Meet The Center for Fourth Trimester Care

and the board behind the mission

About The Center for Fourth Trimester Care

Center for 4th Trimester Care is physician led non-profit organization with the mission to bring high quality 4th trimester care to all families. We recognize the holes in our current medical system which has resulted in the high maternal mortality/morbidity leading to poor effects on infant/child health. We are coming together to advocate for improved 4th trimester care because of its profound health and socioeconomic impacts on our families, communities, and nation.

Important Facts about Maternal Care in the U.S.

of maternal deaths are preventable

of deaths occur after the birth of the baby

of patients do not go to their 6 week postpartum visit

of mothers/birthers intend to exclusively breastfeed for 3 months, but only 32 percent meet that goal

Meet Our Founders

Dr. Michelle Haggerty

Family Medicine, IBCLC

Dr. Haggerty has spent her life using her personal and career experiences to support mothers going through their matrescense. She graduated from the University of Wisconsin – Madison with a Bachelor of Science Degree in Nutrition where her capstone project was on breastfeeding and HIV/AIDs in Uganda. She went on to obtain a Masters in Public Health from the University of Minnesota with an emphasis on Nutrition and Global Health. She spent her internship in Peru working in a pediatric and obstetric clinic doing health campaigns in the surrounding villages. It was during her public health training where she realized she wanted to pursue becoming a physician. She got her degree in Osteopathic Medicine from Midwestern University in Chicago, IL followed by a family medicine residency in St. Paul, MN. Her medical training included working in a pediatric HIV clinic in Zambia and a family medicine clinic in Belize. Following residency she started working at a Federally Qualified Health Center in North Minneapolis, MN. She most recently completed a two year fellowship in Integrative Medicine at the Andrew Weil Center for Integrative Medicine in Tucson, AZ. Her other trainings include the Advanced Training Program in Mind Body Medicine through the Center for Mind Body Medicine, Food as Medicine, Mindfulness Based Stress Reduction, Level 2 Reiki, Registered Yoga Teacher – 200hr, Prenatal Yoga Teacher Training, CenteringPregnancy advanced facilitator, Perinatal Mood and Anxiety Disorder training through Postpartum Support International and The Art of Holding Perinatal Women in Distress through the Postpartum Stress Center. She is an International Board Certified Lactation Consultant and serves on the Medical and Health Sciences Advisory Committee for the Minnesota Milk Bank for Babies. She was recently recognized as one of the 2021 Rising Top Star Doctors by Msp/St. Paul Magazine and also 2021 Top Doctors by Minnesota Monthly Magazine. She is passionate about her family, travel, dark chocolate, red wine, outdoor adventures and laying in a hammock with a good book. Her own matrescense has been a bit of a rollercoaster. She is a mom to two angel babies (from miscarriages) and two sons (unless they tell her otherwise). Her own 4th trimester experiences were wonderful and challenging and messy and beautiful and cozy and painful and emotional and blissful and lonely and supportive (there are not enough words to truly describe this time). She is so excited to be able to offer this service and would be honored to be a part of your journey into motherhood.

Dr. Sonal Patel

Pediatrician, Neonatologist, CLE

Sonal Patel is a Board-Certified Pediatrician, a Neonatologist, and Amazon best selling book, The Doctor and Her Black Bag. Born in Lucknow, India, her family moved to Omaha, Nebraska when she was 9. She attended Emory University, Atlanta, Georgia, 1995-1999. She studied medicine at the University of Nebraska, Medical Center graduating in 2003. She did her Pediatric training at LSU in New Orleans, Louisiana. Thereafter, she pursued Neonatology starting at LSU and finishing at Tufts University in Boston. She moved to Denver in 2009 and joined Denver Health as a Neonatologist. Through her professional and personal experiences, she noticed the gaps of postpartum care in Colorado. In 2017, she founded NayaCare: Newborn Speciality Clinic at Your Doorstep. NayaCare’s mission is to improve postpartum care for all moms. This evidence based home health clinic is viewed as an extension of hospital care. Comprehensive care comprised of a Pediatrician, Lactation, and Counselor is delivered to your doorstep. By bringing care home, stressors are alleviated during this fragile time of maternal healing and family bonding. She is also an active member of Good Business Colorado, a Strong Economy Working Group. Through her advocacy, she focused on bringing paid family leave to Colorado and was a featured speaker. She has been a guest on several podcasts, written articles, and featured on 7News and 9News. She is married to her college sweetheart and has 4 boys. In her downtime, she enjoys a good book, hiking, skiing, and a good cup of Indian Chai!

