The 4th Trimester: Why We Need To Recognize the Need To Help

The 4th trimester is a bear. How is it that we forget this? We plan so much for the birth of a baby. There are birth plans. There are showers. There are registries. All of these things represent the joy and hope that accompanies new life. Given the amount of planning that accompanies the impending birth of a baby, it is interesting to note that in the United States, most formal methods of support fall off almost immediately after the birth.

They do exist – but they are largely ad hoc and tend to over-rely on the mom to self-advocate for help of all kinds.

What if she’s too tired?

Birth is exhausting. Learning to feed a new baby (breast or bottle) sets a new parent off on a steep learning curve. There are all the other things – the diapers, the laundry. The psychic toll compounded with the physical toll only amplifies what we all know to be true – that is to say that making decisions when fraught and exhausted makes people cry and doubt themselves.

In the United States, extended networks to support women postpartum seem to have fallen by the wayside sometime after the Western frontier was settled. This, in stark contrast to traditions in most other regions of the world (Asia, Africa, parts of the Americas) which tend to provide ample and organized support for mothers following the “trauma” of birth. We are talking food, rest, massage (yup, massage) and the rest. Women are tended for up to three months following birth. Various traditions such as “Lying in” and “sitting the month” involve feeding a new mom healthy food and guarding her sleep to promote her recovery.

Give InKind Founder, Laura Malcolm recalls her life after the birth of her third child:

“Nobody talks about the gaping wound that is inside our bodies after childbirth. It’s not just recovering from swollen parts, uterus shrinking in size, but there’s literally a scab the size of the placenta in there, and it can be disrupted – as happened to me when I had to make a sudden dash after a running toddler just a few days postpartum. Then the healing starts again.”

The birth of a baby is, under any circumstances, a real shock to the system. When my first child was put in my arms I remember the breath going out of me and a visceral observation that was literally, “oh so this is love.” I was blown away – but the stakes were never higher.

I remember feeling real trepidation upon discharge from the hospital. I was recovering from prolonged labor and then a C-section. I had never taken care of a newborn before. My surgical scar needed to heal as I shifted to try to learn to nurse. How would I know that he was getting enough milk? Was the rash he had normal? Should I let him sleep or wake him up to feed him?

I had so much to learn and I was exhausted. I needed people to come and help me. I needed a village to bring me food, run some loads of laundry, and tell me I was doing ok.

Parents are tired. Mothers are recovering from birth. Partners are stepping up to support the mothers. Often these partners are balancing housework, jobs, childcare – and everything in between. It is so important to remember that moms and their partners need support as they find their sea legs as families.

Providing Help To Eldercare Caregivers

For anyone who has ever had the honor to care for an aging relative, the gifts of this act are immediate and apparent. There is the chance to complete an important circle, to show love, and so many other intangibles.

Still, it would be wrong not to recognize the strain – financial, physical and emotional, that this care necessarily causes a loving caregiver. For all these reasons, it is critical to equally support the caregiver, as the caregiver supports their aging relative.

It can be emotionally difficult for people to accept help with things like using the bathroom, and taking a shower. So too can it be difficult for a caregiver to physically provide it. Visiting nurse services can provide essential respite for caregivers who need a break and want to be certain that their loved one is in capable hands.

The emergent Sandwich generation bears the cost of managing care for their children, themselves, and their parents all at the same time. According to a study published in the Journal of Family and Economic Issues:

“As age at first birth has increased, along with life expectancy, the probability that adults will face responsibilities for care of both young children and elderly parents has increased. Nearly half (47 %) of Americans aged between 47 and 59 have an older parent aged at least 65 years and are also raising at least one child aged under 18 or provide financial support to a grown adult child aged 18 and over.”

The cost of this is difficult to measure.  It helps to imagine the combined responsibilities and obligations of different generations of a family. For example, the needs of a school age child (ballet, soccer); the professional obligations of a parent (work meetings, business trips); and the needs of an aging parent (medical appointments, social obligations). In offering assistance to a family under pressure, consider ways to develop a centralized care calendar and invite extended family, friends, and others to help out.

Sit down with the person whom you wish to help and begin by asking exactly what their schedule looks like. Then build a calendar that reflects the complexity of their daily life. Who can pick up a child from school and take them to ballet? Who can take the aging relative to a support group at the community center every Monday at 7? Who can come to the house and make sure everything gets done from homework to medication when the primary caregiver is out of town from February 23 – 25. Get specific.

Consider also the daily needs of a family and consider ways to offset costs. As a person gets older and/or more infirm, needs may become more intense. Conversations around respite care and visiting nurses may need to take place more regularly.

In the meantime, there are any number of things that add up. Items from the pharmacy add up fast.

Rides to places are a big help. Rides to and from doctors can be logistically complicated and time consuming. Therefore, creating a ride share account and paying into it are helpful.

So too are providing meals to the family juggling so much. Meals can be provided in person if the person giving lives nearby. But do make use of extended networks whose members may certainly be invited to participate from a distance using a gift card to Ubereats, Grubhub, or Seamless. All these services enable your recipient to select their own dinner and have it delivered.

Laundry services may be extremely useful. Let’s be real – any family could use a laundry service. That said, such a service might be essential for a family needing to change sheets regularly.

Families all take a village. Clear communication enables all who want to participate to do so – and to the best of their ability. Some people will have more time than they do money. Others may have more money than they do time. Working together, an extended family can work collaboratively to provide care to the person they all love.