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Taking back the fourth trimester together.

Why didn’t anyone tell me? Is this normal? Is this OK? What should I do?

We hear this. A lot. Because after 9 months of care, support, and services, it all comes to a screeching halt once you’ve had the baby. Families are left to figure everything out alone. And guess what? We’re the only developed country doing that. It’s a big part of why America has the worst postpartum outcomes of all developed countries. (Source: UNFPA, et al, 2019)

Our Solution

Dedicated Postpartum Care

Major Care™ connects new parents with virtual certified postpartum doulas to provide affordable and accessible remote care. Wherever you live, whenever you need it, we are there.

Our postpartum doulas are coast-to-coast and are certified through the nation’s leading birthwork agencies, including DONA International, CAPPA, Pro Doula, and Birth Arts International. Many have secondary certifications or training in lactation, perinatal depression and anxiety, and baby wearing.

Doulas are trained, non-medical postpartum experts who are there to support you, educate you, cheer you on, and give you resources and recommendations. Common questions and concerns include breast/chestfeeding, bottle feeding, pumping, postpartum body care and healing, baby care, and emotional ups and downs. We can address all of that in video sessions and texting!

Postpartum care is critical for the baby and the birth person. Every study available proves what we know: When a postpartum doula is involved, the entire family has a healthier, safer, and better experience.

We are here for you.

  • Mandy Major

    Founder and CEO

    Mandy is on a mission to change how America handles the fourth trimester. After learning first-hand how little we support and inform new parents during postpartum, she left her 10+ year career in digital media to dedicate herself to birth work and closing the gap in postpartum care. Today, she’s a certified postpartum doula PCD(DONA), founder of Major Care, and creator of the My Fourth app, the first daily tracker devoted to postpartum parents. She has been a spokesperson for Philips Avent and currently serves as the postpartum expert for BabyCenter’s medical advisory board. She holds a M.A. from Columbia University Graduate School of Journalism and has written as a perinatal expert for HuffPost, Healthline, Motherly and more. Find her on Instagram @doulamandy.

  • Carrie Murphy

    Director of Content and Strategic Development

    Carrie is a writer, full-spectrum doula, poet, mother, organizer, activist, herbalist, and lover of community. She is the author of two books of poetry and her freelance writing has appeared in/on ELLE, Glamour, Women’s Health, Healthline, and more. She has an MFA in Creative Writing and a certificate in Public Health (Maternal Child Health). Carrie has been a doula since 2012 and is active in birth, midwifery, and doula advocacy. Body literacy, body autonomy, and reproductive justice inform all of her work in the world.

Meet Our Team

  • Lana Mihaiyu

    Postpartum Doula

    Lana Mihaiyu (she/her) is DONA-trained postpartum doula based in San Diego, CA. She is also studying lactation at UCSD and working towards becoming a board certified lactation consultant (IBCLC). Her journey to motherhood affected her deeply and inspired her passion for maternal health and wellness. Realizing increased perinatal support can greatly impact parents’ confidence, breast/chest-feeding success, and parent-child bonding, she decided she had an opportunity to improve outcomes and make a difference.

    Credentials: DONA postpartum trained (certification in progress), CLC lactation consultant in training (UC San Diego)

  • Lexi Tabor

    Postpartum Doula

    Lexi Tabor (she/her) specializes in supporting the entire family unit, partnering with parents in order to help families feel as rested and confident as possible. Her naturally-nurturing personality and a degree in early childhood development led to a 10-year career as a nanny. She then expanded her expertise with DONA International and Birth Arts International training in postpartum doula work, as well as becoming a Certified Lactation Support Counselor (CLSC). Outside of snuggling babies, she enjoys baking, exploring parks around Cleveland, and visiting her sister’s chickens.

    Credentials: CLSC (Birth Day Presence), DONA postpartum doula trained (certification in progress with BAI), CBWS in training (certified babywearing educator), infant sleep (Bebo Mia, Durham University Infancy & Sleep Centre, Newborn Care Training Academy)

  • Brya Johnson

    Full-Spectrum Doula

    Brya Johnson (she/her) specializes in BIPOC-focused care, cesarean support and NICU parents. She is deeply passionate about reproductive justice and empowered birthing for all! Following her own birth, she gained a deeper appreciation for filling in the gaps in postpartum care and support. While working with clients, she strives towards reproductive justice, vitality and empowerment through helping them care for their mind, body and spirit. She holds a master’s degree in Social Work from Washington University in St. Louis. Currently, she is taking an additional doula course and a childbirth education course.

