I remember my first postpartum checkup. I felt so rushed, but I was “all cleared”. I didn’t ask any questions because I didn’t know there were questions to be asked… 15 minutes in and out. I was “all good”, they said, but I didn’t feel that good!

Our modern society often assumes that this 6-week postpartum checkup marks a turn in a Mom’s recovery. After all, aren’t most women “cleared” for returning to sex and exercise? So everything should be back to normal, right?! Except that’s it’s not!

Hormonal changes, physical healing, sleep deprivation, adjusting to life with a new baby, returning to work, etc… Many factors can contribute to ongoing challenges for a new mother.

Every recovery is different. Some Mothers may feel confident, grounded, and calm. Others may struggle physically and mentally, leading to a slower healing process or feelings of instability.

Regardless of your experience and emotions, it’s important to remember that the 6-week checkup is not a magical point where you have healed or should feel completely “normal” again. This 6-week postpartum appointment should be an opportunity to address any physical and mental health concerns to ensure a smooth postpartum recovery.

Sadly, many Moms feel rushed during this 6-week checkup. So be prepared by bringing up any physical symptoms you may be experiencing, assessing yourself for Postpartum Mood and Anxiety Disorders (PMADs), and making a list of every question or concern you have. It should not just be about being “all cleared”.

This appointment is about YOU. Don't hesitate to bring a list of questions and take notes. I’ve created a checklist so you can prep your appointment, feel more ready and make the most of it. Be sure to grab it below:

6-week Postpartum checkup

What to expect & What to ask

The postpartum checkup plays a crucial role in maternal care after childbirth. It should include:

+ Physical Assessment

#1. Postpartum checkup guide and checklist

Your six-week postpartum checkup is an opportunity to check in with your provider about your physical recovery from birth.

Pelvic exams:

pelvic floor muscles strength
pelvic floor tension
pelvic organ prolapse
leakage
vaginal discharge/bleeding,
constipation
hemorrhoids
pelvic pain
tailbone pain

Breasts:

milk supply
engorgement
mastitis

Core:

ab separation
ab midline tension
abdominal pain

Scar healing:

vaginal tearing/episiotomy
C-section incision

Medical exams:

blood pressure
follow-up test if you had gestational diabetes
When is your subsequent blood work?
When is your next pap smear?

+ Mental Health Assessment

#2. Postpartum checkup guide and checklist

Being a new mother brings an increased vulnerability to mental health challenges. These include feelings of anxiety, depression, or other overwhelming emotions.

Hopefully, your provider will screen you for Postpartum Mood and Anxiety Disorders (PMADs), but it’s not always the case! I recommend assessing yourself ahead of time by answering the questions of the Edinburgh Postnatal Depression Scale (EPDS). Be sure to fill out the scale honestly, print it out, and bring it to the appointment. It’s often easier to hand the worksheets directly to your provider, so they have a full assessment of your emotional health.

It can be uncomfortable to admit difficulties or ask for help, but know that you are not alone, and it is okay to seek help when needed!

+ Family Planning

#3. Postpartum checkup guide and checklist

This checkup provides an opportunity to discuss future family planning options, including birth control options and timing for future pregnancies.

When can I resume sexual activity?
What are my birth control options?
How long should I wait to get pregnant again?

+ Any other topics you’d like to discuss

#4. Postpartum checkup guide and checklist

Once again, everyone's postpartum experience is unique, and the 6-week checkup is just one step in your recovery journey. Don't hesitate to speak up with any questions or concerns. Your health and well-being are a priority, and there is absolutely no shame in seeking extra help if needed.

Am I cleared to start the Better Body after Baby core rehab program?
Can I get a referral for pelvic floor PT?
Can I get a referral for a lactation consultant?
Can I get a referral for mental health professional?

You have every right to ask anything you’d like. There are no silly questions!

What if I’m cleared to resume sexual activity but don’t feel ready?
Nutrition concerns?
Hair loss?
Etc.

START YOUR CORE REHAB JOURNEY

Breaking taboo about mental health and postpartum

Seeking help is a sign of strength, not weakness.

Most people think the 6-week checkup is about physical exams, but a mental assessment is critical to support and help some Mothers.

The societal expectation is that new Moms should be happy and fulfilled. There’s no room for anxiety, sadness, or struggles. This expectation can make new mothers feel isolated, ashamed, and guilty if they experience mental challenges such as postpartum depression or anxiety.

Postpartum mental health issues are more common than you may realize. Approximately 10-15% of new mothers experience postpartum depression, and many others struggle with anxiety and stress. Yet, these challenges are often shrouded in taboo and stigma.

This stigma often makes it difficult for new mothers to admit they are struggling. They may fear being judged and labeled as a "bad mother." This can lead to a cycle of silence, shame, and suffering, making it harder for new mothers to access the support and care they need.

If you are a struggling new Mom, know it’s okay to admit it. You are NOT failing as a Mother – our modern society is failing you. Talking about it is the first step to opening the doors to resources and support you weren’t aware of. Sometimes we need extra help to find balance, regain confidence and joy, and thrive as a woman and new Mother.

6-week Postpartum Checkup - Guide + Checklist