The 4th Trimester with Enedina Robles, LCSW

The 4th Trimester with Enedina Robles, LCSW The 4th Trimester is a page focused on education for those interested in learning more about Perinatal Mood and Anxiety Disorders. CA LCSW 25993

01/15/2026

Finding Joy

“Maternal brains rewire for caregiving.” The mama brain reorganizes itself to adapt to the new world of motherhood ❤️
12/31/2025

“Maternal brains rewire for caregiving.” The mama brain reorganizes itself to adapt to the new world of motherhood ❤️

She Proved Women’s Brains Change During Motherhood, Permanently.
They told her motherhood was instinct.
Hormones.
Emotion.

Something soft. Temporary. Something you went back from once the baby slept through the night.

Then she put mothers in an MRI machine—and proved something far more radical.

Motherhood doesn’t just change your life.
It rewires your brain.

Permanently.

Her name is Pilyoung Kim, and her work changed how science understands motherhood—not as a phase, but as a neurological transformation on par with adolescence.

For most of modern medical history, the maternal brain was treated as an afterthought. Pregnancy research focused on the fetus. Postpartum research focused on pathology—depression, anxiety, breakdown. Motherhood itself was framed as something women handled, not something their brains actively adapted to.

Pilyoung Kim suspected that assumption was wrong.

She noticed a contradiction that wouldn’t let go.

Mothers routinely perform feats of attention, endurance, emotional regulation, threat detection, and multitasking that would overwhelm most people. They read micro-expressions. They wake instantly to subtle sounds. They anticipate needs before they’re expressed.

Yet culturally, motherhood was described as cognitive decline. “Mom brain.” Fog. Forgetfulness. Loss.

Kim asked a different question.

What if the maternal brain isn’t deteriorating—
what if it’s specializing?

Using high-resolution neuroimaging, she began studying women before pregnancy, during pregnancy, and after childbirth. What she found stunned even seasoned neuroscientists.

The brain didn’t just change.

It reorganized.

Regions associated with emotional processing, empathy, motivation, threat detection, and executive function showed measurable structural and functional shifts. Gray matter volume changed. Neural networks strengthened. Sensitivity to social cues increased.

This wasn’t damage.

It was adaptation.

Just as adolescent brains rewire for independence, maternal brains rewire for caregiving. The changes weren’t random. They were targeted. Purposeful. Evolutionary.

Most striking of all?

These changes persisted.

Years later, mothers’ brains still showed patterns distinct from women who had never given birth. The maternal brain did not “snap back.” There was no reset button.

Motherhood left a lasting neurological signature.

This explained something millions of women had felt but couldn’t articulate.

Why they sensed danger before it appeared.
Why they could hold an entire household’s emotional state in mind.
Why they felt both more vulnerable and more powerful than ever before.

It also explained why early motherhood feels so overwhelming.

A brain undergoing structural reorganization is not broken—it’s busy.

Imagine learning a new language while running a marathon while never sleeping fully while being responsible for another human’s survival.

That’s not weakness.

That’s neuroplasticity under pressure.

Kim’s research reframed postpartum struggle in a way many women had never been offered.

You are not failing to cope.
Your brain is actively remodeling itself for care.

The awe in this discovery is quiet but profound.

Motherhood is one of the few experiences that alters the adult brain at a structural level. Not temporarily. Not symbolically.

Physically.

And yet society treats it as invisible labor. Expected. Unremarkable. Something women should endure gracefully without recognition.

Science now tells a different story.

The maternal brain is more attuned, not less.
More responsive, not diminished.
More complex, not compromised.

That doesn’t mean motherhood is easy.
It means it is serious.

It deserves respect—not platitudes.

Dr. Pilyoung Kim didn’t romanticize motherhood. She measured it. And what she found replaced shame with pride.

The fog? A side effect of reorganization.
The intensity? A recalibrated threat system.
The emotional depth? Expanded neural connectivity.

Nothing about this is accidental.

Motherhood leaves a mark because it matters.

And once you see it that way, something shifts.

Exhaustion becomes evidence of work being done.
Sensitivity becomes skill.
Change becomes achievement.

The maternal brain is not a loss of self.

It is an expansion.

One that science finally learned to recognize.

If you value this work and would like to support the time, research, and care it takes to preserve and share women’s history, you can Buy Me a Coffee. Every contribution helps keep these stories alive and accessible, told with respect and truth.
Thank you for being here.
Thank you for remembering.
And thank you for honoring the women who came before us—and the legacy they continue to build.

https://buymeacoffee.com/ancientpathfb

Your exhaustion is real. Be gentle with yourself mama.
12/27/2025

Your exhaustion is real. Be gentle with yourself mama.

The first year of motherhood brings profound changes to sleep patterns. New mothers lose up to 40% of deep sleep, the stage most critical for physical recovery, emotional regulation, and memory consolidation. This level of sleep deprivation in soldiers would be classified as “war level stress.”

For mothers, however, this intense loss of restorative sleep is often considered a normal part of parenting. The frequent night awakenings, feeding schedules, and caregiving demands disrupt the natural sleep cycle repeatedly. Even brief interruptions prevent the brain and body from reaching deep restorative states.

