Today, we’re diving into a topic close to my heart - postpartum check-ups. The postpartum period, often dubbed the fourth trimester, is a time of immense change, adaptation, and, let's admit it, a fair share of challenges. Ensuring a comprehensive postpartum check-up is crucial, not just for your physical well-being, but your emotional and social wellness too.

The Six-Week Check-Up: More than Just a Physical Exam!

When I recently came across a discussion about the six-week postpartum check-up, it resonated deeply with my experiences, both as a doctor and a new mom. It's astonishing to note that many women feel their postpartum visits lack depth and thoroughness, despite clear guidelines by the American College of Obstetricians and Gynecologists (ACOG) outlined in 2021. These guidelines emphasize a holistic assessment encompassing physical, social, and psychological aspects of a new mother's life.

What Should a Full Assessment Entail? 

ACOG’s comprehensive approach is not a novelty; it’s a necessity. Here’s a breakdown of what a thorough postpartum check-up should encapsulate:

• Physical Assessment:

• Examination of the abdominal and pelvic areas to ensure proper healing, especially if you’ve had a C-section or episiotomy.

• Breast examination for any signs of infection or issues related to breastfeeding.

• Discussion and advice on contraceptive methods to avoid unintended pregnancies.

• Social Well-Being:

• Assessing the support system at home.

• Discussion about balancing work, baby, and the new dynamics at home.

• Psychological Well-being:

• Screening for postpartum depression and anxiety.

• Discussing coping strategies and providing resources for further support if needed.

Preparation Starts Prenatally: 

The onus of preparation for the postpartum period begins well before the baby arrives. Conversations about what to expect in the postpartum check-ups should be initiated during prenatal visits. Being forearmed with knowledge can significantly ease the transition into this new phase of life.

COVID-19 and The Shift in Postpartum Care:

The pandemic has admittedly led to a less involved postpartum experience for many. However, it’s not an excuse for subpar care. As someone who recently navigated the postpartum journey amidst the pandemic, I empathize with the disappointment many women feel. The essence of the ACOG guidelines is to uplift the standard of postpartum care, a goal we should tirelessly work towards achieving.

In conclusion, the journey through motherhood is both enchanting and demanding. A comprehensive postpartum check-up is a stepping stone towards ensuring a smoother transition into this beautiful phase. It’s about time we bridge the gap between guidelines and practice, ensuring every mother receives the care and attention she rightfully deserves.

Remember, it’s a journey of love, nurturing, and self-discovery. Stay informed, stay empowered, and keep thriving!

With all the love and support,

Dr. Toya