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Comprehensive postpartum care in Primary Care: a home-visit experience report emphasizing clinical assessment, maternal recovery, newborn evaluation, and family context.

Isabela Espíndola ESPÍNDOLA and Ana Vitória CASTRO

The postpartum period is a vulnerable phase when physical complications, breastfeeding difficulties, emotional needs and social factors affect maternal and neonatal health. In XXX, primary care recommends the first postpartum consultation within 42 days; when performed at home it enables a contextualized assessment. This report describes a home visit five days after a cesarean delivery, showing how the household uncovers clinical, emotional and social issues often missed in clinic-based care.This report stems from a supervised primary care activity carried out by two fourth-year medical students with support from a community health worker. The visit focused on maternal recovery and the family's adjustment to the postpartum period. The assessment included lochia, uterine involution and the surgical wound, along with newborn conditions, breastfeeding technique, mother-infant bonding, family dynamics, social support, housing conditions and barriers to self-care. Field notes were used to compare the information gathered at home with what is typically accessible in clinic-based consultations, showing that the household setting offers a more detailed understanding of maternal and family needs.Although home visits are recommended in primary care, few structured reports describe their concrete contribution to postpartum care. This experience shows how the home setting uncovers key social determinants; such as childcare burden, emotional vulnerability, partner support and logistical barriers; that often remain unnoticed in clinic-based encounters. The community health worker's involvement strengthened rapport, communication and continuity of care.This experience highlighted the importance of postpartum home visits as a routine primary care practice. Observing the family environment allowed earlier identification of needs and risks and supported more tailored, context-sensitive interventions. Strengthening this approach may improve maternal support, continuity of care, and equity in the postpartum period.The home visit broadened the understanding of postpartum health by revealing clinical, emotional, and social factors often overlooked in clinic-based care. This context-based assessment demonstrated the strengths of community-oriented primary care and showed how proximity to the family environment improves the relevance and effectiveness of postpartum follow-up.The postpartum home visit proved essential for comprehensive and equitable care, identifying determinants often missed in clinic-based consultations and strengthening maternal support within the family's daily environment.