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Postnatal health

As with all health-related issues, please seek advice from a RL health professional if you're worried about anything.

Postnatal midwife

47 replies

Casuallydresseddeepinconversation · 03/04/2025 00:32

Do you need to see a midwife postnatally? I know u dont antenatally

OP posts:
Are your children’s vaccines up to date?
Casuallydresseddeepinconversation · 03/04/2025 19:25

cannynotsay · 03/04/2025 19:04

How do you know you or the baby won’t be ill, it’s vary naive of you, especially considering it’s the 3rd!

By the same token I'm not convinced baby will be ill either

OP posts:
Casuallydresseddeepinconversation · 03/04/2025 19:27

AgathaMystery · 03/04/2025 19:07

Hi OP… as a professional I would suggest 4 things that are very important postnatally. I won’t debate it with you because there is no point, but the basic things I would suggest as a bare minimum are:

  1. someone to help you manage the 3rd stage - this is intrapartum care but I’m not sure if you’re planning an unattended birth so - someone to manage 3rd stage with you & check placenta & membranes are intact. This has the potential to save your life.
  2. Someone to check and see if you need stitches. Not nice to need a refashioning procedure from a badly healed tear. This has the potential to impact continence, sexual function & satisfaction.
  3. newborn check - mainly for cardiac defects. This has the potential to save your baby’s life.
  4. blood spot on day 5 to check baby for metabolic diseases. This has the potential to save your baby’s life.

Wishing you a safe birth.

Can these checks be done at a gp surgery or clinic?

OP posts:
Mulledjuice · 03/04/2025 19:32

Casuallydresseddeepinconversation · 03/04/2025 19:25

You could say that about your children at any age tho?

Except there are specific stages where it makes sense to do routine checks. That includes immediately after birth, nd birth + 5 days.

AgathaMystery · 03/04/2025 19:48

Casuallydresseddeepinconversation · 03/04/2025 19:27

Can these checks be done at a gp surgery or clinic?

ok some serious quick education is needed. or your trolling me, which I hope is true.

  1. no. Placental check & 3rd stage mgt is done at the time of birth - you know, because if there is any placental in spot you will simply bleed until the piece of placenta/amnion is removed or you run out of blood. Whichever comes 1st
  2. not really as you want all tears repaired within 1hr of birth. Exceptional is a water birth. We don’t start to repair those until an hr after birth due to tissue friability
  3. yes - just get a midwife who is qualified in NIPE to come out to you within 6hrs of the birth or go to the midwife.
  4. yes - can be done at a clinic but not sure why you’d want that when they can come to you on day 5 PN.
Casuallydresseddeepinconversation · 03/04/2025 19:58

AgathaMystery · 03/04/2025 19:48

ok some serious quick education is needed. or your trolling me, which I hope is true.

  1. no. Placental check & 3rd stage mgt is done at the time of birth - you know, because if there is any placental in spot you will simply bleed until the piece of placenta/amnion is removed or you run out of blood. Whichever comes 1st
  2. not really as you want all tears repaired within 1hr of birth. Exceptional is a water birth. We don’t start to repair those until an hr after birth due to tissue friability
  3. yes - just get a midwife who is qualified in NIPE to come out to you within 6hrs of the birth or go to the midwife.
  4. yes - can be done at a clinic but not sure why you’d want that when they can come to you on day 5 PN.

Why is it unducated to ask if a newborn check can be done at a gp surgery

OP posts:
maggiemaggs · 03/04/2025 20:05

I thought the after care team were a godsend, my son screamed for hours on end all day long every day and I called the health visitor who was amazing and recognised a milk allergy and arranged appointments with a dietitian and now he’s a happy thriving 5 month old. Why would you not want someone who cares about children to support you when you don’t have the knowledge they do. I’d not have known it was his milk. If you don’t want to be seen fine, but make sure your baby is.

Sayshesheshe · 03/04/2025 20:08

Have you posted before earlier in your pregnancy about wanting to refuse midwives and scans?

