You're caregiver will usually perform a physical examination as part of your routine postnatal check. This will vary from caregiver to caregiver and any tests you may possibly need. The following is a general guide as to what may be involved with the physical examination. We will start from the top, and work our way down!!
Breasts and nipples. Whether you are breastfeeding or not, most caregivers will usually perform a routine breast examination, to check for any abnormal lumps (looking for possible breast cancer). If you are breastfeeding, this may be easier if your baby has been fed recently, and your breasts are not overfull. Routine breast examinations is something each women should know how to perform, and should be done every month (usually after a period, if menstruating).
If you are not sure how to do your own breast examination, ask your caregiver to step you through this. If they (or you) find any unusual lumps, you should see a specialist for further investigation. Be aware that it is normal for the breasts to be quite lumpy when they are full with breast milk.
Abdomen. Your caregiver will examine your belly. They may check your
abdominal muscle separation and tone. If you have had a Caesarean birth, they will see how the scar has healed. Your caregiver may try and see if they can feel the top of your uterus (or 'fundus'). They should not be able to do this if your uterus has returned to its pre-pregnant size.
Vaginal examinations. In most cases, the caregiver will perform 2 vaginal examinations after examining the outside of the genitals. This usually involves the caregiver firstly looking at the healing of any tears (or an episiotomy), asking about any pain or discomfort. They will then often place a
speculum inside the vagina, to look at the cervix (and possibly perform a
pap test or insert an IUD, if these are required). They may also take vaginal swabs if they suspect a vaginal infection.