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Department of Obstetrics, Gynecology & Reproductive Sciences OB/GYN

Fourth Trimester Health Program

Program Directors

Dr. Sarah Averbach

Sarah Averbach, M.D., M.A.S.
Associate Professor
Division of Complex Family Planning

Dr. Ukachi Emeruwa

Ukachi Emeruwa, M.D., M.P.H.
Assistant Professor
Division of Maternal-Fetal Medicine

About the Program

The Fourth Trimester Program is a new model of postpartum care designed to meet the complex needs of the community and bridge the care gap during the significant postnatal period from birth through the early postpartum period. This program provides care navigation services supplementing and expanding upon the traditional post-delivery care model where patients are typically not seen until six weeks after birth. The Fourth Trimester Program offers a joint postpartum-newborn clinic.

Who Qualifies?

Postpartum patients experiencing acute issues or who had complex pregnancies or deliveries and who are within 8 weeks of birth meet with an Obstetrics provider, a Pediatrician provider certified in lactation consults, and a Registered Nurse navigator in a single visit. Patients seen at the Fourth Trimester Clinic will be linked to other needed services including: Maternal Mental Health, Pelvic Medicine, Physical Therapy, Primary Care, Postpartum Doula Services, and more.

4th Trimester Program at UC San Diego Department of Obstetrics, Gynecology, & Reproductive Sciences

Same visit Postpartum-Newborn Care

"Fourth Trimester Program is a program dedicated to providing comprehensive postpartum care for birthing people and their newborns through integration and co-location of health services." – Ukachi Emeruwa, MD, MPH

Postpartum-newborn clinic