Honestly I think your attitude is hugely selfish and why would you not want your baby to receive postnatal care?

fairgame84 · 03/04/2025 20:24

Medicine isn't just about treating ill people, it's just as much about preventing ill health. Midwifery falls into the category of preventing ill health and keeping you healthy rather than treating illness.
A GP won't necessarily have the skills to assess for any birth injuries or stitch you up. It's not compulsory for GPs to have done a rotation in obstetrics or paediatrics. Even if you just have the first Midwifery visit then refuse the rest surely it's better than trekking to the gp who might not be able to help you anyway?

pleasepackitin · 03/04/2025 20:37

I also think you’re selfish op. Risk your own life if you want but don’t risk your newborns.

UpTheAnte · 03/04/2025 20:49

Casuallydresseddeepinconversation · 03/04/2025 08:35

Im just interested in my rights to decline unnecessary care post natally,I know my rights antenatally and im 40+1 and in fine health

Bluntly, it's not all about you.

Casuallydresseddeepinconversation · 03/04/2025 20:55

Sayshesheshe · 03/04/2025 20:08

Have you posted before earlier in your pregnancy about wanting to refuse midwives and scans?

Honestly I think your attitude is hugely selfish and why would you not want your baby to receive postnatal care?

I've had all scans offered plus private ones

OP posts:
Casuallydresseddeepinconversation · 03/04/2025 20:57

UpTheAnte · 03/04/2025 20:49

Bluntly, it's not all about you.

So I'm the one who is pregnant and will be postnatal,but it's not about me? Erm how so?!

OP posts:
Doolallies · 03/04/2025 21:00

Some people are down right obtuse, deluded, selfish aren’t they?!

AnotherVice · 03/04/2025 21:58

Some people are down right obtuse, deluded, selfish aren’t they?! Autonomy is the first pillar of medical ethics, any midwife will confirm this.

Casuallydresseddeepinconversation · 03/04/2025 22:22

Doolallies · 03/04/2025 21:00

Some people are down right obtuse, deluded, selfish aren’t they?!

Deluded about what? Being aware of my rights wanting to make choices for myself regarding my care

OP posts:
UpTheAnte · 04/04/2025 08:25

Casuallydresseddeepinconversation · 03/04/2025 20:57

So I'm the one who is pregnant and will be postnatal,but it's not about me? Erm how so?!

This is going to come as a surprise so I hope you're sitting down. There is also a .... baby!

Casuallydresseddeepinconversation · 04/04/2025 08:29

UpTheAnte · 04/04/2025 08:25

This is going to come as a surprise so I hope you're sitting down. There is also a .... baby!

Yes I know this but to say being postnatal isn't about me is kinda a weird vibe,I am a person not just an incubator, giving birth isn't a given that it will be dangerous or life threatening and doesn't mean we'll be ill,of course if there are problems I'll seek medical help I just don't want it forced upon me when it's not necessary,

OP posts:
UpTheAnte · 04/04/2025 09:14

No, I said it wasn't ALL about you.

UpTheAnte · 04/04/2025 09:17

It's as if you're ignoring the fact that they can spot issues before you can, and offer screening.

Do you turn down smear tests too on the notion that you can always see someone if notice a problem?

Wishing you a happy, calm delivery x

intothewoad · 04/04/2025 09:50

is there a particular reason you are so against routine care? it may help if you explain. Things went wrong for me with both my babies , how can you predict what support you will need or what a trained professional may pick up on....death rates of women and babies currently soaring in Afghanistan due to the Taliban making it so hard for women to access care, sometimes we forget how fortunate we are in this country to have what can be lifesaving interventions.

FTMaz · 04/04/2025 16:24

It’s literally a 15 minute appointment… seems a little OTT to decline it over making some kind of strange stand.

WannabeMathematician · 04/04/2025 16:28

You should check if you GP is able to do the heel prick, often several would not be confident as they do them so infrequently. You might find the send you to the midwifery team regardless.

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