fourth trimester newborn & maternal care at home

Eva Zasloff MD

We offer comprehensive pediatric care and maternal support at home for families during the first few months of the baby’s life.

Created in 2016, we established a Fourth Trimester Newborn & Maternal Care model.

With this approach, we have now cared for over 600 families in the Boston area and we are one of the first and largest integrated 4th trimester practices in the US.

We accept most major insurance plans in the area, including many private and public plans. We are not a concierge practice- everything that we do is billed directly to insurance plans using standard billing codes.

The fourth trimester pushes us to have no choice but to improvise and accept that no amount of planning or control can solve this life moment. We are biologically being stretched to be more transformable and flexible.

It never made sense to me that we should be bringing a newborn baby back-and-forth into a doctors office, but sort of ignoring the postpartum person who is bringing the baby there — who has just had one of the most fundamental moments in her bi

By honoring the fourth trimester, we allow the many complex postpartum transformations to have space to do what they are able to.

For both the newborn and birthing parent, the fourth trimester is a life moment of very deep transformation. There is so much power in this potential if we honor it.
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* #fourthtrimester #4thtrim

In addition to our home visits, we also host a weekly virtual group visit so that birthing parents in our practice can come together each week and share in an honest and open space. We save some time each week for someone to share their birth story.

I started this practice because it is the care that I wish I could have received for myself and my family.

We spend a lot of thought and care on pregnancy and birth - which is great- but then I feel like we leave a family sort of home alone to sort out what happens afterwards ! It never made sense to me.

One of my favorite parts of our fourth trimester home visits is when there are grandparents in town and I get to learn some new postpartum recipes…

Certain moments in life are best cared for at home. After a baby has been born, during those first few weeks, it is a time when both the newborn and the mother are recovering, adjusting and transforming their bodies in such a tremendous way.

What a difference it makes for me - as a provider- to get to meet people where they are and care for them in their own homes— especially during this extra porous moment in a life. •
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It bothered me that the more a family was struggling with newborn feeding issues, the more I had to ask them to come back into the office for more pediatric follow-up visits. It bothered me because I knew that this was disruptive and not aligned with

So many of the issues that arise for the birthing parent and the infant during the fourth trimester are connected and should be clinically considered in tandem. •
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It never made sense to me that we should be bringing a newborn baby back-and-forth into a doctors office, but sort of ignoring the postpartum person who is bringing the baby there — who has just had one of the most fundamental moments in her bi

Our fourth trimester home visits happen at exactly the same frequency as standard pediatric well newborn visits and we do all of the same exams and test etc — we just do it in the home and also check on the birthing parent. It is a very simple

I started my practice because I saw a major design flaw in the newborn and postpartum model of care in our country. On the one hand, particularly with families that are having issues with their newborn, we were bringing them back-and-forth into a doc

Since this practice began over eight years ago, we have always and only taken insurance. This has never been a concierge practice. We use already existing billing codes and we feel like this is something that should be available to familes as a stand

The fourth trimester is such a messy (and beautiful) time! Even the issues that arise are messy— it is often really confusing to even really know if some of the issues belong to the baby or the mom because it’s all so blended together dur

One of the philosophies behind this practice is that we spend a lot of care and thought on pregnancy and birth and then we are sort of left to figure a lot out alone in our homes once the baby comes. Part of the issue is that it is hard to leave the