When should you see a doctor about fever after birth?

A raised temperature after delivery can occur with an infection in the uterus, a caesarean incision, the breasts, or another part of the body. Fever may be accompanied by chills, feeling unusually weak, lower abdominal tenderness, or a change in vaginal discharge. A caesarean wound infection presents with increasing redness, swelling, warmth, drainage, or pain around the incision.

Endometritis is an infection of the lining of the uterus and may present with pelvic pain, fever, feeling unwell, or unpleasant-smelling discharge. Mastitis is inflammation or infection in breast tissue; a painful, hot, red area of one breast and flu-like symptoms can occur.

Measure your temperature if you can and note when the fever began, whether it is returning, and any medicines already taken. Drink fluids, rest where possible, and keep the baby nearby with support from another adult if you feel unwell. Do not put off medical advice because the fever improves briefly.

When you call, mention the type of birth, the date of delivery, any stitches or incision, breast pain, urinary symptoms, abdominal pain, bleeding, or discharge. A clinician may need to examine you and decide whether tests or treatment are needed.

Seek urgent medical help if fever comes with confusion, fainting, trouble breathing, severe or rapidly worsening pain, a very fast heartbeat, heavy bleeding, or a feeling that something is seriously wrong. These signs need prompt assessment rather than home monitoring.

Arrange same-day advice for fever with shivering, worsening pelvic pain, foul-smelling discharge, pain passing urine, a red or draining wound, or a breast that is increasingly painful and hot. If you cannot reach your maternity team, use an urgent care service or emergency department.

Ask what may be causing the fever, whether your wound or uterus needs examination, which pain or fever medicines are suitable while breastfeeding, and which changes should prompt emergency care. Ask when you should check in again if symptoms do not settle.