- The 6-week check should assess both your physical and mental recovery.
- A physical exam should include checking C-section scars or perineal tears.
- Screening for postnatal depression is a critical part of the appointment.
- It's an important opportunity to discuss future contraception options.
Why the Postnatal Check Matters
After giving birth, the focus naturally shifts to the new baby. However, this period, often called the fourth trimester, is a time of immense physical and emotional change for you as the mother. The six-week postnatal check is the main opportunity to formally assess your recovery.
Unfortunately, many women in the UK report that their GP check is very brief, sometimes not even including a physical examination. A proper review is essential for catching potential problems early, from infections and healing issues to postnatal depression.
Your Physical Recovery Examination
A thorough check should start with a conversation about how you are feeling physically. This includes asking about any postnatal bleeding (lochia), urinary or bowel incontinence, and pain. Your blood pressure should also be checked.
If you had a caesarean section, your doctor should examine the scar to ensure it's healing well. If you had a vaginal birth with stitches, they should ask about your comfort and healing, and offer to examine you if you have any concerns. They should also check your tummy muscles for separation, known as diastasis recti.
Assessing Your Mental and Emotional Wellbeing
Your emotional health is just as important as your physical health. Your doctor should create a safe space to discuss your mood and how you are adapting to life with a new baby. They should ask specific screening questions for postnatal depression and anxiety.
It is vital to be honest in this part of the conversation. So many women feel pressure to be happy, but the reality can be overwhelming. This check-up is a key opportunity to access mental health support if you need it. The doctor can also provide information on everything from pelvic floor exercises to future contraception.
Frequently asked questions
What is a 6-week postnatal check actually for?
A proper postnatal check is a comprehensive review of your physical and mental health. It's more than just a quick chat. It should be a dedicated appointment to discuss your recovery, identify any issues, and support your transition to motherhood.
What should be checked physically?
Physically, your doctor should ask about your bleeding, check your perineum for healing if you had a tear or episiotomy, and examine your abdomen for diastasis recti (tummy muscle separation). If you had a caesarean, your scar should be checked. They should also take your blood pressure.
How important is the mental health part of the check?
This is crucial. Your GP or obstetrician should ask specific questions about your mood, screening for postnatal depression and anxiety. It's not just about feeling 'a bit down'; it's a chance to ask for help if you are struggling to cope.
Should contraception be discussed at this appointment?
Absolutely. By six weeks, it's important to have a plan for contraception, even if your periods haven't returned yet, as you can still be fertile. Your doctor should discuss your options, considering whether or not you are breastfeeding.
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