delivery interventions (such as forceps) that are proven to increase your risk of a more severe tear. 

Be sure to have a pair of FourthWear Postpartum Recovery Underwear on hand, along with a stash of Between Legs and Uterine Reusable Ice/Heat Packs. Ice therapy is proven to help ease the pain, discomfort, and recovery time of postpartum vaginal swelling, says Nyssa’s cryotherapist, Dr. Susan Kwiecien.

We’d also recommend having our VieVision Between Legs Mirror on hand to stay on top of your swelling and stitch sitch, so you can be ready to inform your medical provider about any concerns. A soothing natural balm such as Momotaro Apotheca’s signature Salve can be applied a couple of weeks after birth to help soothe and heal tender skin. 



Salve Jar on White Background

Soothe Swelling & Stitch Sitch 

Tea tree oil offers an immediate cooling effect to soothe tender skin and help speed up the healing process.






Nyssa's VieVision Lighted Hands Free Mirror in Hands

What's the Stitch Sitch? 

The first ever lighted, hands-free mirror for viewing between your legs for wellbeing checks, self-grooming, and keeping an eye on your stitch fix.





Unmentionables #2: Lochia

File under: things we’d wish we’d known before giving birth. Everyone bleeds pretty heavily, even if you’ve had a c-section. Lochia is a discharge of blood, mucus and uterine tissue. This shedding is not totally unlike having your period, because it's made up of the same kind of blood and tissue. But lochia happens on a much larger scale because of how big the uterus grows during pregnancy

Usually, lochia lasts for about six to eight weeks, so as long as you're within that window and your lochia is gradually decreasing in volume, it's probably normal. If it's getting stronger, or lasts much longer, you should call your doctor immediately. Get a detailed overview on bleeding after birth and what to expect with lochia



What can I do about lochia? 

Load-up on postpartum pads. We created our Organic Cotton Extra-Long Postpartum Pads especially to support postpartum bleeding. The perfect partner to our FourthWear Postpartum Recovery Underwear, they are designed to help with bleeding and leakage post-birth and feature an organic cotton top sheet to help keep you dry and comfortable as you heal. And if you need a quick refresh or extra-soothing spritz between pads, we recommend an organic Hydrosol Spray



Hydrosol Bottle on White Background

Soothing Spritzer

Rebalance pH whenever, wherever you need a quick refresh. Refrigeration recommended for extra cooling hands free relief but not required.





Unmentionable #3: Pressure to ‘Bounce Back’ 

Repeat after us: the idea of ‘bouncing back’ to your pre-birth figure is a load of nonsense. But self-love and body acceptance is complicated. The pregnancy and postpartum experience transforms our bodies in incredible, yet sometimes uncomfortable, ways. Despite the immense pressure birthing people often feel to "bounce back" after pregnancy, there is little support and even less research exploring the scientific impact of pregnancy on body image.

What can I do about my body image post birth? 

By buying into the myth that the whole purpose of postpartum is to ‘get your body back,’ we miss the boat in our opportunity to truly honor and nurture ourselves in this amazing journey. We recommend following people who are keeping it real (we love @thebirdspapaya), and muting anyone on social media that isn’t sending a positive message about postpartum recovery. 

Also, your postpartum body is not open to comments. If anyone does remark on your figure, you might want to say, “Perhaps you could ask how I’ve been feeling instead?” And remember: there is no bouncing back, only bounding forward.

READ MORE How to Love Your Naked Body in 6 Steps




Unmentionable #4: Breastfeeding can be HARD

We hear a lot about how wonderful breastfeeding is — the bonding, the feeling of confidence as you see your baby grow, the incredible simplicity of a baby falling asleep and resting against your breast. What we hear less about? Just how challenging breastfeeding or chestfeeding can be. Only you can make the decision.

What can I do? 

Use data to inform your decisions. We highly recommended reading economist Emily Oster’s Cribsheet before to giving birth. She tackles the polarizing topic of breastfeeding with candor, pragmatism, and empathy, so you can make an empowered decision for yourself. 

If you feel strongly about trying to breastfeed and are having trouble, see a lactation consultant if you can. Most importantly, remember: the best decision you can make is the one that is right for your family, and that is totally unique to you. 



