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Care After Delivery: Postpartum Care: SBA - Presentation 5 (C)
Care After Delivery: Postpartum Care: SBA - Presentation 5 (C)
Care After Delivery: Postpartum Care: SBA - Presentation 5 (C)
Second visit 3rd day after delivery 3rd day after delivery
Third visit * 7th day after delivery 7th day after delivery
* There should be three additional visits in case of babies with low birth weight, on days 14, 21 and 28
as per Integrated Management of Neonatal and Childhood Illness (IMNCI) guidelines.
2. Nutritional Advice
• To increase intake of fluid and food especially iron and
protein rich foods like green leafy vegetables, jaggery, lentils,
eggs and meat
• Increase intake of milk and milk products like curd, cheese
etc
4. IFA Supplementation
• Women with normal Hb are advised to take 1 IFA tablet daily
for 3 months
• If Hb below 11 gm%, advise her to take 2 IFA tabs daily and
repeat Hb after 1 month
5. Contraception
• Counsel couple regarding contraception
6. Breastfeeding
Advise the mother-
• For exclusive breast feeding on demand, at least 6 to 8 times
during day & 2-3 times during night
Engorged breasts
Advise the mother:
• to continue breast feeding
• to put warm compresses
Care after delivery: Postpartum Care 11
First postpartum visit: Mother
Registration of birth
• Fever
• Convulsions
• Excessive bleeding
• Severe abdominal pain
• Difficulty in breathing
• Foul smelling lochia
Refer to FRU if
• Not feeding well
• Cold to touch or fever
• Baby is lethargic or has had convulsions
• Difficulty in breathing
A baby well attached to the breast A baby poorly attached to the breast
History taking:
As on first visit
In addition ask for history of
• Continued bleeding P/V, foul discharge P/V
• Swelling or tenderness of breast.
• Feeling unhappy or crying easily
History taking:
Ask the mother for following:
• Has vaginal bleeding stopped?
• Has menstrual cycle returned?
• Is there any foul smelling vaginal discharge?
• Any problems regarding breast feeding?
• Any other complaints?
• Give relevant advice & refer to M.O. if needed
Contraception:
Emphasize importance of using contraceptive methods for
spacing and limiting family size
Examination:
• Check weight of baby.
• General examination of baby
Preparation:
• Explain reason for transferring baby to higher facility
• If possible transfer the mother with baby so that she can feed
the baby
• A health care worker should accompany baby
• Ask relative to accompany baby and mother