Meet Our Board Members

Dr. Meghan Gray

Co-Director of Education


Dr. Megan Gray is a practicing obstetrician/gynecologist with over 15 years of experience as well as a mom of two littles and wife. She was a scholar athlete in gymnastics and graduated Phi Beta Kappa from the University of North Carolina, Chapel Hill. Dr. Gray received her medical degree from the Medical University of South Carolina and then completed her Ob/Gyn residency training at Orlando Health in Orlando, Florida. She has cared for thousands of women and delivered well over a thousand babies in her career so far, but it wasn’t until she went through the postpartum experience herself that she really understood what was lacking in maternal care. While on maternity leave, with her first child she was inspired by her own experience to write Amazon bestselling “The Forgotten Trimester: Navigating Self-Care After Birth”. She is also the co-creator of Rx Postpartum, a postpartum preparation program. Dr. Gray is passionate about improving the experience of the fourth trimester through educating, encouraging, and empowering moms about their health and wellness after birth. Outside of medicine, Dr. Gray is an exercise fanatic. She enjoys running, swimming, hiking and surfing. As a former NCAA division I gymnast at the University of North Carolina, staying fit and healthy is a priority and helps her stay grounded in the controlled chaos of life. Dr. Gray spends a majority of her time outside of work running after her children, exercising and making memories with her husband.

Dr. Malasa Kahn

Co-Director of Education

Family Medicine

Dr. Malasa Kahn is a board-certified Family Medicine physician, with special interest and training in osteopathy, 4th trimester care and breastfeeding medicine. She completed her training at Brown University in Providence, Rhode Island and medical school and Rowan University in New Jersey. Dr. Malasa believes that patients deserve compassion and space to tell their stories on their journey toward healing. Her unique style and holistic approach to evidence-based medicine required more time and freedom than was allowed by the traditional medical system. This led her to open her DPC practice with her husband in 2020. She runs her DPC practice in Montclair, NJ. Here, she also offers a special concierge-style Fourth Trimester program to her patients; it brings specialized care for birthing people, their babies and their families into the comfort of their homes.” She is thrilled to be working on this revolution to empower birthing people and their families in the delicate and powerful time known as the 4th trimester.

Dr. Nithya Natrajan

Co-Director of Business Development

Family Medicine, NABBLM-C, FAAFP

Dr. Natrajan is a Family Medicine Physician and mama to 3 boys. She is triple Board Certified in Family Medicine, Geriatrics, and Breastfeeding and Lactation Medicine with additional clinical experience in women’s health, infertility, and hormone management. Through Blossoming Families: Perinatal Care, she provides virtual care to patients throughout South Carolina and Georgia and a limited amount of home visits near her home in the Midlands. Her services include perinatal care, breastfeeding and lactation medicine, lactation counseling, and infertility & pregnancy loss support. She also serves as a medical content expert for IABLE (the Institute for the Advancement of Breastfeeding and Lactation Education) and is on the board of Love Your Birth!, a local nonprofit. Through her work, Dr. Natrajan strives to nurture and empower new parents as their families grow.

Dr. Amy Brandon

Co-Director of Business Development

Pediatrician, IBCLC

Amy Brandon is a pediatrician & IBCLC practicing on the telehealth platform Maven Clinic, the largest digital clinic for women and families; a huge proportion of Maven’s members are young families just starting out and much of the care they access is in that critical Fourth Trimester. Having been with Maven for almost 5 years Amy has witnessed huge growth in the platform and is looking forward to amazing opportunities ahead as Maven continues to expand clinically (and also currently working on leveraging her own experience towards increasing services for postpartum parents and newborns). Prior to joining Maven while living overseas during one of her husband’s military assignments, Amy was an active duty pediatrician in the Navy, stationed at Camp Lejeune, Okinawa, and Walter Reed/Bethesda. She was motivated to pursue her IBCLC after experiencing all the typical setbacks in breastfeeding her first baby, and is passionate about providing comprehensive (and, in particular, knowledgeable/evidence based!) support to new families and newborns. Amy has 4 kids and is currently living in the Boston area.

Dr. Jessica Madden

Co-Director of Advocacy

Pediatrician, Neonatologist, IBCLC

Primrose’s founder, Jessica Madden, MD, is pediatrician, neonatologist, and mother of 4 who has been taking care of newborns since 2003. She completed her pediatric residency at the University of Massachusetts and her neonatology fellowship at Rainbow Babies and Children’s Hospital in Cleveland, Ohio. She is a longstanding member of both the American Academy of Pediatrics and the Academy of Breastfeeding Medicine and is a former Clinical Instructor of Pediatrics at Harvard Medical School. At the present time she is an Assistant Professor of Pediatrics at Case Western Reserve University’s School of Medicine. Dr. Madden specializes in the care of all babies, including NICU graduates, and has guided hundreds of parents in the care of their infants after being discharged home. She experienced both breastfeeding difficulties and postpartum depression after the birth of her oldest child and she uses the lessons she has learned from both her personal experiences as a new mother and professional experiences as a NICU physician in the care of her newborn patients. In addition, she is a certified lactation consultant (IBCLC) who supports all methods of infant feeding.

