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Healthcare & Wellness
Postpartum Check-in
A gentle structured check-in midwives and doulas send new mothers in the weeks after birth — how you are, not just how baby is.
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Preview · not interactivePostpartum Check-in
A gentle structured check-in midwives and doulas send new mothers in the weeks after birth — how you are, not just how baby is.
How many weeks since your baby arrived?*
In the past 7 days, I have been able to laugh and see the funny side of things*
As much as I ever didA little less than usualDefinitely less than usualHardly at allRow ARow B
In the past 7 days, I have felt anxious or worried without a clear reason*
Hardly everOccasionallyQuite oftenMost of the timeRow ARow B
In the past 7 days, I have felt on top of things and able to cope*
Most of the timeQuite oftenOnly occasionallyHardly everRow ARow B
On an average night, how much sleep are you getting?
Pick a date📅
Broken sleep counts — add up the stretches as best you can.
How is baby feeding at the moment?
Select…▾
Any physical recovery concerns right now?
Select…▾
How much hands-on support do you have at home?
Select…▾
All things considered, how are you doing this week?*
★★★★★
Your honest answer — this is about you, not about being a "good" patient.
Would a call help?
Would a call help?
Best number to reach you (optional)
Include your country code
Only used if you asked for a call above.
Submit