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All You Need To Know And Ask At Your 6th Week Postpartum Appointment

African New Born

Your postpartum checkup is an ideal opportunity for you to talk to your doctor about any concerns following the birth of your baby.

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Any personal and emotional worries can be discussed at this appointment, from mood swings to the fear of having sex again. This checkup is to determine your physical and emotional status, and that you are adjusting well to motherhood.

What Are The Examinations To Expect?

  • Your Incision or tear

If you had a cut or a tear during a vaginal delivery, the first thing on your doctor’s list would be to check that point. Most incision or tear problems occur within 10 days of giving birth.

At any point after delivery, any unusual redness, pain or fluid coming from a tear should be reported to your doctor. If you had a C-section, you would probably have a preliminary incision or cut checkup at the second and sixth week after delivery.

What’s the big deal about caesarian sections?
  • Pelvic Examination

At this point, your doctor wants to make sure your reproductive organs are returning to their pre pregnancy state.

Your doctor will also check your uterus for signs of infection or tenderness. And since this checkup counts for your annual exam, your doctor will feel your ovaries for growths and perform a test to check for abnormal cervical cells.

Your Breasts Are Important

Your breasts go through so many changes during pregnancy and after child birth. It is important for your doctor to keep track of what is normal and what isn’t.

At this appointment, the doctor will give your breasts a thorough examination to check for abnormal changes.

Breastfeeding Nigerian woman

Other Examinations:

  • Your General Health

Pregnancy generally affects every body function you can think of, which is why it is so important to get an overall health check.

Much of this exam is just like a regular physical examination where the doctor checks your weight and blood pressure. In addition, he/she may even take your pulse or listen to your chest for heartbeat.

  • Your bladder

You will be asked if you have problems passing urine. In some cases, you may be asked to present urine samples if you have a frequent urination, leaking urine or a stinging feeling while urinating.

It would interest you to note that this is common after childbirth, so don’t feel embarrassed to mention this to your doctor.

What Questions Do You Need To Ask?

  • Was there any problem with my delivery that I should know about?

While it is likely your doctor or midwife would have gone over this with you at the time of your delivery, if you have any lingering or disturbing questions, now is the time to ask.

 Feeling good about your birth experience is empowering and refreshing.

Some bleeding after childbirth is expected
  • Is my bleeding normal?

By the sixth week, most women just have some light spotting from time to time.

If you are having heavy bleeding or large clots, be sure to let your doctor know.

Is bleeding after childbirth normal?
  • What can I do to stop postpartum pain?

If your pain is more than you expected or seems to be getting worse, please talk to your doctor right away.

  • When can I start having sex?

You will most likely get the ‘permission’ to resume having sex at your six-week postpartum visit. Keep in mind that with postpartum hormone shifts, lack of sleep and a changing/sore body, you may have a decreased sex drive.

  • How important is breastfeeding?

Breast milk is the perfect balance of nutrients for your growing baby, plus it boosts their immune system lowers the risk of Sudden Infant Death Syndrome.

Breastfeeding is also great for you as it help you burn 500 calories per day breastfeeding, making it easier to lose the baby weight.

Source: Shutterstock
  • What can I do to stop the constipation?

Do not forget to talk to your doctor about how to speed the return of normal bowel and bladder function.

  • How can I ensure birth control?

In this appointment, you should share your family plan with your doctor so he/she can help tailor birth control measures to suit you effectively.

In the first six weeks, abstinence and/or progesterone-only methods are the best to ensure your milk supply isn’t affected. Be sure to ask about the side effects of these methods if the arent mentioned. These effects could range from weight gain, mood changes to effects on breastfeeding.

9 Things You Should Report Immediately!

Call your doctor !
  1. Nausea and vomiting
  2. Pain or burning during urination
  3. Bleeding that increases or is heavier than a normal menstrual period
  4. Severe pain in your lower abdomen
  5. Pain, swelling or tenderness in your legs
  6. Red streaks on your breasts or painful new lumps
  7. Redness, discharge or pain from abdominal incision that doesn’t subside.
  8. Foul-smelling vaginal discharge
  9. Severe depression
  • When can I start exercising again?
  • Do I need to take any vaccines
  • WHy do I feel so exhausted? Will it always be like this?
  • Why am I always so emotional these days?
  • I had a C- section? Will I be able to have a vaginal birth next time?

In summary, childbirth brings about a drastic change in a woman’s life. These changes can be physiscal, emotional or even mental.

Therefore, it necessary to take your postpartum appointment with the doctor very important and ask all required questions in this article.

Remember, you are not alone.

References
  • Bjorkman, S. (2020). The questions you must ask at your 6 weeks postpartum checkup. Accessed June 19th, 2020 from https://www.mother.ly/life/the-10-questions-you-must-ask-at-your-6-weeks-postpartum-checkup
  • Waltman, A and Stevens, L. (2019). What to Expect at Your 6-Week Postpartum Exam. Accessed June 19th, 2020 from https://www.parents.com/pregnancy/my-body/postpartum/what-to-expect-at-your-6-week-postpartum-exam/
  • Masters, M. (2020). Your Postpartum Checkups. Accessed June 19th, 2020 from https://www.whattoexpect.com/first-year/six-week-postpartum-checkup.aspx
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