4th Trimester Care


Newborn health
New babies are as exciting as they are overwhelming. Dr. Marcil supports families with home, group, and telemedicine visits. Whether you're planning for a new arrival; dealing with common newborn problems such as jaundice and feeding problems; adjusting to the rhythms of feeding, sleeping, and crying; or navigating more complex issues, her support allows families to minimize stress, address medical issues, and ensure these early months are as joyful as possible.

Parental health
New parenthood is wonderful and challenging. Prenatal care ensures frequent check-ins for expecting moms and their partners. After birth, new parents are often left unsure of where to turn for their own health needs and unable to find time to connect to their primary care doctor. Common issues new parents encounter include: physical birth recovery, including pelvic floor dysfunction, mental health concerns, lactation problems, high blood pressure, birth control, nutrition, exercise, and sleep.
Dr. Marcil provides parental support as a part of 4th trimester care, including facilitating connections to other trusted doctors and clinicians as needed. She provides these services in individual and group settings.



Lactation Support
Feeding babies seems like it should be easy, but it isn't. Breastmilk (breastfeeding and pumping) has many health benefits for moms and babies, whether provided exclusively or in combination with formula. Most moms struggle to reach their breastmilk goals (whatever those are!) because they don't have support, aren't sure what's normal, or how to decide what to do for a feeding plan.
Common lactation issues include: painful latch, nipple sores, clogs and mastitis, production issues (both too little and too much milk), infant weight gain, maternal feeding aversions, return to work, and fatigue.
Dr. Marcil has a lifetime of experience with breastfeeding. Her mother led a La Leche League group when she was a young child; she wrote her college thesis on psychosocial factors affecting duration of breastfeeding. She has breastfed her own two children for four years, completed extensive continuing medical education on breastmilk best practice, and supported many mothers on the medical, psychosocial, and practical aspects of their feeding journeys.