The Nurse-Family Partnership and Healthy Start are examples of community health programs that offer free home-visiting services. doi:10.1097/AOG.0000000000002633, Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. Obstet Gynecol. You may find one of our health articles more useful. If this is a problem, consider how she might gain support from a partner or family. Ask whether lochia is normal and/or whether periods have resumed. COVID-19: how to manage mood swings during coronavirus lockdown. You can opt out at any time or find out more by reading our cookie policy. What's Really Causing Your Postpartum Abdominal Pain? We're demanding dedicated postnatal check-ups so all new mothers can get the mental health support they need. If the thought of traveling to the doctor's office seems overwhelming, consider asking someone to go with you. Asking for help is not a sign of weakness nor is it an indicator that you're failing as a parent. 6th ed. This suggestion is not at all unusual. If you had an episiotomy, they might offer to check your stitches or ask how they’re feeling (NHS, 2016b). Available at: https://www.nhs.uk/conditions/caesarean-section/recovery/ [last accessed 22nd April 2018]. They will verify that any vaginal tears or c-section scars are healing properly and ensure that your uterus has shrunk down to its pre-pregnancy size. Use of this site is subject to our terms of use and privacy policy. You’re emerging from the newborn fog and it’s time to check in with your GP. http://rn.modernmedicine.com/rnweb/CE+Library/Diabetes-in-pregnancy-and-beyond/ArticleStandard/Article/detail/321683, Photo credit: The charity Tommy's has information about mental health in pregnancy as well as a Wellbeing Plan to help parents talk more openly about how they’re feeling. Mode of delivery is important[7]. You also may want to ask for a copy of your medical record. The GP might do a physical examination if they think it’s necessary. If you had an episiotomy or a C-section, your health care provider will make sure that the incision is healing correctly. Recognizing and Treating Postpartum Depression, reviewed by our medical review board and team of experts. Weight. (2016b) Caesarean section. Please sign in or sign up for a March of Dimes account to proceed. Combined hormonal versus nonhormonal versus progestin-only contraception in lactation. Registered in England and Wales. How can you get ready for meeting with your provider? Wellbeing Scotland or Niamh (in Northern Ireland) are leading providers of mental health information in their regions, for further information on PND. Ask whether there is any incontinence. Try our Symptom Checker Got any other symptoms? Slow contractions: advise pulling up her pelvic floor muscles as though she were trying to stop herself urinating or passing wind, and holding for 10 seconds. A postpartum checkup is a medical checkup you get after having a baby to make sure you’re recovering well from labor and birth. COVID-19: how to treat coronavirus at home. I found out when I was 16 so it’s been a very different life to most. How Soon Can You Get Pregnant After Giving Birth? Available at: http://obgyn.ucla.edu/childbirth-and-incontinence [last accessed 22nd April 2018]. NHS. The earlier problems can be identified, the better, so try to bring up any worries you have, no matter how small you might think they are. If you’re depressed or anxious, he or she may want you to seek therapy or try antidepressant or anti-anxiety medications. Common medical complications during this period include persistent postpartum bleeding, endometritis, urinary incontinence, and thyroid disorders. Go to your postpartum checkups, even if you’re feeling fine. There is some evidence that pelvic floor exercises are helpful in the prevention of stress incontinence, particularly for those at higher risk of problems - eg, instrumental delivery, third-degree tear[9]. Rescheduling a smear test . Optimizing postpartum care. A postpartum checkup is a medical checkup you get after having a baby to make sure you’re recovering well from labor and birth. 2006. I … Remember, your body is still recovering. Rather than an arbitrary “6-week check,” the American College of Obstetricians and Gynecologists recommends that the timing of the comprehensive postpartum visit be individualized and woman centered. Check blood pressure - particularly if it was previously high. Keep in mind, not all birth control options are appropriate for breastfeeding moms. It’s OK to tell her how you feel. For example, if you have chronic health conditions, you may need to see other providers after pregnancy to treat those conditions. 2019;133(2):e110-e127. Please whitelist our site to get all the best deals and offers from our partners. A Mother's Six-week Postnatal Check should be patient-centred and should cover physical, psychological and social aspects of having a new baby. UCLA Health. While it can be tempting to skip your six-week follow up appointment, especially if life feels hectic with your new baby at home, it's important that you take care of yourself during this time period. Don’t be afraid to ask for help! After childbirth: 7 things no one tells you, 6 things you'll need for postpartum recovery, the most helpful and trustworthy pregnancy and parenting information, You can raise any questions that have come up in the past six weeks. Your GP might feel your tummy to make sure your uterus has gone back into its old position. Postpartum care is important because new moms are at risk of serious and sometimes life-threatening health complications. You can get breastfeeding help from: Case manager or care coordinator. We create our articles with NCT antenatal teachers, postnatal leaders and breastfeeding counsellors, as well as academics and representatives from relevant organisations and charities. We're empowering families with the knowledge and tools to have healthier pregnancies. They can advise you on healthy eating and postnatal exercise too. If you experienced complications or challenges during your labor and delivery, you may want to ask for your practitioner's opinion on how this past experience will affect your options for future pregnancies and births. The American College of Obstetricians and Gynecologists (ACOG) now suggests that women see their OB/GYNs within three weeks of giving birth. Your Postpartum Doctor Visit - Should You Wait Six Weeks? What could be causing your pins and needles? At this point, it may well be the furthest thing from your mind but you can ask about sex after birth, if you’d like to. Calling us costs the same as any local call, however, if you have free 'inclusive' minutes on a landline or mobile, it will be included in those. Your GP might ask you about your toilet habits and if you leak any wee when you cough or laugh. Available at: https://www.nhs.uk/conditions/pregnancy-and-baby/episiotomy/ [last accessed 22nd April 2018]. You might also like to try one of our Mother and Baby Yoga courses, which aim to help improve your physical and emotional wellbeing, as well as feel more confident and positive. Many times the answer is yes, but it's always good to confirm with your doctor.. So be sure to mention your breastfeeding status. 2005. #PNDHour is an online peer support group that runs every Wednesday at 8pm via the Twitter account @PNDandMe. That way nothing will slip your (probably sleep-deprived) mind. 736. Enquire whether contraception is required - full-time breastfeeding (the Lactational Amenorrhoea Method) provides good contraception for up to six months if she remains amenorrhoeic, but fertility soon returns if breastfeeding is reduced or discontinued[5]. OR Patient is a UK registered trade mark. Let you know when you should return for routine gynecological care (including any follow-up for your chosen contraceptive method) and give you any necessary referrals.