🍼 After birth

The fourth trimester and beyond β€” baby's checks, screenings, immunisations and milestones, and your own recovery, all the way to 18 months. Timings follow Australian guidance; your care team's plan comes first.

πŸ‘Ά This timeline comes to life once baby arrives β€” set the birth date in Settings and the β€œyou are here” marker and timings switch on.

πŸ’² Cost notes are rough guides for the public / Medicare pathway (2025–26). Immunisations and child-health nurse visits are free; the Maternal & Child Health visit schedule varies by state.

  1. First days

    Birth–1 week Β· checks, first feeds, and finding your feet

  2. 🩺 First checks & skin-to-skin At birth

    Apgar scores at 1 and 5 minutes, a top-to-toe newborn examination, and β€” where you can β€” unhurried skin-to-skin and a first feed.

    πŸ‘Ά Baby

    πŸ’² Part of your birth care ($0 in the public system).

  3. πŸ’‰ Vitamin K + hepatitis B (birth dose) At birth

    A vitamin K injection (or oral doses) to prevent rare bleeding, and the first hepatitis B vaccine β€” ideally within 24 hours of birth.

    πŸ‘Ά Baby

    πŸ’² Free under the National Immunisation Program.

  4. 🩺 Newborn examination Day 1

    A doctor or midwife checks baby head to toe β€” heart, hips, eyes, reflexes β€” usually in the first day or two.

    πŸ‘Ά Baby

    πŸ’² Part of your hospital care ($0 in the public system).

  5. 🌿 Early caesarean recovery First days

    Caesarean birth is major surgery β€” expect a longer hospital stay (usually 2–5 days). The catheter comes out within a day, gentle early walking helps prevent clots, and trapped 'wind' pain is common at first.

    🀱 Mum
  6. πŸ§ͺ Newborn bloodspot screening (heel prick) 48–72 hours

    A few drops of blood from baby's heel, screening for 25+ rare but serious conditions. Offered to every baby; you'll only hear back if something needs follow-up.

    πŸ‘Ά Baby

    πŸ’² Free β€” offered to every newborn.

  7. πŸ§ͺ Newborn hearing screen 48–72 hours

    A quick, painless hearing check, usually before you leave hospital.

    πŸ‘Ά Baby

    πŸ’² Free β€” offered to every newborn.

  8. 🍼 Milk comes in Day 3–5

    Around day 3–5 your milk 'comes in' and breasts feel fuller. Frequent feeds (8–12 a day) are normal and help supply settle. Help is a phone call away.

    πŸ‘ͺ Both

    πŸ’² Breastfeeding Helpline 1800 686 268 (free, 24/7).

  9. 🩺 Weight & jaundice check First days

    A little weight loss in the first days then steady regain is normal. Midwives also watch for jaundice (yellow skin/eyes) β€” see Warning signs if it deepens or starts in the first 24 hours.

    πŸ‘Ά Baby

    πŸ’² Part of your postnatal care ($0 in the public system).

  10. 🍼 Comfortable feeding after a caesarean First days

    Keep baby's weight off your wound β€” side-lying, or the rugby/football hold with a pillow, works well. Milk sometimes comes in a touch later after a caesarean, so extra early support helps.

    πŸ‘ͺ Both
  11. 🌿 Bleeding (lochia) First weeks

    Vaginal bleeding is normal for 2–6 weeks, fading red β†’ pink β†’ brown (yes, after a caesarean too β€” it's the uterus, not the wound). Soaking a pad an hour, or passing large clots, is not β€” that's a call-now sign.

    🀱 Mum
  12. 🌿 Caesarean wound care First week

    A waterproof dressing covers the wound for a few days (you can shower with it on). Once it's off, wash gently, pat dry and let it air. Watch for fever, spreading redness or smelly discharge β€” see Warning signs.

    🀱 Mum
  13. Fourth trimester

    Weeks 1–6 Β· recovery, the home visits, the 6-week check

  14. 🩺 Maternal & Child Health home visit Week 1–2

    Your first child-health nurse contact β€” often a home visit in the first week or two. Weight, feeding, your recovery and how you're both settling.

    πŸ‘Ά Baby

    πŸ’² Free state-run child-health service (until school age).

  15. ✨ Cord stump falls off Around 1–2 weeks

    The dried umbilical stump usually drops off within a couple of weeks. Keep it clean and dry until it does.

    πŸ‘Ά Baby
  16. 🩺 MCH nurse check 2 weeks

    A weigh-in and check of feeding, growth and development, with time for your questions.

    πŸ‘Ά Baby

    πŸ’² Free state-run child-health service.

  17. 🌿 Take it easy while you heal First 6 weeks

    For about 6 weeks: don't lift anything heavier than baby, and don't drive until you can brake hard without sharp pain (usually 4–6 weeks β€” check your car insurer too). No strenuous exercise yet; gentle walking is good.

    🀱 Mum
  18. 🌿 Perineum healing First weeks

    Any tear or stitches heal over the first weeks. Rest, keep the area clean, ice early on, and flag pain that worsens, swelling or any smell β€” those can signal infection.

    🀱 Mum
  19. 🍼 Feeding support First 6 weeks

    Breast or bottle, it gets easier with support. A lactation consultant, your MCH nurse, or the Breastfeeding Helpline can all help.

    πŸ‘ͺ Both

    πŸ’² MCH & helpline are free; a private lactation consultant is ~$100–200.

