Postpartum Midwifery Care: Fourth Trimester & Beyond with Serena Saeed-Winn, CNM, WHNP, IBCLC
The Root Cause Medicine Podcast
Kate Kresge
4.8 • 581 Ratings
🗓️ 25 September 2025
⏱️ 64 minutes
🔗️ Recording | iTunes | RSS
🧾️ Download transcript
Summary
This episode of The Root Cause Medicine Podcast takes a deep dive into postpartum care—challenging the idea that one six-week checkup is enough. Serena Saeed-Winn, CNM, WHNP, IBCLC, shares how earlier postpartum visits may help identify concerns such as thyroid changes, support lactation comfort through therapeutic breast massage and lymphatic techniques, and guide gentle scar care for improved comfort and pelvic floor recovery. You’ll also hear insights on hormonal shifts, nutrient needs, and postpartum mental health considerations—plus practical strategies to engage partners and build collaborative care teams. Providers will leave with actionable, evidence-informed ideas to better support families during this critical transition.
Transcript
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| 0:00.0 | Today on the Root Cause Medicine podcast. |
| 0:03.3 | Now, when we think about birth, when we think about our metrics, the appointments, and our interventions, they're all designed around ensuring a safe delivery for the baby and taking care of mom. |
| 0:13.0 | But what happens to that birthing person once they leave the hospital? |
| 0:16.9 | After discharge paperwork is signed and follow-up visits are rescheduled six weeks away, |
| 0:26.4 | who's actually assessing recovery, wound healing, lactation, mental health, and systemic risk? |
| 0:29.3 | In the United States, our neo-neo outcomes are strong, |
| 0:34.0 | but our maternal morbidity and mortality rates remain among the highest in the developed world. |
| 0:38.7 | Most of our patients are seen dozens of times during pregnancy and during labor, |
| 0:45.0 | and then receive just one brief visit after delivery. For many, that's their only formal touchpoint during the most physiologically demanding transition of their lives. Today, I'm joined by |
| 0:50.4 | Serena Saeedwin, a certified nurse midwife and nurse practitioner who has built an entire practice around filling this critical gap. Through her work at the CAS project, she brings |
| 0:59.0 | structured postpartum care directly into patients' homes, including therapeutic massage to reduce |
| 1:03.4 | mastitis, education on pelvic floor health, early detection of complications like preeclampsia, |
| 1:08.4 | mental health screening, and family-centered education that |
| 1:11.0 | empowers partners to participate in care. |
| 1:13.5 | This conversation is a deep dive into what optimal postpartum care can look like, physiologically, |
| 1:18.9 | psychologically, and socially. |
| 1:20.6 | If you care for pregnant or postpartum patients, this episode will give you new tools and |
| 1:24.6 | frameworks to improve outcomes, reduce preventable complications, |
| 1:28.0 | and support your patients through one of the most vulnerable and transformative periods of |
| 1:31.8 | their lives. Before we get started, though, I've got a special question for the practitioners |
| 1:35.9 | in the audience. What if your supplement dispensing, patient education, and treatment planning |
| 1:40.5 | all lived in one powerful platform designed for whole person care. |
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