The 6–8 week GP check explained

Why is the check done at 6–8 weeks?

This is a nationally scheduled NHS review. The second full physical examination (NIPE) is offered between six and eight weeks. Your baby's first routine vaccinations are due at 8 weeks, but the vaccination appointment may be separate from the GP check.

For you, six weeks is roughly when postnatal recovery is expected to be well underway, making it a natural moment to review how you're doing physically and emotionally.

The baby check — what the GP looks at

The baby examination is a second NIPE (Newborn and Infant Physical Examination). Your GP will go through your baby from head to toe:

Eyes

The GP checks the red reflex — a reflection from the back of the eye that confirms there's no serious obstruction or cataract. They'll also check that both eyes are moving and tracking normally.

Heart

The GP listens to your baby's heart with a stethoscope to check the rhythm and listen for murmurs. Many heart murmurs in babies are innocent, but some need investigation — if the GP hears anything unusual, they'll explain what happens next.

Hips

Both hips are gently checked for developmental dysplasia (DDH) — where the hip joint hasn't formed properly. The GP moves each leg to feel whether the joint is stable. If there's any concern, you'll be referred for an ultrasound scan.

Testes (if applicable)

In baby boys, the GP checks that both testes have descended. Undescended testes are common and usually descend on their own, but need to be monitored.

Weight and growth

Your baby will be weighed and their measurements plotted on a growth chart. The GP will check their weight gain since birth and compare it to expected patterns.

Feeding and development

The GP will ask about feeding, sleep, and general behaviour. They'll check that your baby is following and responding to faces and voices — early signs of visual and neurological development.

Vaccinations at 8 weeks

Your baby's first NHS vaccinations are due at 8 weeks and are usually given by a practice nurse. Ask reception whether they can be arranged immediately before or after the GP check or need a separate appointment.

At 8 weeks, your baby will receive:

• 6-in-1 vaccine (diphtheria, tetanus, whooping cough, polio, Hib, hepatitis B) — injection
• Rotavirus vaccine — oral drops
• Men B vaccine — injection

It's normal for babies to be unsettled and feverish for 24–48 hours after these vaccinations. Infant paracetamol (Calpol) is recommended to ease discomfort — ask your GP or practice nurse for the right dose.

See our full guide to the NHS vaccination schedule for babies for what comes next.

The postnatal check — what it covers for you

Your postnatal check is a GP appointment for you, not your baby. It covers:

Physical recovery

• How any perineal stitches or a caesarean scar is healing
• Whether lochia (postnatal bleeding) has stopped
• Bladder and bowel function — leakage and constipation are both worth mentioning
• Any ongoing pain

Mental health

Your GP will ask how you're feeling emotionally. This isn't a box-ticking exercise — they want to know. Postnatal depression affects around 1 in 10 mothers and is also seen in fathers and partners. Be honest: there is support available, and catching difficulties early makes a real difference.

Contraception

You can become pregnant again before your periods return, so this is a good time to discuss contraception if you haven't already.

Smear tests

If your cervical screening is overdue, your GP may mention it. You should wait at least 12 weeks after giving birth before having a smear test.

What to bring

• Your baby's red book (Personal Child Health Record)
• Your baby — fed and changed if possible, but don't worry if it doesn't work out that way
• A list of any questions you have

What if I miss the window?

If you couldn't get an appointment in time, don't worry — book as soon as you can. The checks are still important and will still be done. Your baby's vaccinations should be given as close to the schedule as possible, so don't delay calling if you haven't already booked.