Don't skip the checkup at 42 days postpartum; it is also a screening for postpartum depression
- Moderate value
- Evidence A
- Buys life
- For: Pregnant or trying
- Free
- Takes minutes
- Some willpower
In plain words
This checkup costs nothing. It includes a blood count, a vaginal discharge exam, and a screening for postpartum depression. Serious problems can occur at any time within a year after birth, so don't assume you are safe once the postpartum month is over.
- Cost
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Free; it is part of the basic public health services. It takes half a day. The hard part is not wanting to go out once the postpartum month is over.
- What you get
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Under maternal health management in the National Basic Public Health Service Standards (3rd edition) (《国家基本公共卫生服务规范(第三版)》), there is 1 postpartum home visit and 1 health checkup at 42 days postpartum. In the service lists published locally, this visit includes lab tests (a blood count and a vaginal discharge exam) and 1 postpartum depression screening. Serious complications can occur at any time within a year after birth. On the “go to the hospital now” list in §27.7, “thoughts of harming yourself or the baby,” “postpartum vaginal bleeding or abnormal discharge” and “severe swelling and pain in one limb” all apply after birth.
- Notes
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Postpartum depression is not oversensitivity, and a relative telling you to “cheer up” does not solve it. There are screening questionnaires for it, there is treatment, and people recover. For what to do when you have thoughts of suicide, see §1. For the lawful options if you truly cannot raise the baby, see §9.20. This checkup also looks at how the wound is healing, how the uterus is recovering and how well the pelvic floor is working. The contraception plan is discussed at this visit too: not having periods after birth does not mean you can't get pregnant.
- Evidence grade
- A : Specific numbers from meta-analyses, large cohorts or randomized trials; for law and policy, the statute or official text.
- Sources
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- 国家卫生计生委 (2017). 国家基本公共卫生服务规范(第三版). https://www.nhc.gov.cn/ewebeditor/uploadfile/2017/04/20170417104506514.pdf
- 靖江市人民政府. 国家基本公共卫生服务项目——孕产妇健康管理服务(地方服务清单公开). https://www.jingjiang.gov.cn/xxgk/zdlyxxgk/wsjk/art/2023/art_383017a2e7794892bc772bfbe042f379.html
Mentioned in
Translated from the Chinese original. Original book, section 27, tip 16. This section is about health and medicines. It is general information, not a substitute for a doctor’s diagnosis or prescription. Content may be out of date and rules differ by place. When you actually deal with an agency, a doctor or a court, follow what local officials, doctors and lawyers tell you. Disclaimer