  20. ✨ First social smile ~6 weeks

    Somewhere around 6 weeks, baby's first real smile in response to your face.

    πŸ‘Ά Baby
  21. πŸ’‰ 6-week immunisations 6 weeks

    Six diseases in one needle (diphtheria, tetanus, whooping cough, hep B, polio and Hib), plus rotavirus (a liquid by mouth), pneumococcal and meningococcal B.

    πŸ‘Ά Baby

    πŸ’² Free under the National Immunisation Program.

  22. 🩺 6-week postnatal check 6 weeks

    Your check-up β€” blood pressure, healing, mood, and a chat about contraception and any concerns. Baby is often seen and weighed at the same visit.

    🀱 Mum

    πŸ’² Bulk-billed by many GPs; some charge a gap.

  23. πŸ’™ How you're feeling Around 6 weeks

    You'll be asked about your mood (often the EPDS questionnaire). Feeling low, anxious or disconnected is common and very treatable β€” talk to your GP or nurse, or call PANDA on 1300 726 306.

    🀱 Mum

    πŸ’² PANDA & your MCH nurse are free.

  24. 🌿 Pelvic floor & moving again From ~6 weeks

    Restart pelvic-floor exercises once you're comfortable, and ease back into activity. If leaking persists, ask about a women's-health physio.

    🀱 Mum
  25. Settling in

    6 weeks–4 months Β· a rhythm forms; the 4-month needles

  26. 🩺 MCH nurse check 6–8 weeks

    Growth, development and feeding reviewed, and a chance to raise anything on your mind.

    πŸ‘Ά Baby

    πŸ’² Free state-run child-health service.

  27. 🌿 The longer recovery arc ~3 months

    Most women feel recovered from a caesarean around 3 months. Numbness or an odd sensation around the scar is normal and usually fades over 3–6 months.

    🀱 Mum
  28. ✨ Steadier head control ~3 months

    Holds their head up more steadily during tummy time and pushes up on their arms.

    πŸ‘Ά Baby
  29. πŸ’‰ 4-month immunisations 4 months

    The second round β€” the same six-in-one needle, rotavirus, pneumococcal and meningococcal B.

    πŸ‘Ά Baby

    πŸ’² Free under the National Immunisation Program.

  30. 🩺 MCH nurse check 4 months

    A key ages-and-stages visit β€” weight, length, head circumference and development.

    πŸ‘Ά Baby

    πŸ’² Free state-run child-health service.

  31. Getting bigger

    4–6 months Β· rolling, sitting, and first tastes of solids

  32. ✨ Rolling over ~4–6 months

    May start rolling front-to-back and back-to-front. Never leave baby unattended up high.

    πŸ‘Ά Baby
  33. ✨ First tooth (maybe) ~6 months

    First teeth often appear around 6 months β€” though anywhere from 3 to 12 months is normal.

    πŸ‘Ά Baby
  34. 🍼 Starting solids ~6 months

    Around 6 months, alongside breast/formula milk, baby is usually ready to try solids β€” including common allergens, introduced early and often.

    πŸ‘Ά Baby
  35. πŸ’‰ 6-month immunisations 6 months

    The third six-in-one needle (diphtheria, tetanus, whooping cough, hep B, polio, Hib). Some babies also get extra pneumococcal or meningococcal B doses β€” your nurse will know.

    πŸ‘Ά Baby

    πŸ’² Free under the National Immunisation Program.

  36. ✨ Sitting up ~6–8 months

    Sits with support, then unaided, freeing their hands to explore.

    πŸ‘Ά Baby
  37. On the move

    6–12 months Β· crawling, babbling, the 12-month needles

  38. 🩺 MCH nurse check 8 months

    Development, hearing, vision and safety reviewed as baby gets more mobile.

    πŸ‘Ά Baby

    πŸ’² Free state-run child-health service.

  39. ✨ Babbling & crawling ~8–10 months

    Strings sounds together ('bababa') and may start to crawl, shuffle or pull up to stand.

    πŸ‘Ά Baby
  40. ✨ First words & standing ~12 months

    Pulls up to stand, cruises the furniture, waves, and may say a first word or two.

    πŸ‘Ά Baby
  41. πŸ’‰ 12-month immunisations 12 months

    Meningococcal ACWY, MMR (measles, mumps, rubella), pneumococcal and meningococcal B.

    πŸ‘Ά Baby

    πŸ’² Free under the National Immunisation Program.

  42. 🩺 MCH nurse check 12 months

    A first-birthday review of growth, development, feeding and safety.

    πŸ‘Ά Baby

    πŸ’² Free state-run child-health service.

  43. Toward toddlerhood

    12–18 months Β· first steps, first words, the 18-month needles

  44. ✨ First steps ~12–18 months

    First wobbly steps land anywhere across this window β€” every baby on their own timeline.

    πŸ‘Ά Baby
  45. πŸ’‰ 18-month immunisations 18 months

    Hib, MMRV (adds chickenpox), and a whooping-cough (DTPa) booster.

    πŸ‘Ά Baby

    πŸ’² Free under the National Immunisation Program.

  46. 🩺 MCH nurse check 18 months

    Language, play and movement reviewed as baby becomes a toddler.

    πŸ‘Ά Baby

    πŸ’² Free state-run child-health service.

A reference only β€” not medical advice. Sources: the National Immunisation Program schedule, Healthdirect, Pregnancy Birth & Baby and the Raising Children Network.