Postpartum Alchemy

Postpartum Alchemy

Policy in Plain Language | Vol 1 | ACOG’s Postpartum Care Guidelines

And what this means for mothers

Casey Keen, MS, Author's avatar
Casey Keen, MS, Author
Apr 01, 2026
∙ Paid

Welcome to Policy in Plain Language!


This is the first in my monthly series where I take complicated maternal health policies, bills, guidelines, and insurance rules and explain them in straightforward, no-nonsense terms. We’re talking about what these actually mean for real moms dealing with postpartum recovery, birth trauma, PPD (postpartum depression), PPA (postpartum anxiety), breastfeeding struggles, and the huge gaps in our healthcare system.

No medical jargon, no sugarcoating, just honest info to help you feel more in control. I’ll always include a Provider Notes section at the end with practical, evidence-based tips for doctors, midwives, nurses, and other healthcare professionals who want to provide truly supportive, trauma-informed care.*


This month, we’re diving into the American College of Obstetricians and Gynecologists (ACOG) current postpartum care guidelines. ACOG is the leading group for OB-GYNs in the U.S., and they updated these recommendations back in 2018 to focus on the “fourth trimester.” These have been reaffirmed recently (as of 2025), so they’re still the standard, even though plenty of providers haven’t fully caught up yet.

Why This Matters for You as a New Mom

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