Postpartum Appointments

The Initial Postpartum Appointment:

Timing: The ACOG now recommends that patients have their first postpartum appointment within three weeks and then a comprehensive visit no later than 12 weeks. Typically, the initial postpartum appointment typically occurs within the first 6 weeks after giving birth. We recommend asking for a visit sooner to ensure you are healing and getting the care you need to recover. 

Focus Areas of the appointment:

• Physical Recovery: Your healthcare provider assesses your physical recovery, including the healing of any incisions, stitches, or cesarean section wounds. They will also address any concerns you may have about bladder or bowel function and pelvic floor recovery.

• Emotional Well-being: Discussing your emotional well-being is an important aspect of the first postpartum appointment. Share your feelings, experiences, and any concerns you may have.

• Breastfeeding Support: If you're breastfeeding, the appointment may include support for breastfeeding techniques and addressing any concerns or challenges.

• Contraception Planning: Discuss contraception options and family planning if you haven't already.

• Postpartum Depression Screening: Many healthcare providers conduct postpartum depression screenings during this appointment to identify and address potential concerns.

• Return to activity: Your provider will address return to physical activity and sexual intercourse.

Questions to Ask:

• How is my physical recovery progressing?

• Are there any warning signs I should watch for?

• If breastfeeding, address any concerns you have 

• What contraception options are suitable for me?

• Are there resources for postpartum support and mental health?

Subsequent Postpartum Appointments:

Timing: If you need/want appointments you can request follow up appointments, but generally you will not see your healthcare provider until you come back for an annual exam and/or return to discuss a subsequent pregnancy. But, please feel empowered to make additional appointments and reach out to your healthcare provider to get the care you desire. 

Focus Areas:

• Physical Health: Ongoing assessment of physical recovery, including any lingering concerns or new developments.

• Birth Control Evaluation: If contraception was discussed at the initial appointment, evaluate its effectiveness and make adjustments if necessary.

• Pelvic Floor Health: For women who had a vaginal birth, pelvic floor health may be addressed, including exercises and guidance.

• Infant Development: Discuss your baby's growth, development, and any concerns related to their well-being.

• Mental Health Check-In: Continue to monitor and discuss your mental and emotional well-being, ensuring ongoing support.

Questions to Ask:

• How can I support my pelvic floor recovery?

• Is my contraception plan effective, and are there alternatives?

• Are there resources for postpartum support groups or counseling?

Additional Considerations:

• Emotional Support: Seek emotional support from healthcare providers, family, and friends throughout the postpartum journey.

• Self-Care: Prioritize self-care, including adequate rest, nutrition, and engaging in activities that bring joy and relaxation.

• Ongoing Communication: Maintain open communication with your healthcare provider, reporting any new symptoms or concerns promptly.

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