You spend nine months preparing for birth. Then the baby comes, and suddenly you're alone, bleeding, leaking, and sleep‑deprived. That's the fourth trimester, and it's brutal. The postpartum service market report by MRFR shows that in‑home care is the largest service segment, because new parents are desperate for help — not just with the baby, but with themselves. The market is $4 billion and growing at 7% CAGR, driven by delayed childbearing (older moms have harder recoveries) and the mental health crisis.

What does in‑home care look like? Postpartum doulas who cook, clean, and watch the baby while you sleep. Lactation consultants who fix painful breastfeeding. Physical therapists for diastasis recti (ab separation) and pelvic floor issues. The postpartum service market analysis highlights that counseling services (for PPD/PPA) are the fastest‑growing segment, as stigma fades and telehealth makes therapy accessible.

But insurance coverage is spotty. Only a few states mandate postpartum doula coverage. Most families pay out‑of‑pocket — $30‑$50 per hour for a doula, $150‑$300 for a therapy session. That's a luxury many can't afford.

The takeaway: if you're expecting, budget for postpartum support. It's not indulgent — it's medical care. And if you're a policymaker, fund it. Healthy moms raise healthy kids.