    Credentials: Jamaa Birth Village Doula Training, Centering Pregnancy, Mama Aïcha Abortion Companionship Training, WCPS Certified Placenta Encapsulation Specialist

  • Jessica McGilvray

    Postpartum & Loss Doula

    Jessica McGilvray (she/her) is a certified birth, postpartum, and bereavement doula and a certified lactation counselor (CLC) with more than 6 years of experience as a doula. She is also a student midwife pursuing the Certified Professional Midwife credential. She loves supporting clients through the postpartum period with emphasis on lactation, babywearing, nutrition, normal newborn behavior/sleep, and self-care. Families who have experienced loss or who have preterm babies/babies needing NICU time hold an extra special place in her heart. Jessica is a homeschooling mom of 4 children and 2 spoiled cats. In her spare time, she can be found knitting and sipping a good cup of tea.

    Credentials: Certified Birth and Bereavement Doula (StillBirthday), Certified Birth and Postpartum Doula (Childbirth International), Newborn Care Specialist (NCTA), Certified Lactation Counselor (CLC through ALPP), Trauma-Informed Birth Professional

  • Hilary Rudenauer

    Postpartum Doula

    Hilary Rudenauer (she/her) is a postpartum doula, lactation counselor, yoga instructor, and reiki practitioner. After navigating multiple miscarriages, a traumatic birth experience, and postpartum depression, Hilary became passionate about supporting other families through pregnancy, postpartum, and parenting. Prior to entering the maternal care field, her work focused on the intersection of mental health and holistic healing. Her knowledge and experience with holistic practices, trauma-informed approaches, and peer support inform all aspects of her work. In addition, Hilary enjoys supporting siblings through their postpartum transition and connecting with families who are navigating pregnancy after loss.

    Credentials: Certified Postpartum Doula (DONA), Certified Lactation Counselor, 500-Hour Yoga Instructor, Reiki Master

  • Dr. Aparna Iyer

    Curriculum Advisor

    Dr. Iyer is a board-certified psychiatrist with the American Board of Psychiatry and Neurology. Dr. Iyer works in a private practice in Frisco, TX, where she sees outpatients. She has a special interest in working with women who are pregnant and postpartum, as well as in physician wellness.

  • Kayla Bitten

    Curriculum Advisor

    Kayla Bitten is a doula, birth educator, lactation counselor, midwife apprentice, and the owner of The Postpartum Clinic, an Alabama-based practice offering comprehensive, inclusive, and culturally competent care for families.

  • Stephanie Rose-Belcher

    Strategy & Operations Advisor

    Stephanie Rose-Belcher is senior strategic and operations leader in the healthcare sector. She has more than 30 years of executive leadership experience, managing production operations, product development, market planning, customer relationships, administrative operations, compliance, and technology teams.

What parents are saying...

  • "I loved going into the app in the middle of the night during feedings because it made me feel less alone. It was way better than scrolling on social and made me feel supported. It also gave me great advice and suggestions for approaching the postpartum journey." —Jane
  • "Thank you for working on creating an app specifically for the fourth trimester. It’s such a challenging time where moms rarely reach out for help or may not even realize that they need additional resources unless they’ve been tracking their well-being as much as tracking their newborn's." —Jase
  • "So glad this exists. Thank you!" —Carolyn
  • "I am close with a few doulas who stress the importance of the need for information for mothers in this 4th trimester. Everything in this app is invaluable and instrumental in aiding postpartum recovery and making birthing parents feel supported." —Meghan
  • "Things I loved already: the user-friendliness, from little things like font size to the approachable tone and voice in the content already there. Sounds like a friend who cares not a medical resource as you are getting logged in. The app is easy to navigate and find what you need. Love that. Many others are convoluted and send you in circles." —Alex
  • "I love this. The Resource Library was great, and I appreciated how short the daily updates were since there's so little time to read." Dr. Sarah Simmons
  • "This app is amazing! It's like the Wonder Weeks for postpartum." Jen C.
  • "I liked the short videos. The tone was friendly and informative. I often used app while nursing, and plan to check out the Resource Library more thoroughly."Sydney B.
  • "I've really enjoyed using the app. The videos are short and engaging enough that they don't feel like a chore to watch and I don't feel my attention wandering. I liked the additional tips below the videos. I like that the content has a non-judgmental, inclusive, modern sensibility."Nora B.
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