The transition to parenthood can feel like a time of great isolation. New mothers have gone through an experience that has wreaked havoc on their bodies, and it is possible that no one else around them is going through the same type of physical adjustment. They are likely to be the primary caregiver for a newborn that is dependent on them for nourishment, which requires that they tend to their newborn around the clock. They are up in the middle of the night when everyone else in the household is sleeping. They have yet to settle into a routine, when everyone else around them seems to be going about their days. In the fi rst several days, they may not even have left the home. In many instances, they need help, but may do not know how to ask.