The 6-week postpartum (6/52) check is a comprehensive review of the mother’s physical and mental recovery after childbirth. It typically includes:
1. General Wellbeing & Mental Health
- Mood screening (e.g., Edinburgh Postnatal Depression Scale, EPDS) for postnatal depression and anxiety.
- Sleep, fatigue, and emotional support.
2. Physical Examination
- Uterine involution: Checking if the uterus has returned to its normal size.
- Perineal healing: If there was an episiotomy or tear.
- C-section scar assessment (if applicable).
- Breast examination: For engorgement, mastitis, nipple trauma.
- Abdominal muscle separation (diastasis recti) assessment.
3. Pelvic Floor & Bladder Function
- Urinary incontinence or retention.
- Bowel function (constipation, haemorrhoids).
- Pelvic organ prolapse symptoms (pressure, bulge sensation).
4. Sexual & Contraceptive Advice
- Resumption of sexual activity and any concerns (e.g., pain, dryness).
- Contraceptive options (including lactational amenorrhea method, progestin-only methods, IUDs, etc.).
5. Feeding & Infant Wellbeing
- Breastfeeding/lactation issues (supply, latch, pain, mastitis).
- Support for formula feeding if needed.
6. Chronic Conditions & Medications
- Review of hypertension, diabetes (gestational or pre-existing), thyroid disorders, or other medical conditions.
- Adjusting medications if breastfeeding.
7. Vaccinations
- Pertussis, MMR, or influenza if missed in pregnancy.
8. Future Health & Lifestyle Advice
- Diet, exercise, weight management.
- Discussion about future pregnancies and birth spacing.