Revolutionizing the Fourth Trimester - IYKYK
A quiet revolution can start with tea, a newborn on a chest, and a doctor who sits on the edge of your bed and actually listens. That scene—simple, human, and overdue—is how Dr. Michelle Haggerty rebuilt postpartum care from the ground up after her own losses and years inside a system that treats the fourth trimester like an afterthought.
We go deep on matrescence, the often-ignored transformation into motherhood that begins long before birth and reshapes identity, hormones, work, money, and relationships. Michelle shares how fetal cells can remain in a mother’s body, why that matters for grief and belonging, and how narrative medicine—structured birth-story debriefs with both partners—can dissolve trauma before it hardens. Then we zoom out to the hard numbers: the U.S. leads developed nations in maternal mortality, 65 percent of deaths happen postpartum, and 85 percent are preventable. Mental health tops the list, while cardiovascular risks hit communities of color hardest. Ten-minute visits miss what home-based care can catch.
You’ll hear how Michelle left corporate medicine to build Fourth Trimester Doc, where physicians do home visits, answer texts, reduce ER trips, and coordinate lactation, mental health, and pediatric support. We explore direct primary care pediatrics, tiny patient panels, and a bold plan to make postpartum support an employer-paid benefit with onsite groups and well-child checks. Scaling without losing soul means facing the insurance maze, gathering outcomes data, and learning the art of marketing so families can actually find help.
Threaded through it all is trust—faith in intuition, in the “baby” of a new business, and in the power of Ikigai, that sweet overlap of passion, skill, need, and income that turns work into energy. If you care about maternal health, mental health, or just better care that meets people where they are, this conversation will stay with you. Subscribe, share with a friend who’s expecting, and leave a review with the one change you wish every new parent received.
Resources:
Connect with Michelle:
- Website: www.fourthtrimesterdoc.com
- Email: [email protected]
- IG: @fourthtrimesterdoc
- Facebook: @Fourth Trimester Doc
- LinkedIn: Michelle Haggerty
- YouTube: Fourth Trimester Doc
- Juna Pediatrics: www.junapediatrics.com
Contact the Host, Kelly Kirk:
Get Connected/Follow:
- The Hue Drop Newsletter: Subscribe Here
- IG: @ryh_pod & @thekelly.tanke.kirk
- Facebook: Reclaiming Your Hue Facebook Page
- CAKES Affiliate Link: KELLYKIRK
Credits:
- Editor: Joseph Kirk
- Music: Kristofer Tanke
Thanks for listening & cheers to Reclaiming Your Hue!