Perinatal Care and the 4th Trimester: 

Redefining Prenatal, Postpartum, and 

Neonatal Care for a New Generation


Jerry Ballas, MD, MPH

Andrea Werner Insoft, LICSW, ACSW

Chavis Patterson, PhD

Colorado Children's Hospital University of Colorado

Connections Program   Prenatal Counseling and Ongoing Mental Health Support

Colorado Resources
Colorado Perinatal Care Quality Collaborative (CPCQC)  Healthier Outcomes For Colorado’s Moms & Babies

CO-PSI is the Colorado state chapter of Postpartum Support International (PSI), the world’s leading non-profit organization dedicated to helping those suffering from perinatal mood disorders, the most common complication of childbirth.

Pregnancy-related depression and anxiety public awareness campaign from the Colorado Department of Public Health and Environment

Toolkit English Spanish

Fussy Baby Network Colorado  Call 8-776-CRY CARE

Early Childhood Mental Health Toolkit from Mental Health Colorado

BLOG: Pressure A story of Preeclampsia, Prematurity, and Perinatal Mood Disorder by Beverly Warner

The mama 'hood Thriving mamas. Thriving babies. Thriving world.

Colorado Crisis Services Mobile Care: With a referral from a Crisis Services Clinician, we may send out a mental health professional to provide a face-to-face assessment. Call 1-844-493-TALK (8255) to learn more about how to access this service.

Nurturing Newborns & Families: Respite is defined as, “a short period of rest or relief from something difficult”.  The trained and experienced staff at Nurturing Newborns offers short term support and care for parents and their children during times of crisis or stress.

Nurse Support Program: Home Visiting: Learn more about nurse home visitation programs offered for Arapahoe and Adams County residents.

Nurse Family Partnership: Nurse-Family Partnership (NFP) is a voluntary, community health home visitation program for women who are having their first baby.

Colorado Perinatal Substance Use Provider Toolkit from Colorado Hospital Substance Exposed Newborns Collaborative or “CHoSEN” Collaborative

Haven Mother’s House  Thrive Like a Mother

National Resources

Postpartum Support International (PSI), the world’s leading non-profit organization dedicated to helping those suffering from perinatal mood disorders, the most common complication of childbirth

Edinburgh Postnatal Depression Scale  

Postpartum depression is the most common complication of childbearing. This 10-question self-rating scale has been proven to be an efficient and effective way of identifying patients at risk for “perinatal” depression. While this test was specifically designed for women who are pregnant or have just had a baby, it has also been shown to be an effective measure for general depression in the larger population.

Policy + Advocacy

1,000 Days  The 1,000 days between a woman’s pregnancy and her child’s 2nd birthday sets the foundation for all the days that follow

March for Moms  Together we can improve the health and well-being of all mothers through advocacy and awareness.

2020 Mom  Closing gaps in maternal mental health care through education, collaboration, and advocacy 

Rewire.News Legislative Tracker is an easily searchable database of the laws, people, organizations, and litigation involved in sexual and reproductive health and justice in the United States, as well as the connections among them.

Kaiser Family Foundation

Paid Family and Sick Leave in the U.S.

The federal Family and Medical Leave Act (FMLA) requires eligible employers to provide unpaid family leave. However, unlike nearly all other industrialized nations, the U.S. does not have national standards on paid family or sick leave, despite strong public support.

Is paid leave available to mothers and fathers of infants?

The WORLD Policy Analysis Center provides access to global research, data, and maps for sharing ideas and resources on social policies from around the world

Programs + Initiatives

The 4th Trimester Project  Changing the way America treats new mothers.

New Mom Health  A village for mothers.

Nurse Family Partnership: Nurse-Family Partnership (NFP) is a voluntary, community health home visitation program for women who are having their first baby.

Changing Woman Initiative  We seek to renew cultural birth knowledge to empower and reclaim indigenous sovereignty of women's medicine through women's stories and life ways.

Black Mamas Matter  We envision a world where Black mamas have the rights, respect, and resources to thrive before, during, and after pregnancy.

The 4th Trimesters Body Project  Parenthood. Politics. Positivity.

4th Trimester Bodies Project is a documentary and movement dedicated to educating, embracing and empowering humans through photographs and story telling. We exist for parents and postpartum people. We are body liberating, queer affirming, anti-racist, and inclusive. We are currently touring world wide capturing images and stories for the project. We are hosting gatherings and conversations so that we can reach and connect with other humans in a positive light as we talk about our relationship with our bodies, communities, families, and selves.

In the Media

Rewire.News is an award-winning, nonprofit daily online publication devoted to evidence-based reporting on reproductive and sexual health, rights, and justice, and the intersections of racial, environmental, immigration, and economic justice.

The OB/GYN Podcast  The 4th Trimester with Drs. Ballas and Zawisza

4th Trimester Bodies Project's Podcast


        • The Backstory
        • Maternal Mental Health
        • Parental Leave
        • Abortion / Reproductive Rights
        • Participant Archives: Hailey Holmberg

4th Trimester Reading List

The fourth trimester: a critical transition period with unmet maternal health needs

      • Kristin P. Tully, PhD
      • Alison M. Stuebe, MD, MS
      • Sarah B. Verbiest, DrPH, MSW, MPH

American Journal of Obstetrics and Gynecology 2017

Promoting Maternal and Infant Health in the 4th Trimester 

        • Sarah B. Verbiest
        • Kristin P. Tully
        • Alison M. Stuebe

Zero to Three 2017

The fourth trimester: toward improved postpartum health and healthcare of mothers and their families in the United States

      • Nancy Hamilton
      • Natalie Stevens
      • Teresa Lillis
      • Natasia Adams

Journal of Behavioral Medicine 2018

Nobody Told Me About That: Navigating the First Six Weeks After Becoming a Parent

The 4th Trimester Bodies Project: Celebrating the Uncensored Beauty of Motherhood

The Fourth Trimester: A Postpartum Guide to Healing Your Body, Balancing Your Emotions, and Restoring Your Vitality

The Fourth Trimester: Understanding, Protecting, and Nurturing an Infant through the First Three Months

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Kristy Love, Executive Director

P.O. Box 392 Lonedell, MO 63060

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