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To describe women's uptake of postnatal checks and primary care consultations in the year following childbirth. Observational cohort study using electronic health records. UK primary care. Women aged 16-49 years who had given birth to a single live infant recorded in The Health Improvement Network (THIN) primary care database in 2006-2016. Postnatal checks and direct consultations in the year following childbirth. We examined 1 427 710 consultations in 309 573 women who gave birth to 241 662 children in 2006-2016. Of these women, 78.7%