The fourth quarter is medically recognized as the critical period for women who were born. What does it mean and how multidisciplinary support is granted for fresh moms
In Romania, over 80% of women experience “baby blues” PEXES photo source
The leisure, or the first 6 weeks, is a normal period in which changes occur in the life of the woman after birth. This stage can last up to 4 or more months and is defined by spialists as the fourth quarter. The hormonal transformations that take place now are externalized by women through different and complicated manifestations.
Often, they are overlooked and the consequences mean severe complications, healing problems after birth, persistent pain, endocrine disorders, breastfeeding or emotional disorders. This is why the recovery in the fourth quarter is essential for the mother’s health.
The hormonal game makes the woman who gave birth to feel like menopause
In the fourth quarter, estrogen and progesterone, the two hormones that the woman secretes in a nomal way, ceases her activity with birth and breastfeeding. Gynecologists say that their lack make the woman feel like menopause. The hormones that support breastfeeding, prolactin and oxytocin are also in the game.
“In the fourth quarter, the hormal implications are much wider, because at this stage of life, the woman is a worked one, exhausted by the care for the child, breastfeeding, sleepless nights, the pressure at home. It is the period when cortisol, the well -known stress hormone is discharged. Explains Dr. Oana Zaharia, primary obstetrics-gynecology doctor Regina Maria Baneasa Hospital.

Dr. Oana Zaharia, primary obstetrics-gynecology doctor Regina Maria Baneasa Hospital
The specialist doctor emphasizes that the picture of the manifestations is extremely varied and not only concerns the psychological part. The woman in the fourth quarter does not sleep well, she has buffets, an exaggerated appetite, carbohydrates, most of the time put on account of breastfeeding.
“At the extreme the other are the patients who do not eat, do not sleep, are isolated. But all the women who give birth go through this fourth quarter, but they differ a lot. No mother resembles the other, as no child resembles each other. Pathologists as long as it was pregnant and after birth.” emphasizes gynecologist Oana Zaharia.
In Romania, over 80% of women experience “baby blues” and only 20% go to consultation native
Called “Baby Blues”, the specialists define it as a ritual of passage from the pregnancy period, to the birth and to hold the baby in the arms. “And how could this move from one status to another? With sensitivity, emotionality, with vulnerability. This is how we mark these passes from the woman to the mother’s stage, being a normal thing. The adaptation is expected to be somewhere between 10 days and/or maximum 2 weeks when the woman goes through these emotional states.” Defines the state of Andreea Maican, a psychotherapist in Queen Maria

Andreea Maican, psychotherapist in Queen Maria
The biggest uneasiness a woman goes through are closely related to the question of whether she will be a good mother for her baby, if she will be able to do it. Every woman is wearing an idealized image of maternity that appears immediately after the birththe child’s age. It is a gradual process of adapting to the multiple responsibilities and parental roles in which feelings of vulnerability and hypersensitivity are trained. During this period the woman must be observed and monitored. If in the 4th week the states do not improve, the feelings are exacerbated, the family must support the mother by specialized help ”, warns Psychotherapist Andreea Maican.
However, few women confess the state they go through and very few of them receive adequate medical support, which can have severe complications. Less than 20% of mothers go to a dedicated postnatal consultation.
Regina Maria’s health network has launched the first medical package in Romania dedicated the fourth quarter
For the women in Romania, the fourth quarter, the problems of physical recovery and the post partum or the “baby blues” stage have a concrete solution. Regina Maria’s health network created a special medical package through which It offers mothers access to a multidisciplinary team of specialists: gynecologists, endocrinologists, psychologists, breastfeeding consultants and kinetotherapists.
“The program extends for several months and includes services that a woman who gave birth needs for prophylaxis, control, but also investigations, analyzes, consultations that she can access when an emergency situation occurs. Never the management of the pregnant woman, or who was born is not done by a single specialist. Communicated, I knew all the physical and emotional states that the pregnancy offers. say Dr. Oana Zaharia, primary obstetrics-gynecology doctor Regina Maria Baneasa Hospital
This package is a monitoring plan, both for the woman who has no problem and who has to go periodically after she has been born, through routine checks, but also to be an extremely qualified, prompt and organized help for situations that can occur during these months after birth.
This initiative comes to cover an important goal in postnatal medical care and give the mothers the support they need to recover completely after birth. On the psychotherapy area, the package offers a no. of personalized sessions for each mum separately, depending on its needs, after an analysis by a psychotherapist.
“We carefully analyze the thoughts, moments and offer behavioral solutions and develop an action plan. Then we have available couple therapy, family, where they may be interference with the mother’s emotional states. It is important to understand that the course of this period must be done in a human, emotional way. In us in psychotherapy it is the name of the mother good enough, the father enough, that is, in the sense that they will not have perfect behaviors at every moment of the baby’s care., It details Andreea Maican, a psychotherapist in Queen Maria.
All the details about the fourth quarter are at the live truth explained by the professionals of Regina Maria-Băneasa Hospital, Dr. Oana Zaharia, primary obstetrics-gynecology and Andreea Maican, psychotherapist.
It follows the whole edition and finds even more information provided by the invited specimens about the fourth quarter – everything you need to know about physical and emotional recovery after birth.
Article supported by Regina Maria’s health network