What No One Tells You

Dr. Alexandra Sacks, Dr. Catherine Birndorf

What No One Tells You
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About this Author

Dr. Alexandra Sacks is a psychiatrist, reproductive psychiatrist, author, and speaker specializing in the emotional experiences of pregnancy and early parenthood. She is known for helping parents understand the psychological transition into motherhood. Through clinical work, writing, and public education, she has made maternal mental health more accessible and compassionate.

Dr. Catherine Birndorf is a psychiatrist specializing in reproductive psychiatry, women's mental health, pregnancy, and postpartum emotional well-being. She has dedicated her career to supporting women through major life transitions. As a clinician, author, and educator, she promotes greater understanding of maternal mental health and the challenges surrounding early parenthood.

First Edition: 2019

Category: Health & Wellness

10:27 Min

Conclusion

7 Key Points


Conclusion

Motherhood brings many changes, emotions, and new responsibilities. Each stage can feel different and may bring joy, worry, or uncertainty. Support, patience, self-care, and honest communication can ease this transition. There is no perfect way to become a mother. Trust yourself and give yourself time.

Abstract

In the Book "What No One Tells You" by Dr. Alexandra Sacks and Dr. Catherine Birndorf, motherhood is presented not as a single event but as a profound journey of emotional, physical, and personal transformation. From the first pregnancy test through birth and the first year, the text explores uncertainty, changing relationships, body image, identity, intimacy, recovery, and the everyday challenges of caring for a baby. There is no perfect way to become a mother. By accepting mixed emotions, seeking support, setting healthy boundaries, and allowing identity to evolve, women can move through matrescence with greater confidence, compassion, and self-understanding.

Key Points

  • Pregnancy can bring mixed feelings, and there is no single correct way to respond.
  • Each stage of pregnancy brings physical, emotional, and relationship changes that require adjustment.
  • Open communication, healthy boundaries, and trusted support can make pregnancy easier to manage.
  • Preparing for birth helps parents understand their choices while staying flexible when plans change.
  • Bonding with a baby can develop gradually through consistent care, comfort, and attention.
  • The early months after birth require rest, patience, shared responsibilities, and realistic expectations.
  • The first year involves ongoing changes in identity, work, relationships, feeding, sleep, and daily life.

Summary

When Pregnancy Becomes Real

Learning that you are pregnant can bring many different feelings. You may feel happy and excited, but you may also feel nervous, confused, or unsure. Even if the pregnancy was planned, it can take time to accept that your life is changing.

During the early weeks, there may not be many physical signs. You might continue your usual activities while slowly getting used to the idea of becoming a mother. There is no single correct way to react to pregnancy.

It is also normal to have concerns about becoming a parent. Pregnancy can affect your body, emotions, relationships, finances, and plans. Feeling afraid or uncertain does not mean you will be a poor mother.

You may also need to decide how and when to tell others about the pregnancy. Consider what feels comfortable for you and who you trust. Your partner may have feelings that are different from yours, so open and honest conversations can help. As pregnancy begins, you may also think about your own childhood and your relationship with your parents. You might ask yourself:

  • What parenting habits do I want to keep?
  • What would I like to do differently?
  • What kind of mother do I want to be?

Thinking about these questions can help you understand your feelings and prepare for motherhood.

Navigate the Changes of the Second Trimester

The second trimester can feel different from the first. Early pregnancy worries may decrease, but physical and emotional changes can bring new concerns. As the pregnancy becomes more noticeable, women may need time to adjust to changes in their bodies, relationships, and daily plans. Several common concerns may arise:

  • Learning the baby's sex: Some parents want to know before birth, while others prefer to wait. Unexpected feelings are possible, especially when parents had imagined a particular future. Feeling surprised or disappointed does not mean they love their baby less.
  • Choosing a name: Partners may have different ideas because names can reflect family, culture, memories, or personal preferences. Calm discussion can make the decision easier.
  • Body image: Weight gain and changes in body shape can affect confidence. It is normal to miss the way your body looked before pregnancy while still feeling happy about becoming a parent.
  • Medical results: Waiting for test results can cause worry, even when there are no signs of a problem. Finding healthy ways to manage uncertainty can reduce stress.
  • Other people's opinions: Family members, friends, and coworkers may offer unwanted advice. Clear and respectful boundaries can help.
  • Intimacy: Pregnancy can change sexual desire, comfort, or closeness. Honest communication can help partners understand and support each other.

