Postnatal Care in Delhi
Recovery, contraception, mental health and the checks that are too often skipped.
What postnatal care involves
The six weeks after birth carry real risks that routinely get less attention than the pregnancy did — infection, anaemia, blood pressure problems, thyroid dysfunction and postnatal depression among them.
Postnatal review here covers physical recovery, wound and perineal healing, contraception, breastfeeding, and an honest conversation about how you are actually coping.
Who this is for
- Routine review at one and six weeks after delivery
- Wound or perineal pain, or heavy bleeding
- Difficulty with breastfeeding
- Low mood, anxiety or difficulty coping
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Early review
Wound check, blood pressure, haemoglobin and feeding assessment in the first week.
Six-week check
Full recovery assessment, pelvic examination where needed, and contraception decided.
Mental health
Direct screening for postnatal depression, with referral where it is indicated.
Onward planning
Advice on pregnancy spacing and, where relevant, a plan for the next pregnancy.
Your results, in writing
Whatever the outcome of postnatal care, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: The six-week check that asked the right question
29, Janakpuri · first baby · routine postnatal visit
What she came in with
She attended her six-week check reporting that everything was fine. The wound had healed, feeding was established, and the baby was gaining weight.
What the workup showed
Directly asked how she was sleeping and how she felt in herself, she said she cried most days, felt detached from the baby, and had not told anyone because she was ashamed. Her Edinburgh Postnatal Depression Scale score was 18. Haemoglobin was 9.2 and TSH was 6.9 with positive antibodies — postpartum thyroiditis, which can mimic and worsen low mood.
What we did
Thyroid function treated, iron replaced, and referral to a perinatal mental health specialist arranged the same week rather than left to her to organise. Her husband was brought into the conversation with her consent.
Outcome
Substantial improvement by twelve weeks with treatment and support. Thyroid function normalised by six months.
The point of this case
She said she was fine, because that is what people say. Screening for postnatal depression means asking directly, and it takes two minutes.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Postnatal depression actively screened for, not waited for
Contraception discussed before you leave the six-week visit
Lactation support available
Thyroid rechecked where it was abnormal in pregnancy
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about postnatal care
When will my periods return?
Usually six to twelve weeks if you are not breastfeeding, and often several months if you are exclusively breastfeeding. Breastfeeding is not reliable contraception.
How long before I can conceive again?
At least 18 months between delivery and the next conception is generally advised, and longer after a caesarean.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.