Postnatal Assessment (After you have given birth)

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Personal Details

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Postnatal Assessment

Submit a blood pressure reading

Your post-pregnancy body

Smoking Status: *

Delivery Type: *

If you had a caesarean section or episiotomy, are your stiches healing ok?:

How are you feeding your baby?: *

Breastfeeding Advice

Has your baby been booked for their 8 week vaccination?: *

NHS vaccinations and when to have them

Have you had any problems going to the toilet?: *

Have you experienced any ankle swelling?: *

Was the Guthrie test (new-born blood spot test) done on baby?: *

What is New-born Blood Spot Screening

Have you had a period since giving birth?: *

Are you on any form of contraception?: *

Sex and contraception after birth

Long acting contraceptives

Did you miss a smear test due to pregnancy?: *

Did you suffer from gestational diabetes or blood pressure problems during the pregnancy?: *

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Edinburgh Postnatal Depression Scale (EDPS) Score

As you have recently had a baby, we would like to know how you are feeling. Please complete the following section according to how you have felt in the past 7 days, not just how you feel today.

What is Postnatal depression?

I have been able to laugh and see the funny side of things: *

I have looked forward with enjoyment to things : *

I have been anxious or worried for no good reason: *

I have blamed myself unnecessarily when thing went wrong: *

I have felt scared or panicky for no very good reason : *

Things have been getting on top of me : *

I have been so unhappy that I have had difficulty sleeping : *

I have felt sad or miserable : *

I have been so unhappy that I have been crying : *

The thought of harming myself has occurred to me : *

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Postnatal Assessment (After you have given birth)

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