Bringing new life into the world is an incredible journey—one filled with joy, anticipation, and countless changes, especially for first-time mothers. But the journey doesn’t stop at birth. The crucial weeks that follow, known as the fourth trimester, play a vital role in a mother’s recovery and adjustment to life with her newborn. With the right support system—whether from family, a confinement nanny, or professional postpartum care—this transition can be smoother.
At Sunway Medical Centre Damansara, this team of expert obstetricians and gynaecologists is dedicated to supporting mothers every step of the way, from conception to postpartum wellness.
Preparing for Pregnancy
Dr. Loh Huey Wen, Consultant Obstetrician, Gynaecologist and Fertility Specialist
For those planning to conceive, Dr Loh Huey Wen, Consultant Obstetrician, Gynaecologist and Fertility Specialist, emphasises the importance of early fertility screenings to assess ovarian reserves, sperm quality, and overall reproductive health. A healthy lifestyle, including a balanced diet, regular exercise, and weight management, plays a crucial role in optimising fertility. Women with pre-existing medical conditions should consult a doctor to ensure their conditions are well-managed before pregnancy.
Once conception occurs, early pregnancy screenings are vital. A urine pregnancy test confirms pregnancy, followed by a scan at 6-8 weeks to ensure the embryo is correctly positioned. Routine antenatal blood tests and Down syndrome screenings are conducted between weeks 10-12 to monitor both maternal and fetal health. During the first trimester, mothers may experience nausea, fatigue, and food aversions. Small, frequent meals and proper hydration can help manage these symptoms, while medical attention is necessary for severe cases to prevent dehydration.
Navigating the Second Trimester
Dr Lim Wan Teng, Consultant Obstetrician, Gynaecologist and Maternal Fetal Medicine Specialist
As the pregnancy progresses into the second trimester, both the baby and mother undergo significant changes. Rapid fetal brain growth occurs, thus making this a critical period for development. Dr. Lim Wan Teng, Consultant Obstetrician, Gynaecologist and Maternal Fetal Medicine Specialist, highlights the importance of routine check-ups, typically scheduled every three to four weeks, or more frequently in high-risk cases. A detailed anomaly scan during this period assesses the baby’s organs and detects structural abnormalities, enabling early intervention if necessary.
During this stage, mothers may experience physical changes such as skin pigmentation, acid reflux, constipation, and swelling. Emotional changes, including mood swings, fatigue, and anxiety, are also common. If not managed well, these emotional fluctuations may progress to postpartum blues or depression. Regular physical activity—such as walking, swimming, or yoga—can help alleviate discomfort and improve overall well-being.
Proper nutrition remains essential, with increased requirements for iodine, iron, Vitamin B, and omega fatty acids. Special dietary considerations are necessary for women with high or low BMI, those who have undergone bariatric surgery and those following a vegan or vegetarian diet.
The Final Stretch: Third Trimester and Preparing for Birth
Dr Sharina Mohd Razali, Consultant Obstetrician and Gynaecologist
In the final trimester, the baby undergoes rapid growth, developing stronger movements, maturing its lungs and kidneys, and positioning itself for birth. Mothers may notice more pronounced fetal activity, irregular contractions (Braxton Hicks), back pain, shortness of breath, and heartburn. Dr Sharina Mohd Razali, Consultant Obstetrician and Gynaecologist, advises that regular antenatal check-ups should become more frequent—every two weeks from 32-36 weeks, and weekly from 37 weeks onward. These visits monitor fetal growth, assess amniotic fluid levels, and ensure overall well-being.
Serial growth scans during this period help estimate fetal size and weight, check heart rate and breathing movements, and determine the baby’s position for delivery. Placenta placement and umbilical artery blood flow are also examined to ensure the baby receives adequate oxygen and nutrients.
As the due date approaches, mothers should prepare for labour by packing a hospital bag, attending antenatal classes, and discussing their birth plans with their doctors. While spontaneous vaginal delivery (SVD) is generally preferred, a cesarean section (C-section) may be necessary for medical reasons such as high-risk pregnancies or previous complications. Expectant mothers are encouraged to remain flexible and open to necessary medical interventions to ensure a safe delivery for both mother and baby.
The Fourth Trimester: Postpartum Recovery and Emotional Well-being
While pregnancy and childbirth are significant milestones, the weeks following delivery—often called the fourth trimester—are just as important. This period is a time of adjustment as a mother recovers physically, adapts to her new role, and bonds with her baby.
Physically, the body undergoes major changes. Whether recovering from a vaginal birth or a C-section, new mothers often experience uterine contractions, vaginal soreness, perineal discomfort, and breast engorgement. Healing takes time, and simple practices such as prioritising rest, staying hydrated, and engaging in light movement can support recovery. If breastfeeding proves challenging, professional lactation support can help ease the process.
Emotionally, the postpartum period can be overwhelming. Many women experience mood swings, anxiety, or the “baby blues” in the first two weeks due to hormonal shifts and sleep deprivation. However, if feelings of sadness, detachment, or extreme fatigue persist, it may indicate postpartum depression (PPD), which requires medical attention. Open conversations with healthcare providers, family, and support networks can make a significant difference.
Delivery Ward
Ready to begin your journey into motherhood? Explore Sunway Medical Centre Damansara’s tailored Maternity Packages today! From regular check-ups to delivery services, our comprehensive care ensures you and your baby are in the best hands.
For more information on maternity packages or to book a consultation, visit Sunway Medical Centre Damansara’s website.
