New Mom Wellness Check

This short assessment is designed to identify areas where additional healthcare or practical support may be helpful.

Step 1 of 8 - Welcome

The first weeks after having a baby can affect your physical health, sleep, mood, relationships and daily functioning.

This short assessment is designed to identify areas where additional healthcare or practical support may be helpful. It does not replace an assessment by a healthcare professional.

Estimated completion time: 5 minutes

Postpartum Wellness Summary

Only sections relevant to your answers are shown.

Your EPDS score

{EPDS_total:45}/30

The Edinburgh Postnatal Depression Scale is a screening questionnaire, not a diagnosis.

Your score suggests you may be at risk for postpartum depression. Psychological support can be helpful, and discussion with your doctor is recommended.

Lower current screening risk. Please still raise any concerns with your healthcare provider.

Your score suggests significant emotional distress. Please arrange further assessment with your GP, obstetrician or another doctor. Treatment may include practical support, counselling, psychology input, medication or a combination of approaches.

Same-day safety assessment is recommended. Please contact a healthcare provider now and do not remain alone if you feel unsafe.

Pregnancy and medical follow-up

Your answers

Pregnancy complications{A2_conditions:6}
Follow-up arranged{A3_followup:7}

You reported pregnancy-related medical concerns. These conditions require careful follow-up after delivery. Please discuss this with your obstetrician or usual doctor.

Feeding and lactation support

Your answers

Feeds in the past 7 days{B2_feeds:11}
Feeding confidence{B3_confidence:15}
Concerns identified{B4_difficulties:16}

Feeding support is recommended. Consider contacting one of our trusted lactation consultants, especially if feeding is painful, confidence is low, milk supply is a concern, formula feeding is difficult, or you are considering stopping or changing your feeding method.

Flourish Physiotherapy
+264 81 704 0112
[email protected]
Sr. Marianne
Elzet Mertens — Dietician, Walvis Bay

Sleep support

Your answers

Total sleep{C1_total_sleep:26}
Longest uninterrupted sleep{C2_longest_sleep:27}
Daytime effect{C4_interference:29}
Infant sleep / settling{C6_baby_sleep:31}

Sleep support is recommended. Your answers suggest sleep is affecting your wellbeing, functioning or adjustment. Consider contacting our sleep consultant for infant sleep and settling support, or discuss anxiety, low mood or pain-related sleep difficulty with your doctor.

Karola Marais — Sleep Consultant (online)
+264 85 294 2911
[email protected]

Emotional health support

Your answers

EPDS score{EPDS_total:45} / 30
Mood or anxiety medication{D11_medication:47}

Talking to someone can help. Postnatal emotional difficulty is common and treatable.

Lifeline — emergency contacts
116 / 106
+264 61 232 221
Marleen Laubscher — Clinical Psychologist, Swakopmund
marleenlaubscher.com

Women's health physiotherapy

Your answers

Recovery confidence{PHYS_confidence:54}

Women's health physiotherapy is recommended. A physiotherapist can assist with pelvic-floor symptoms, pain, weakness, abdominal recovery and safe return to normal activity.

Flourish Physiotherapy
+264 81 704 0112
[email protected]
Mocke Physio Group — Marieke Kirchner
Swakopmund Medical Centre, Haupt Street, Swakopmund
064 405 056

Practical and social support

Your answers

Regular family / friend help{E2_help:58}
Paid helper{E3_paid_help:59}
Overall support{E4_supported:60}
Reliable emergency support{E5_emergency_support:61}

Additional support may be useful. Consider joining a postnatal support group, or contacting a counsellor or psychologist.

Marleen Laubscher — Clinical Psychologist, Swakopmund
marleenlaubscher.com

Choose “Save as PDF” to keep a copy, or print it to take to your appointment.

{all_fields}

New Mom Wellness Check

This short assessment is designed to identify areas where additional healthcare or practical support may be helpful.

Section A — Pregnancy health

Section B — Infant feeding and breastfeeding support

Section C — Sleep and adjustment

Section D — Emotional health

Please obtain help today.

Section E —Physical recovery

Section F — Practical and social support

Postpartum Wellness Summary

Pregnancy and medical follow-up

Your answers

Feeding and lactation support

Your answers

Sleep support

Your answers

Emotional health support

Your answers

Women's health physiotherapy

Your answers

Practical and social support

Your answers