What visits should be made after giving birth and when

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Philippe Gloaguen
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Post-partum visits and checks

After giving birth, the woman has to take care of the newborn, but also of herself. The body slowly resumes functioning as before pregnancy, any wounds begin to heal, but they may be necessary post-partum visits and checks

In this article

  • What happens to the body after childbirth
  • When to schedule the first post-partum visit
  • Checks for caesarean sections or natural birth
  • Breastfeeding advice
  • Re-education of the pelvic floor

What happens to the body after childbirth

If it is true that after giving birth the woman's body resumes functioning "as before", it is also true that she has to work for this. First of all, if the mother is breastfeeding, the hormones cause it to start and then stabilize the milk production, but not only. The uterus continues to contract - with the so-called uterine bites - to return to pre-pregnancy dimensions, and at the same time lochiations are produced, that is, blood losses that last about a month or, more commonly, the famous forty days

Even a possible wound from an episiotomy or laceration, or that of a caesarean section, begins to heal and needs care and attention. After about six weeks, it is quite normal to have a first check with the gynecologist

Read also: 10 tips to cope with 40 days after giving birth

When to schedule the first post-partum visit

Depending on the regions and the structures in which you give birth, the first visit after the birth, generally carried out after about forty days, can take place in the same place where you gave birth or must be booked privately with your gynecologist. In any case, it is advisable to wait 6 8-weeks to be sure that the lochiazioni are over. 

Checks for caesarean sections or natural birth

In case you have undergone a caesarean section or have i points following an episiotomy or laceration, usually already at the time of discharge giving birth receives instructions on how to medicate them. If the stitches are absorbable it is likely that nothing needs to be done, in other cases it may be necessary to go to a facility to have them removed. If you then have problems, such as pain, fever, swelling or other abnormal discomfort, it is good to get checked immediately, because there could be a risk of an infection

Read also: Childbirth in hospital: 10 rules for choosing the best facility

Breastfeeding advice

It is also often possible to envisage a path of breastfeeding advice for all those mothers who need it. Some maternity wards have this service within them, but more often you can rely on the local structures of the health company or, alternatively, you can contact a voluntary breastfeeding consultant, who often visits home. 

Re-education of the pelvic floor

Another advisable step for the puerpera is that of the re-education of the pelvic floor, also carried out starting from 6-8 weeks after the birth and in some cases free of charge. It is useful for all women, to assess the state of the perineum after pregnancy and childbirth and to avoid problems with incontinence and prolapse, which unfortunately affect many women. 

Exemptions for post-partum checks

There is no real path of visits and post-partum checks recognized by the National Health System and the gratuity depends a lot on the local health companies. It is therefore a good idea to inquire at the hospital where you are giving birth or the midwife who followed the birth to understand what you are entitled to in your region. 

When a baby is born, the mother often focuses only on the baby, forgetting about herself. Instead it is important to foresee a path of post-partum visits and checks to ensure that the body has resumed working as it was before the pregnancy. 

Updated on 25.01.2022

  • postpartum recovery
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