What the 6-week check actually is
At around 6 to 8 weeks after birth, your GP should offer you a postnatal check-up. This is separate from your baby's 6-week check (though some GP surgeries schedule them together). According to NICE guidelines, the postnatal check should cover your physical recovery, emotional wellbeing, and any ongoing concerns.
In reality, the appointment is typically 10 minutes. Many women report feeling rushed, and several important topics are frequently skipped. Knowing what to ask means you can make those minutes count.
What should be covered
Physical recovery
Your GP should ask about any ongoing pain, bleeding, and healing. If you had a tear or episiotomy, they should check the perineal area. If you had a C-section, your scar should be examined. You should be asked about your bladder and bowel function, including any incontinence — which affects around 1 in 3 women after birth but is often left unmentioned.
Mental health
NICE recommends that GPs screen for postnatal depression and anxiety at this appointment. This may involve questions about your mood, your feelings about the baby, sleep (beyond normal newborn disruption), and any intrusive thoughts. Be honest — postnatal mental health conditions are common, treatable, and nothing to be ashamed of.
Contraception
You can become pregnant as early as 3 weeks after birth, even if you are breastfeeding. Your GP should discuss contraception options. The Faculty of Sexual and Reproductive Healthcare has detailed guidance on which methods are safe during breastfeeding.
Questions to ask your GP
Write these down and bring them to the appointment. You are entitled to raise anything, and you can always book a follow-up if 10 minutes is not enough:
"Can you check my pelvic floor?" — If you are experiencing any leaking, heaviness, or dragging, ask for a referral to a women's health physiotherapist. You should not have to live with incontinence.
"Is my scar healing normally?" — Relevant for both perineal tears and C-section scars. Ask when you can start scar massage.
"When can I start exercising?" — Get specific guidance based on your birth type, not a generic "you're fine to do whatever."
"I'm feeling [anxious / low / overwhelmed / disconnected]." — If you are struggling emotionally, say so. Your GP can offer support, referrals, or medication if appropriate.
"Can I be referred for a birth debrief?" — If your birth was traumatic or did not go as expected, many hospitals offer a birth reflections service where you can go through your notes with a midwife. This can be profoundly helpful.
Your rights
The postnatal check is free on the NHS. If your surgery does not offer one automatically, you can request it. If you feel your concerns were dismissed, you can book another appointment with a different GP. You also have the right to request a referral to a specialist (such as a women's health physiotherapist or perinatal mental health team) even if your GP does not suggest it.