The cumulative effect of lost deep sleep contributes to fatigue, reduced cognitive function, and heightened emotional sensitivity. Mothers may experience increased stress, reduced patience, and slower decision-making, all while managing the needs of a newborn.

Understanding the biological impact of disrupted sleep emphasizes the importance of support systems. Partners, family members, and caregivers can help share nighttime responsibilities, allowing mothers brief periods of uninterrupted rest to recover.

Recognizing that “normal” sleep patterns in new mothers are extreme stress on the body and brain can guide empathy, support, and practical strategies to protect maternal wellbeing during this demanding first year.

Great news!
12/27/2025

Great news!

On Jan. 1, large group health insurers in California — from employers with at least 100 workers — will be required to begin covering fertility preservation and in vitro fertilization services.

Connecting with other women is more than just about the break. It's actually necessary for your health!
12/27/2025

Connecting with other women is more than just about the break. It's actually necessary for your health!

A 2025 survey of 2,000 U.S. women revealed that time spent with female friends isn’t optional—it’s essential. On average, women said they need a girls’ night roughly every three weeks to feel recharged, with 78% describing these gatherings as a necessity rather than a luxury.

Wine often sets the mood: 88% of respondents choose it as their preferred drink, and 85% crack open a bottle within the first 16 minutes of the evening. But the real magic goes beyond beverages. The value of girls’ nights lies in the simple act of connecting—sharing stories, laughing, and supporting each other.

Food, movies, dancing, and cooking together all help strengthen bonds. Unstructured conversation is key, with personal updates, relationships, and family topping the topics list far above work or celebrity news. Interestingly, 62% of women would pick a girls’ night over a romantic dinner, showing just how vital these friendships are. Hosting is casual, often with no designated organizer, proving that connection matters more than perfection.

Whether it’s a quick catch-up or an all-night marathon, girls’ nights aren’t just fun—they’re a mental health booster that women simply can’t skip.

References: Talker Research, 2025.

Shout out to those carrying the load of the holidays. This is for your partner as a reminder for next year… or better ye...
12/25/2025

Shout out to those carrying the load of the holidays. This is for your partner as a reminder for next year… or better yet, for post holiday clean up!

https://www.facebook.com/photo.php?fbid=1246319810694001&set=a.647162930609695&type=3&mibextid=wwXIfr
o my

While everyone else’s stockings are hung with care, Mom’s is often the last to be filled — if it’s filled at all. Why? For many families, moms are the magic makers of the holidays, but so often their needs can be overlooked.
https://cnn.it/44KnNeC

Great ideas for supporting the nervous systems of littles (and adults) of all ages
12/15/2025

Great ideas for supporting the nervous systems of littles (and adults) of all ages

Love these ideas
12/15/2025

Love these ideas

Self-care looks different as parents, AND it is still extremely crucial to prioritize. How are you practicing self-care ...
12/10/2025

Self-care looks different as parents, AND it is still extremely crucial to prioritize. How are you practicing self-care this December?

12/09/2025
12/07/2025

A Cesarean section is the only major surgery in the world where:

🔹 Five to seven layers of tissue — skin, fat, fascia, muscle, and uterus — are carefully opened.
🔹 A new life is lifted into the world — sometimes urgently, sometimes unexpectedly.
🔹 And within hours, the mother is told to stand, walk, and care for her newborn.

Six hours after surgery where stitches, staples, and deep incisions still burn — she is expected to:

🍼 Feed her baby
🚼 Change diapers
❤️ Bond through exhaustion
🛏 Sit up despite intense abdominal pain

And while healing, her body still goes through:

⚡ Contractions as the uterus shrinks back
⚡ Hormonal surges
⚡ Breast milk production
⚡ Emotional turbulence
⚡ Sleepless nights

Yet she keeps going — even when:

💔 Laughing hurts
💔 Sneezing hurts
💔 Standing hurts
💔 Sleeping hurts
💔 Breathing hurts

Still… she does it.

Not because it’s easy.
Not because she feels ready.
But because her baby needs her.

And that — is strength.

🌷 To every C-section mom reading this:
You didn’t take the “easy way.”
You took the necessary way.
You chose life, safety, and love.

Your scar is not a mark of weakness —
✨ It is a silent badge of courage. ✨

Whether planned, emergency, or after hours of labor —
you brought a life into this world with bravery few will ever understand.

So hold your head high.
Rest when you need to.
Heal at your own pace.
And never forget:

❤️ You are strong.
❤️ You are enough.
❤️ You are a warrior.

📌 Verified medical sources used:

Mayo Clinic Obstetric Surgery Guidelines

Cleveland Clinic Birth & Recovery Data

American College of Obstetricians and Gynecologists (ACOG)

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The 4th Trimester

The 4th Trimester is the period after having a baby that we don’t talk about it. “Like” this page to read more about it, the emotions and behaviors that we often see during this perinatal phase, and share in the sisterhood of knowing that you are not alone.