Table 1. Recommended Services in a Comprehensive Postpartum Visit^a.

Component	Recommended services and anticipatory guidance	Corresponding measure(s) in NAMCS
Mood and emotional well-being	Screen for postpartum depression Screen for/counsel on tobacco use Screen for substance use disorder Guidance on mentoring and support Counsel on preexisting mental health disorders	Depression screening Tobacco use counseling
Infant care and feeding	Assess comfort and confidence with caring for newborn Assess comfort and confidence with breastfeeding Assess material needs	NA
Sexuality, contraception, and birth spacing	Assess reproductive life plan Select contraceptive method Guidance on sexuality, dyspareunia, and resumption of intercourse Explain risks/benefits of pregnancy within 6 and 18 mo Counsel on prevention of recurrent pregnancy complications	Family planning counseling Pelvic examination Diagnosis and procedure codes for contraceptives
Sleep and fatigue	Review options to cope with fatigue and sleep disruption Advise on family and friends assistance with care responsibilities	Stress management counseling
Physical recovery from birth	Counseling on physical activity and weight management Assess presence of perineal or cesarean incision pain and appropriate guidance Assess presence of urinary and fecal continence, referral if indicated	Diet/nutrition counseling Exercise counseling Weight reduction counseling
Chronic disease management	Glucose screening if gestational diabetes Refer for follow-up care with PCP or subspecialist clinicians as indicated Review medication regimen Discuss pregnancy complications and implications for future childbearing and maternal health	Glucose blood level test
Health maintenance	Perform well-woman screening, including Papanicolaou test and pelvic examination as indicated Review vaccinations	Blood pressure screening Pelvic examination Pap test Breast examination
		Services in multiple categories: Medication ordered or provided Referral to another physician

Abbreviations: NA, not applicable; PCP, primary care physician.

^aFrom American College of Obstetricians and Gynecologists Committee Opinion No. 736.⁶