Approximately 6–8 weeks after birth, a secondary check up of the new-born mother is recommended, also called the “six-week check up”.
During this consultation, the purpose is to find out whether the mother is doing well, both physically and mentally. This is the beginning of life after the birth, and it is natural that it is the midwife who does this check up.
The midwife is specially trained to deal with pregnancy, birth, and the postnatal period, and she can finish off this phase in the secondary check up. Perhaps the woman has been taken care of by the same midwife during the pregnancy, and they know each other. This is practical for both parties.
The six weeks check up is a great opportunity to talk to the midwife about the birth and how it went. By meeting the new mother, the midwife gets an impression of how she is, and how she’s handling life as a new mother.
In this consultation, the following topics are addressed:
- Giving Birth
- Lochia (postnatal bleeding)
- Possible pain/discomforts in the vaginal area
- Kegel exercises
- Sex and relationship
- You will receive information and we discuss what type of birth control is right for you so that you can make an informed choice.
- Insertion of IUD/contraceptive implant/prescription for contraceptive pill. We have all the different types of long-acting (LARC) contraceptives here at our clinic. With an IUD insertion, we will consider when it is appropriate to insert it, around 6–12 weeks after birth. There is a small chance of perforation of the uterus with insertion shortly after birth. It may, therefore, be wise to wait 12 weeks after birth but there is no contraindication to inserting IUDs after 6 weeks. After a caesarean section, it is recommended to wait 12 weeks. Contraceptive implants can be inserted already after 3 weeks after birth.
- Life as a new mother
- Mental health of the mother
In addition, maternal blood percentage is measured, and blood pressure and urine will be checked. If something was stitched up after birth, we will check whether the tear has healed. Whether the uterus is well contracted will also be checked.