The second trimester can bring many changes, both physical and emotional. Some days may feel comfortable, while others may bring worry, confusion, or frustration. Giving yourself time to adjust is important. Open communication, healthy boundaries, emotional support, and regular medical care can make this stage easier to manage. Remember that mixed feelings are normal, and asking for support when needed is a healthy part of preparing for the changes ahead.

Prepare for Motherhood and a New Sense of Self

The final months of pregnancy can make motherhood feel much more real. As the baby grows, physical discomfort may increase, while thoughts about birth, parenting, and future responsibilities become stronger. This period is also an important time to prepare emotionally and practically.

Becoming a mother does not mean giving up your identity. You can care for your baby while continuing to value your interests, career, friendships, and personal goals. Finding this balance can help you feel more confident in your new role.

It is also important to protect your personal boundaries. People may offer unwanted advice, ask personal questions, or touch you without permission. You have the right to decide what feels comfortable. Practical preparation can include:

  • Reviewing household finances and future expenses.
  • Discussing childcare and work plans.
  • Sharing responsibilities with your partner.
  • Preparing the home for the baby.
  • Choosing celebrations that feel comfortable for you.

Some women also experience a strong urge to clean, organize, and prepare their homes before birth. This is often called nesting. The final trimester is therefore about more than getting ready for the baby. It is also a time to adjust to motherhood while making space for your own needs, values, and identity.

Get Ready for Birth and Early Parenthood

Giving birth can affect the body, emotions, and daily life in many ways. Knowing what may happen can help parents feel more prepared, but every birth is different. It is important to understand that the experience may not match what was expected. A birth plan can help parents discuss their choices with healthcare providers. It may cover:

  • Pain relief preferences.
  • Who will provide support.
  • Medical procedures they prefer.
  • How they want decisions to be handled.

However, parents should be ready to change these choices if health concerns arise. A safe and supportive birth is more important than following every planned detail.

Learning about labor before delivery can also reduce uncertainty. Classes, discussions with healthcare professionals, and preparation with a partner can help parents understand their options. Partners can provide reassurance, assist with communication, and offer practical help during labor.

After delivery, emotional responses can differ greatly. Some mothers feel strongly connected to their baby right away, while others develop that bond gradually. There is no single correct response.

Physical recovery can take time, particularly after a difficult birth. Breastfeeding may also require patience and assistance. Mothers should not feel ashamed if they need guidance or choose another feeding approach. Adjusting to life with a newborn takes time. Rest, support, understanding, and realistic expectations can help parents manage this major change.

Adjust to Life After Birth

The first few months after having a baby involve major physical and emotional changes. The mother is recovering from pregnancy and childbirth while learning how to care for her newborn. This period is often called the fourth trimester because the adjustment to motherhood continues after delivery. Being responsible for a newborn can feel difficult. A mother may feel happy and deeply connected to her baby but also tired, worried, frustrated, or uncertain. These feelings can happen together and do not mean she is failing as a parent.

Many mothers put pressure on themselves to do everything perfectly. Comparing themselves with others can make this harder. It is important to remember that learning to care for a baby takes time. Helpful ways to support adjustment include:

  • Resting whenever possible.
  • Accepting help from trusted people.
  • Making time for basic personal needs.
  • Asking for specific help when needed.
  • Talking openly with a partner.
  • Setting limits with visitors.

Partners also need to adjust to new responsibilities. Sharing childcare and household tasks fairly can reduce stress and improve communication. The fourth trimester is a period of learning, recovery, and change. Giving yourself time, accepting support, and recognizing that difficulties are normal can make the transition easier.

Find Your Balance in the First Year of Motherhood

The first year of motherhood brings many changes. A mother learns to care for her baby while also adjusting to changes in her body, emotions, relationships, and daily routine. Her new role develops through everyday experiences.

Building a close relationship with the baby happens through simple actions. Responding to cries, offering comfort, and meeting basic needs help the baby feel safe and cared for. Mothers do not need to be perfect; steady and loving care is what matters.

Sleep can be difficult because babies have different sleep patterns. Parents may consider different sleep approaches while keeping both the baby's needs and their own well-being in mind. Feeding can also bring strong emotions. A healthy approach focuses on:

  • Providing nutritious food.
  • Staying flexible.
  • Developing positive eating habits.

Returning to work may bring relief, worry, or mixed feelings. Decisions about work and childcare should reflect family needs, personal priorities, and available support.

Forgetfulness and mental tiredness are also common when managing many responsibilities. Friendships may change as priorities shift. Intimacy can change too because of tiredness, physical recovery, hormones, and new responsibilities. Honest communication can help couples adjust. Motherhood is an ongoing process of learning, adapting, and developing a new sense of self.

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