What are the recommended follow-up appointments and assessments for women in the postnatal period?

Women should have a follow-up appointment with a GP at 6 to 8 weeks after the birth, which includes an assessment of physical and psychological health, and responding to any concerns or referrals as needed ¹.

During postnatal contacts, healthcare professionals should ask about the woman's general health, concerns, and wellbeing, discussing topics such as mental health, physical health, pelvic floor exercises, fatigue, lifestyle factors, contraception, sexual activity, and safeguarding issues ¹.

Assessments should include physical health checks for symptoms of infection, pain, vaginal discharge and bleeding, bladder and bowel function, nipple and breast symptoms, thromboembolism, anaemia, and pre-eclampsia, with additional focus on perineal healing after vaginal birth or wound healing after caesarean ¹.

If there are concerns about perineal healing or ongoing pain, an examination should be offered, and urgent referral made if necessary ¹.

Women should be advised to seek immediate medical advice if they experience heavy bleeding, signs of infection, leg swelling, chest pain, severe headache, breast redness, or other serious symptoms ¹.

At 6 to 8 weeks, the GP should also review the baby's health, feeding, and development, and respond to any concerns ¹.