Glossary

Term · California: Leave, Money, and Paperwork

comprehensive postpartum visit

Also: postpartum checkup, postpartum visit, six-week checkup, postpartum appointment

A postpartum appointment that covers far more than the physical check, including mood, feeding, sleep, healing, chronic conditions, and long-term health. ACOG recommends it, and it can happen over several visits.

In plain words

A comprehensive postpartum visit is a check-up after birth that looks at the whole mother, not just the incision or the . It covers mood and anxiety, feeding, sleep, and healing. It can also include contraception, return to exercise and work, bladder and bowel health, sexual health, and any long-term conditions that began in pregnancy. The visit also looks at heart health after conditions such as high blood pressure or . ACOG recommends this visit happen within the first twelve weeks, and it may be spread over more than one appointment. Many mothers bring a list of questions. The visit is a chance to ask about anything that is worrying you.

The deeper version

ACOG's Committee Opinion on optimizing postpartum care (2018) describes a comprehensive postpartum visit addressing seven domains: mood and emotional well-being, infant care and feeding, sexuality and contraception, sleep and fatigue, physical recovery, chronic disease management with handoff to primary care, and health maintenance including cardiovascular risk counseling after or gestational diabetes. Mood screening uses the or , alongside anxiety, substance use, and screening. ACOG recommends initial contact within three weeks of birth, then ongoing care, with the comprehensive visit no later than twelve weeks after birth. Evidence that a single visit improves outcomes is limited, and the controversy concerns how much of the content is delivered in practice.

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Sources

  • American College of Obstetricians and Gynecologists — Committee Opinion No. 736: Optimizing postpartum care, 2018
  • American College of Obstetricians and Gynecologists — Clinical Practice Guideline on postpartum care, 2024

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