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Once the baby arrives, the mother tends to disappear from view. That is a mistake — the postpartum period carries real medical risk, and it is also when problems that will shape the next year of your life either get addressed or get ignored.
First 24 hours — bleeding, blood pressure, uterine contraction, wound or perineum check, first feeds, baby’s first examination.
Day 3–7 — wound review, jaundice check for the baby, breastfeeding troubleshooting, weight check.
Week 2 — stitch removal if needed, feeding review, mood check.
Week 6 — full postnatal examination: blood pressure, weight, abdominal and pelvic examination, wound or scar review, anaemia check, thyroid where indicated, contraception discussion, and cervical screening if due.
Physical recovery. Uterine involution, lochia (postpartum bleeding — expect gradual reduction over 4–6 weeks), perineal or caesarean wound healing, haemorrhoids, constipation, and pelvic floor rehabilitation. Pelvic floor exercises started early prevent a great deal of later urinary incontinence and prolapse.
Breastfeeding support. Latch and positioning, low supply, engorgement, blocked ducts, mastitis, cracked nipples, and realistic advice on expressing and returning to work. Most breastfeeding problems are mechanical and fixable in one consultation.
Mental health. Baby blues in the first two weeks are common and settle. Postpartum depression is different — persistent low mood, hopelessness, loss of interest, difficulty bonding with the baby, or intrusive frightening thoughts lasting beyond two weeks. It is a medical condition, it is common, and it responds well to treatment. We screen for it at the 6-week visit and you can raise it at any time. There is no shame attached to it here.
Contraception. Fertility can return before your first period, and even before six weeks in some women. We discuss all options — progesterone-only pill (breastfeeding-safe), combined pill, injectables, implant, IUD/copper T (which can be inserted immediately postpartum or from 6 weeks), barrier methods, and permanent options. Birth spacing of at least 24 months benefits both you and the next baby.
Nutrition and anaemia. Iron stores are often depleted after delivery. We check haemoglobin and continue supplementation as needed, alongside calcium and vitamin D while breastfeeding.
Heavy bleeding (soaking a pad in an hour or passing large clots), fever, foul-smelling discharge, severe abdominal pain, a red or discharging wound, calf pain or swelling, chest pain or breathlessness, a severe headache with visual changes, painful red breast with fever, or thoughts of harming yourself or your baby.
