She is recovering from childbirth, adjusting to changing hormones, and learning to feed and care for her newborn 1.
During this period, a woman is adapting to multiple physical, social, and psychological changes. The weeks following birth are a critical period for a woman and her infant, setting the stage for long-term health and well-being. Changes in the scope of postpartum care should be facilitated by reimbursement policies that support postpartum care as an ongoing process, rather than an isolated visit. Optimizing care and support for postpartum families will require policy changes. Women with chronic medical conditions, such as hypertensive disorders, obesity, diabetes, thyroid disorders, renal disease, mood disorders, and substance use disorders, should be counseled regarding the importance of timely follow-up with their obstetrician–gynecologists or primary care providers for ongoing coordination of care.įor a woman who has experienced a miscarriage, stillbirth, or neonatal death, it is essential to ensure follow-up with an obstetrician–gynecologist or other obstetric care provider. Women with pregnancies complicated by preterm birth, gestational diabetes, or hypertensive disorders of pregnancy should be counseled that these disorders are associated with a higher lifetime risk of maternal cardiometabolic disease.
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The comprehensive postpartum visit should include a full assessment of physical, social, and psychological well-being. The timing of the comprehensive postpartum visit should be individualized and woman centered. This initial assessment should be followed up with ongoing care as needed, concluding with a comprehensive postpartum visit no later than 12 weeks after birth. A woman’s future pregnancy intentions provide a context for shared decision-making regarding contraceptive options.Īll women should ideally have contact with a maternal care provider within the first 3 weeks postpartum. Prenatal discussions should include the woman’s reproductive life plans, including desire for and timing of any future pregnancies. To optimize the health of women and infants, postpartum care should become an ongoing process, rather than a single encounter, with services and support tailored to each woman’s individual needs.Īnticipatory guidance should begin during pregnancy with development of a postpartum care plan that addresses the transition to parenthood and well-woman care.
The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions: This Committee Opinion has been revised to reinforce the importance of the “fourth trimester” and to propose a new paradigm for postpartum care. Obstetrician–gynecologists and other obstetric care providers should be in the forefront of policy efforts to enable all women to recover from birth and nurture their infants. During the postpartum period, the woman and her obstetrician–gynecologist or other obstetric care provider should identify the health care provider who will assume primary responsibility for her ongoing care in her primary medical home.
Women with chronic medical conditions such as hypertensive disorders, obesity, diabetes, thyroid disorders, renal disease, and mood disorders should be counseled regarding the importance of timely follow-up with their obstetrician–gynecologists or primary care providers for ongoing coordination of care. The comprehensive postpartum visit should include a full assessment of physical, social, and psychological well-being, including the following domains: mood and emotional well-being infant care and feeding sexuality, contraception, and birth spacing sleep and fatigue physical recovery from birth chronic disease management and health maintenance.
It is recommended that all women have contact with their obstetrician–gynecologists or other obstetric care providers within the first 3 weeks postpartum. To optimize the health of women and infants, postpartum care should become an ongoing process, rather than a single encounter, with services and support tailored to each woman’s individual needs. ABSTRACT: The weeks following birth are a critical period for a woman and her infant, setting the stage for long-term health and well-being.
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