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Navigating Health & Fitness in The Fourth Trimester

Jenelle Hilsen

Fourth Trimester (Postpartum)


The fourth trimester refers to the first three months after childbirth, and often feels like it’s the trimester no one talks about enough. During this time, our body is recovering from pregnancy and childbirth, and our baby is adjusting to life outside the womb. There’s a lot going on. It’s a phase marked by growth, bonding, and plenty of change—not just ourselves and our baby, but for everyone including others in our family.






Physical Recovery

Our bodies need time to heal, whether we had a vaginal delivery or a c-section; either way, our bodies are recovering from something huge. On top of that, sleep deprivation can also take its toll, and we’re all looking for a little rest anywhere we can find it.


Hormonal Shifts

Oh, if only childbirth meant the end of hormonal changes. Mood swings, crying spells, or feelings of overwhelm—we’re not quite through the thick of it yet. The fourth trimester is still part of the journey.


A New Routine

Amidst our own recovery, we’re also learning to meet the needs of our new baby. Whether it’s our first or not, babies never seem to be exactly the same. Your first one slept through the night? Your second one won’t take a bottle? At least we can count on diaper changes to be consistent.


Relationships

Parenthood shifts a relationship, and so does growing a family. It takes time to adjust to new things, for parents and for other children. That first few months after bringing a new child home can be tough, especially when we’re already recovering.





Embracing What’s New During Postpartum Recovery


There’s no ‘right’ way to wade through the fourth trimester. It can be a season of profound growth and transformation as much as it can be a difficult period of intense recovery. By caring for ourselves and seeking the right support, we can navigate this period with greater ease and confidence. Sometimes, we just need to show up.


Sleep Deprivation

I remember being quite blindsided by the sleep deprivation and how that affected absolutely every aspect of my postpartum recovery, and in hindsight, my weight gain during that period. It was brutal for a few months and I was in survival mode! We all know how important sleep is. What I didn’t know at the time, was that my desire to eat when I was tired, and the cravings for a lot of unhealthy or empty calorie foods, was all part of the vicious cycle of sleep deprivation. Hunger cues go up along with belly fat (what most new moms are trying to shrink) and the desire for those less than ideal food choices.


Accepting the Struggle

I reached a point where it eventually clicked in my brain that I was simply just unhealthy. I knew I was finally getting enough sleep and had a solid schedule down with my baby, but still felt absolutely exhausted! I had no energy for all the things I had dreamt to do when I had this family that I had wanted so badly. I had no confidence and didn’t feel good about myself at all. I couldn’t fit into any nice clothes and just felt gross.


Postpartum Trauma

After the traumatic postpartum experience with my second son, I was left with a completely new appreciation of what the human body is capable of and felt an overwhelming sense of gratitude for my body and what it had endured. I was so proud of basic human functions that I knew right there that my limitation was actually my mindset rather than a physical one. I wanted to make my body the strongest and healthiest it could be!


Finding Inspiration

As I progressed along, I really fell in love with strength training. Not only did it continue to shape my body, but it helped shape this strong mindset that I was after. I loved that my boys were with me for my workouts, watching me be healthy. I really wanted them to grow up with physical activity and health being valued.


People started asking me what I had done to lose the weight and for tips…My family doctor was even amazed and asked me how I did it and kept it off…I felt so proud of what I had accomplished and wanted to learn more so I could really push myself, add to my skill set, and a crazy dream, but maybe help other women one day. Enter my Personal Trainer Certificate and  Nutritionist Certification.





Learning to Understand Our Needs


We’re fortunate to live in a time where there is more and more support for parents being offered every year. Resources now encompass helping people tackle every aspect of postpartum and beyond—from physical recovery to managing our mental health.


There’s something satisfying about learning to understand what our bodies need as we grow and change. Sometimes it’s not simply abandoning our old needs, but finding a balance to satisfy the old and new.


Redefining Priorities

It’s natural to feel like our pre-baby routines and goals have shifted. If there was ever a time to let go of societal pressures and expectations, this might be it. Every family is unique, and our journey doesn’t have to look like anyone else’s.


For me, the first thing I needed was to find some shut eye! So, I swallowed my pride and asked for help from family members that came to visit. I would shower or nap if the opportunity arose instead of putting on the brave face, faking that I was the perfect hostess and totally fine. This was easier with the second baby! I still felt that ‘mom guilt’ but I knew I had to prioritize me and my health.


Celebrating Small Wins

Victories might look a little different these days—managing a successful feeding, getting outside for a walk, or simply taking a shower. Celebrate these achievements as markers of progress, no matter how small they seem.


I found that daily stroller walks really helped me and even though it’s often the last thing we want to do, exercise is one of the best things we can do for ourselves (even after a rough night). I felt better; it cleared my mind and got me up and moving—and my baby loved to get out too. My husband would join when he could and it also became some relationship time for us where we could embrace this new phase of our lives together.


I eventually found that meal prepping nutritious meals helped me out big time! Instead of grabbing convenient foods that were there (which I also stopped stocking in the pantry and freezer), I was eating more whole grains, veggies, fruits and protein. When my diet changed, I started to really feel different. I slowly gained more energy and could workout more often or go for a second walk! I saw and felt my mom rage decline. It was a ripple effect on everything.


I knew I couldn’t go to the gym, so I focused on what I could do at home with my baby in tow. I remember getting down on the floor to do glute bridges next to him while he tackled tummy time—whatever worked! When I removed what I thought a workout had to include and focused on exercises here and there, I created something that actually worked for me.


Finding Joy in Imperfection

Parenthood is messy, unpredictable, and full of surprises. These days, spending more time trying to be present rather than being perfect feels a lot more rewarding. Whether it’s the joy of our baby’s first smile, the humor in a diaper blowout, or managing to move our bodies with a little more strength—embrace the imperfect moments as part of the journey.


I felt surrounded by women, in person and online, who could do it all and seemed so well rested. Seeing this while I felt bad because I was tired and did not have it together could be tough. I was gentle with myself and went at my own pace.


This was key for me. Instead of looking at it like ‘losing the baby weight’ right away and pushing myself, I accepted what worked for me at my own pace and celebrated progress gradually over a year plus. This allowed me to not only make more sustainable health & fitness choices but gave me time to heal, regroup and enjoy my new family.


A Growing Family

With my second, many things were different. I arranged more help to begin with because I knew a baby with a 2 year old would be even more challenging! I had my husband and mom helping with sleep shifts, I tried to attend the weekly local mom and baby/toddler meet up at the local library as much as I could—connecting with other moms and finding a way for my boys to get out was a great addition to my support system.


I scheduled time for my husband and I to talk for just 10 minutes a day about only us, so we could stay more connected through the challenging baby period. I prepped the freezer with nutritious meals before baby came and kept on top of nutrition the entire time. I did stroller walks to the park daily and would even jump rope on the back deck or downstairs whenever the boys were content with themselves. I created a new routine right away so I could make things happen for me and again, finding something that worked for me rather than getting stuck in what other people were doing kept me on my healthy path.




 


It’s not all checking things off lists and doing what everybody else is doing. The fourth trimester is uniquely our own adventure, and it’s easier to go through it when we remember that. It’s easy to fall down the rabbit hole online of what healthy habits and a strong body look like for other people.


After going through the fourth trimester (twice!), I do my best to use that experience to help my own clients reach their health and fitness goals in a way that makes sense for them. Embracing our bodies, their composition, and our lifestyles is a big step in getting and staying healthy.


I’m excited to start sharing what that looks like for me and what it could look like for you!



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