Unmentionable #5: Matrescene 

Motherhood is often represented by the birth of a child. But when a child is born, so too is a mother. If you’ve never heard of the term, “matrescence” is defined as the process of becoming a mother. Coined by the anthropologist Dana Raphael, it’s used to describe the physical, psychological, and emotional changes people go through during the monumental transformation that is motherhood. 

Yet, despite the enormity of this change—and beyond some attention in anthropology as well as the fields of psychiatry and psychology—the process of becoming a mother has been largely unexplored in the medical community as the focus remains mostly on the baby. 

It can be helpful to think of matrescene in relation to adolescence. The transition from adolescence into puberty is recognized as this bumpy, tumultuous time where your body changes and your attitude and hormones are raging. And thank god we get through it. 

Matrescene is the same thing about becoming a mother. And while we acknowledge our first hormonal transitions into adulthood as a crazy time in life, when matrescene happens, we think of it as this beautiful, blissful, natural ‘thing’ that should happen to every woman: that it’s maternal destiny. NOPE. It’s like a nuclear bomb. A big deal. Huge. The truth of the matter is that when a person becomes a mother, everything changes. And new mothers need support—arguably more so now than ever.



What can I do about matrescene? 

Simply being aware of these changes, the emotions you might feel, and the clashes you might experience between expectations and reality can help you better adjust to motherhood. After all, while you will experience incredibly beautiful moments with your baby, motherhood includes the unfiltered stuff — and it’s not always accurately on display.

To get a general idea of what you might encounter, reproductive psychiatrist Alexandra Sacks, M.D.discusses some of the changes that often take place in the transition to motherhood in a well-known 2017 New York Times essay

These shifts include identity changes, changes in family dynamics (think: with a partner), feeling like ambivalence, guilt, and shame, and even struggling with what you imagined motherhood to look like versus what your reality of your motherhood is.



Unmentionable #6: The Postpartum Party 

Many of us spend so much time, money, and energy preparing our baby’s nursery, folding dozens upon dozens of onesies and daydreaming about the first cute outfit they’ll wear. We get it — it’s fun. We did it, too. But what if we reassigned some of our pre-baby energy into putting together an effective postpartum recovery plan rather than spending all our efforts decorating a nursery our newborn won’t even notice and buying things they don’t really need? 

What if friends and family combined baby showers with postpartum showers, distributing items for both baby and the new parent(s)? After all, there are only so many sweet swaddles your little one needs. What if we knew what really happens to our bodies after birth and packed our hospital bags with postpartum healing in mind?


What Can I Do?

If you’re planning to have a baby shower, let friends and family know that it would be an excellent idea to combine it with a postpartum party, too! Or have a stand-alone postpartum shindig, where loved ones can focus on showering you with love, advice, and things to help you feel comfortable and cared for as you focus on caring for your babe. May we suggest popping our Postpartum Recovery Kit on your registry? We also love an organic, sustainably sourced Body Oil perfect for taking care of mama, too. 



Body Oil Bottle on White Background

When the cravings hit 

Apply whenever, wherever you’re craving head-to-toe hydration.  A decadent blend of Jojoba and Sweet Almond Oils support sensitive or stretched skin with naturally occurring vitamins and fatty acids. Free of parabens, phthalates, dyes, and artificial fragrance.






Probiotic Jar on White Background

Safe to Take Pre, During & Post Pregnancy

During cycles of immense change, find your constant. One pill, once-a-day delivers 10 beneficial strains of bacteria clinically proven to optimize vaginal, gut, and emotional health. 





Related Reading 

YSK: What to Expect During Pregnancy & Postpartum

Protect Your Birth: A Guide For Black Birthers Navigating the Healthcare System 

Strategies to Cope With Past Trauma and Reclaim Your Body During Pregnancy, Birth, and Postpartum 

Meet Yael Borensztein: Doula & Lactation Specialist

Rewriting the Motherhood Manifesto



Momotaro Apotheca and its materials are not intended to treat, diagnose, cure or prevent any disease. 
All material on Momotaro Apotheca is provided for educational purposes only. Always seek the advice of your physician or other qualified healthcare provider for any questions you have regarding a medical condition. 


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