Harley Street · London Home Visits · Worldwide Online

20 years of NHS clinical expertise, dedicated entirely to your postnatal recovery.

You spent nine months preparing for birth. We are here for the fourth trimester — ensuring your physical healing, mental wellbeing, and transition into motherhood is safe and nurtured.

Explore Care Packages Meet Dr. Vance
Week 1
Home review Week 4
Wound & mood Week 8
Pelvic rehab Week 12
Discharge MOT
A mother gently holding her newborn baby in soft natural light

Mother-first medicine.
Because your recovery matters as much as your baby's.

Portrait of a senior consultant physician in a calm clinic setting

Dr. Eleanor Vance

MBChB, FRCOG — Senior Consultant Obstetrician & Perinatal Specialist

A letter from the founder

The gap I could no longer ignore.

“In my 20 years as an NHS Senior Consultant, I saw thousands of mothers discharged after birth with all focus shifted to the baby — leaving the mother's physical recovery and emotional safety behind.

Six weeks is not a recovery. It is a beginning. A caesarean is major abdominal surgery; a difficult birth can leave marks no one examines; and the hormonal, emotional landscape of new motherhood deserves clinical attention, not a leaflet.

I founded this practice to bridge that critical gap — bringing senior clinical judgement, unhurried appointments and genuine continuity of care into your own home, our Harley Street rooms, or wherever in the world you are.”

— Eleanor Vance

Years of NHS service
20+
Years NHS Service
Accreditation
FRCOG
Accredited
Registration
GMC
Registered
Experience
5,000+
Babies Delivered & Mothers Cared For

Two ways to be cared for

Bespoke in person. Boundless online.

Every pathway is consultant-designed, evidence-based, and built around the twelve weeks that follow birth — not the ten minutes a standard check allows.

A clinician gently examining a newborn during a home visit

Option 1

In-Person Bespoke Care

London · Harley Street · Home Visits

  • Home medical check-ins. Pelvic floor recovery, C-section or perineal wound healing, abdominal separation (diastasis recti) checks, and vital signs monitoring — all in your own living room.
  • Perinatal mental health. Structured screening for postnatal depression and anxiety, and unhurried debriefs of traumatic or complex birth experiences.
  • Lactation & newborn wellness. Doctor-led feeding assessments, infant weight tracking and sleep physiology guidance.
Enquire about home visits
A mother on a relaxed video consultation from home

Option 2

The Digital Postnatal Membership

Online · Available Worldwide

  • Weekly virtual check-ins. Direct one-to-one telehealth reviews with a senior midwife or consultant, following your recovery week by week.
  • 24/7 concierge WhatsApp channel. Reassuring, clinician-monitored support for non-emergency questions — day or night, wherever you are.
  • Expert video library. Pelvic rehabilitation, hormone health, infant sleep and partner support guides — built by specialists, watched on your schedule.
Join the membership waitlist

Clinical services matrix

Standard discharge vs. twelve weeks of true care.

What most mothers receive after birth — and what our comprehensive 12-week programme provides instead.

Comparison of standard postnatal discharge care against the Fourth Trimester Care 12-week programme
Element of care Standard postnatal discharge Our 12-week programme
Medical reviews One GP check at ~6 weeks (approx. 10 minutes) Weekly consultant-designed reviews, weeks 1–12
Wound & C-section care Self-monitoring at home Scheduled healing checks with escalation pathways
Pelvic floor recovery Leaflet-based exercises Assessed rehabilitation plan with specialist referral
Mental health screening Brief questionnaire, if raised Structured screening at weeks 2, 6 & 12 plus birth debrief
Feeding support Variable community availability Doctor-led feeding assessments & infant weight tracking
Out-of-hours reassurance 111 / A&E only 24/7 concierge channel for non-emergency queries
Continuity of clinician Rarely the same professional twice One named senior clinician across your whole recovery

We complement, and never replace, NHS emergency services. For urgent symptoms always call 999 or attend A&E.

In their words

Mothers who were finally looked after.

“My C-section wound wasn't healing and I'd been told to ‘keep an eye on it.’ Dr. Vance spotted the problem at my week-two home visit and had it treated within days. I felt clinically safe for the first time since the birth.”
Amelia R. In-person programme, Notting Hill
“Nobody had asked me how *I* was for weeks. The birth debrief changed everything — someone senior listened, explained what had happened, and screened me properly. The anxiety lifted once I understood.”
Priya S. Digital membership, Dubai
“The 2am WhatsApp reassurance alone was worth it. Every worry was answered by someone qualified, kindly and fast — and when something did need seeing, they arranged it the same morning.”
Charlotte & Tom W. In-person + membership, Richmond

Contact & triage

Tell us where you are in your recovery.

Complete the triage form and our clinical coordinator will respond within one working day with a recommended pathway and available appointment times.

+44 (0)20 7000 0000

care@fourthtrimestercare.co.uk

10 Harley Street, London W1G 9PF

Important

This form is not monitored for emergencies. If you have heavy bleeding, chest pain, breathlessness, fever, thoughts of harming yourself, or any urgent concern about you or your baby, call 999 or go to A&E now.

Which pathway interests you? *
Primary concerns (select all that apply)

Your details are handled confidentially in line with UK GDPR and are shared only with our clinical team.