Rather than an arbitrary ‘6-week check’, ACOG recommends postpartum care that is “individualized and women centered” over the first 12 weeks following delivery.
Within first 3 weeks
3 to 12 weeks
No later than 12 weeks
Note: World Health Organization (WHO) recommends routine postpartum evaluation of all women/infants at 3 days, 1 to 2 weeks and 6 weeks; NICE recommends assessment for “Baby Blues” at 10 to 14 days
Begin discussions during pregnancy on the following topics
Begin discussions during pregnancy on the following topics
Insurance coverage policies should be aligned to support this tailored approach to “fourth trimester” care.
Optimizing care and support for postpartum families will require policy changes. 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.
ACOG Committee Opinion 736: Presidential Task Force on Redefining the Postpartum Visit
SMFM Special Statement: Postpartum visit checklists for normal pregnancy and complicated pregnancy
SMFM Special Statement: Checklist for postpartum discharge of women with hypertensive disorders
SMFM: Quality metric for timely postpartum follow-up after severe hypertension
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