What is the “Fourth Trimester” and Why You Should Think About It
A guest blog series for Lokahi Acupuncture by Dr. Janet Yu.
The Fourth Trimester
For many parents, the so-called “fourth trimester” – that early postpartum period, usually considered the first 3 or 4 or months after giving birth – can be filled with joy and wonder as they marvel at their child. What’s talked about less often is how many parents feel burdened by anxiety, uncertainty, and even shame when it comes to talking about – and getting help for – their postpartum bodily challenges.
My name is Dr. Janet Yiu, and I’m a pelvic health physical therapist in northeast San Jose at Optimize Pelvic Health. As a pelvic floor physical therapist, I help patients with fertility, pregnancy, and postpartum concerns resolve their symptoms to lead an active lifestyle. In my clinic every day, I see pregnant and postpartum patients who are experiencing pelvic floor dysfunction like diastasis recti, pelvic pain, stress incontinence, prolapse, and more.
Postpartum care: common problems that are almost never discussed
After giving birth, patients immediately face an onslaught of information from their providers, including how to care for their baby, how to breastfeed, how to diaper, and so much more. It’s rare that providers walk their new parents through the most common postpartum problems, instead leaving them to “figure it out” on their own and assume that their experience, while common, is “normal.” “Common” and “normal” are not synonymous.
Through this series, I’ll explore the most common postpartum problems I see my pelvic patients experiencing in my clinic: bladder and bowel issues and scar management.
When to see a pelvic floor physical therapist?
So often parents with newborns feel like their own health challenges become secondary, and they assume that their experiences postpartum, like urinary leakage, constipation, or painful perineal or Cesarean scars, are “normal” because they know so many postpartum parents who have the same.
I started Optimize Pelvic Health in part because I want the world to know that just because something is “common” does not mean that it is “normal.” Many pelvic floor dysfunctions are rectifiable by pelvic floor physical therapy; you don’t have to live in pain or discomfort.
Consider seeing a pelvic floor physical therapist if you’ve experienced any urinary or fecal leakage, organ prolapse, or pelvic/back/hip pain that has lasted longer than six weeks. If you’re having difficulties or pain managing your cesarean or perineal scar, you may also be a good candidate for pelvic floor physical therapy.
Pelvic floor dysfunction can feel like an “invisible” injury and oftentimes is uncomfortable and stigmatized to talk about, making it hard for patients to get the care they need. I would love to partner with you and help restore your health so that you can fully and comfortably enjoy life with your family.
Written by Dr. Janet Yiu, PT, DPT, OCS, FAFS
Lokahi Acupuncture
408.279.9001
Follow us on Instagram
Make an Appointment





