Women's Health

Fourth trimester: What not to expect when you're expecting

Young mother holding her newborn baby, kissing him on the head

01/31/2025

By Elizabeth Elsagga, DO

 

The “fourth trimester,” the first three months after giving birth, is a transformative yet often misunderstood period. While much focus is placed on pregnancy and delivery, this postpartum stage is equally critical — for both you and your baby. Understanding what not to expect during this time can help manage unrealistic pressures and support your physical and emotional recovery.

 

1. Don’t expect to "bounce back"


Your body just performed a miraculous feat and expecting it to return to its pre-pregnancy state overnight is unrealistic. From stretched skin to lingering discomfort, your body needs time to heal. Ignore the societal pressures to “bounce back.” Instead, focus on recovery, nourishment and appreciating the strength it took to create and deliver life.

 

Book now with an OB/GYN specialist

 

2. Don’t expect to have it all figured out


Even with endless research, books and advice, nothing fully prepares you for the reality of caring for a newborn. From figuring out feeding to decoding cries, parenting is a steep learning curve. Remember, it’s OK not to have all the answers — nobody does. Trust your instincts and seek support when needed.


Related Content:
Third trimester: What not to expect when expecting

 

3. Don’t expect your baby to follow a schedule


Newborns operate on their own time. Feeding, sleeping and diaper changes often happen around the clock, leaving little room for predictability. Resist the urge to impose a strict routine too early. Instead, focus on understanding your baby’s natural rhythms and adjusting your day around their needs.

 

Related Content: Second trimester: What not to expect when you’re expecting

 

4. Don’t expect constant bliss


The fourth trimester is often romanticized as a time of pure joy, but the reality is more complex. Alongside moments of happiness and connection, you may experience exhaustion, frustration and feelings of isolation. These emotions are normal and don’t diminish your love for your baby.

 

Related Content: First trimester: What not to expect when you’re expecting

 

5. Don’t expect your relationships to stay the same


Parenthood brings changes to your relationships, including your partnership and friendships. Exhaustion and new responsibilities can test even the strongest bonds. Communication is key during this time — be honest about your feelings and make space for each other, even in small ways.


Related Content:
How pregnancy rewires your brain for motherhood

 

6. Don’t expect to be the same person you were


Parenthood changes you, sometimes in ways you didn’t anticipate. Your priorities, body and identity may shift, and it’s natural to grieve parts of your old self while embracing the new. Give yourself grace as you navigate this transformation.


Related Content:
Understanding medication safety for expectant parents

 

7. Don’t expect perfection


The pressure to be the “perfect” parent can be overwhelming, but perfection is a myth. Your baby doesn’t need perfection — they need love, care and your best effort. It’s OK to make mistakes and learn as you go.

 

8. Don’t expect to ignore your mental health


Postpartum hormones and sleep deprivation can significantly impact your mental well-being. Baby blues are common, but if you experience prolonged sadness, anxiety or hopelessness, you may be dealing with postpartum depression or anxiety. Don’t hesitate to seek help — it’s a sign of strength, not weakness.

 

Learn more about women’s health at Nuvance Health

 

9. Don’t expect to do it alone


Parenting is challenging and the saying “It takes a village” exists for a reason. Whether it’s your partner, family, friends or professional support, lean on others for help. Accepting support with meals, chores or even holding the baby while you nap can make a world of difference.

 

10. Don’t expect time to stand still


While the fourth trimester can feel endless in the moment, it’s fleeting. Your baby will grow and change rapidly, and so will you. Capture the memories you can, but don’t stress about documenting every moment — being present is enough.


 The bottom line: The fourth trimester is a time of profound change, growth and adjustment. By letting go of unrealistic expectations, you can embrace this period for what it truly is — a messy, beautiful and transformative season of life. Remember, you’re not alone and you’re doing better than you think.

 

Learn more about Dr. Elsagga and/or make an appointment