Postpartum: Your Body

Postpartum: Your Body

The six-week checkup (and why it isn't enough)

The six-week visit is often fifteen minutes. Go in with a list, and know that ACOG now says care should start by three weeks.

General research · seeking a stewardpostpartumAlso searched as: 6 week appointment, postpartum visit, cleared at 6 weeks, what to ask

What it is

Your six-week appointment is coming and you are not sure what to ask, or you went and were 'cleared' in ten minutes. ACOG changed the rules in 2018. It now says every mother should have contact with her provider within three weeks of birth, earlier after high blood pressure, and a full visit by twelve weeks. About four in ten mothers never make it to the visit at all.

What's typical

The visit usually covers blood pressure, weight, a belly and wound check, a depression screen, feeding, and birth control. Cleared means the tissue has closed and the bleeding has stopped. It does not mean your pelvic floor, your sleep, your mood, or your iron have been checked.

What's known

ACOG's committee opinion on optimizing postpartum care calls the fourth trimester a time of ongoing care, not a single visit.

What helps

  • Write the list the week before: leaking, pain, sex, mood, sleep, exhaustion, headaches, going back to work.
  • Ask directly for a pelvic floor PT referral if you leak, feel heavy, or hurt. Ask for a thyroid and iron check if you are wrecked.

When to call someone

  • Nowdo not save anything on the warning-signs list for this visit. Heavy bleeding, a severe headache, chest pain, or thoughts of harming yourself are calls now.
  • Todaya fever, a wound that looks infected, or a mood that is scaring you.
  • At your next visiteverything else on your list. Ask for a follow-up date; three months is reasonable if you are not well.

Who helps

Tools: My Birth Team · Postpartum Prep Checklist

Related

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Sources

  • American College of Obstetricians and Gynecologists — Committee opinion on optimizing postpartum care
  • NHS — Your six-week postnatal check

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The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.