Dr. Oneka B. Marriott

Co-Director of Advocacy

Pediatrician, IBCLC

Dr. Oneka Bynoe Marriott is a board certified pediatrician independently practicing for almost 10 years in South Florida. She graduated from Oakwood University in Huntsville, Alabama as a biology/pre-Medical major and went on to earn her Master’s of Public Health degree concentrated in Health Behavior and Health Promotion from The Ohio State University in Columbus, Ohio. After successfully completing a Summer Scholars program she was direct-admitted to Ohio University Heritage College of Osteopathic Medicine to pursue her medical degree. After medical school, Dr. Marriott moved to sunny South Florida to complete a three year community based pediatric residency program wherein she also served as Chief Resident during her final year. Dr. Marriott was recruited after residency to the faculty of Nova Southeastern University to serve as Clinical Assistant Professor of Pediatrics and Assistant Professor of Public Health. During her time in academic medicine she taught medical students, precepted medical residents in the pediatric clinic and constructed and taught graduate level Public Health courses. She served as the Designated Institutional Officer for the dually accredited Preventive Medicine and Public Health Residency Program in West Palm Beach. She also obtained grant funding for an international pediatric cancer project and led the local team of researchers during this endeavor. As a practicing professional she had the opportunity to participate in a year-long professional Health Policy Fellowship – traveling the country each month, meeting with heads of government, advocating on Capital Hill in Washington, D.C., and designing policies on various topics. Dr. Marriott transitioned from her role in academic medicine to pursue a leadership opportunity in community health. She joined the senior staff of FoundCare, Inc. in 2016 as the Chief Medical Officer. In this Federally Qualified Health Center setting she has successfully led quality initiatives, designed and implemented policies and procedures to enhance care delivery, and has advocated at the Florida State Capital on behalf of healthcare for uninsured/underinsured and marginalized members of the community. She has organized and managed community health fairs for back to school physicals and immunizations. She has participated in fundraisers, spoken and written on behalf of the organization for multiple media outlets including print, TV and radio, and has conducted a number of health presentations for the community – including the American Heart Association and the Palm Beach County Housing Authority. Notably, at the onset of COVID-19 across the country, Dr. Marriott organized and led the team that would run the first drive-up testing site in South Florida. She also became an expert medical resource during the pandemic with multiple media appearances including the national ABCNews, local news, and print. Dr. Marriott is married and a proud “boy-mom” to four young men ranging in age from infant to young adult. She has successfully breastfed her three youngest children – often navigating the exhausting line of full time mom and full time high-demand professional. Because of these experiences she has further come to have a strong interest in maternal and infant healthcare and wellbeing. She intentionally incorporates her experiences and knowledge into her pediatric practice and is actively pursuing education in lactation medicine and maternal mental health to further enhance her expertise. Her next pursuits in this area will be incorporating her public health and health policy training to advocate on the state and national levels for policies and systemic changes that support maternal and child health.

Dr. Iris Tian

Board Secretary

Physical Medicine & Rehabilitation Physician, Osteopathic Manipulative Medicine (OMM)
Iris Tian, DO is a Board-Certified Physical Medicine & Rehabilitation (PM&R) and Lifestyle Medicine Physician and a Pre-/Post-Natal Performance Training Specialist, who practices in Asheville, NC, and empowers women from pregnancy to motherhood to achieve wellness, so they can live happy, healthy, and pain-free lives.
She grew up in South Jersey, majored in Health & Exercise Science at The College of New Jersey (TCNJ), and attended Rowan School of Osteopathic Medicine (RowanSOM) for medical school and Icahn School of Medicine at Mount Sinai in NYC for residency. Throughout her medical training, she realized most physicians lack the knowledge when it comes to treating pain and musculoskeletal issues that arise in the perinatal period, especially during the 4th trimester. She could not find a practice model to support women in this way, so she thought, “Why not create it?”
She is the proud owner of Women’s Osteopathic Wellness, PLLC, which is the first and only concierge-style practice in North Carolina that provides in-home, in-office, and virtual holistic, hands-on care for prenatal and postpartum (4th trimester) women and newborns to minimize pain and maximize function by achieving wellness. She specializes in treating all types of pain, including pelvic, pubic, sacroiliac joint, and low back pain, musculoskeletal issues, and other symptoms that arise in pregnancy and persist into the postpartum period with Osteopathic Manipulative Medicine (OMM), Lifestyle Medicine (nutrition, exercises, stress management, sleep hygiene), breathwork, pelvic floor activation/relaxation techniques, wellness coaching, and lactation support. She also offers Aesthetic Medicine to empower women to look and feel their best.
Dr. Iris is a total foodie and is passionate about health & fitness, personal development, traveling, baking, playing guitar/ukulele, and all things artsy. She also loves going on hikes and competing in barn hunt and agility with her furbaby, Hippocrates.

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