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Integrated Maternal and Newborn Care Basic Skills Course ...

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Advise on postpartum care <strong>and</strong> hygiene<br />

Advise the woman:<br />

• To always have someone near her for the first 24 hours to respond to any change in her<br />

condition.<br />

• Not to insert anything into the vagina.<br />

• To avoid sexual intercourse until the perineal wound heals <strong>and</strong> it is comfortable for her.<br />

• To have enough rest <strong>and</strong> sleep.<br />

• About the importance of washing to prevent infection of the mother <strong>and</strong> her baby:<br />

o Wash the perineum daily <strong>and</strong><br />

after fecal excretion.<br />

o Change perineal pads every 4<br />

to 6 hours, or more frequently if<br />

there is heavy lochia.<br />

o Wash used pads or dispose of<br />

them safely.<br />

o Wash the body once daily<br />

during bathing with soap <strong>and</strong><br />

water.<br />

o Wash h<strong>and</strong>s before h<strong>and</strong>ling<br />

the baby, at least after<br />

changing the diaper/napkin,<br />

after using the toilet herself,<br />

<strong>and</strong> after cleaning the house.<br />

Wash h<strong>and</strong>s every time before h<strong>and</strong>ling a low birth weight baby.<br />

Advise on the need for rest <strong>and</strong> sleep during the postpartum<br />

Explain to the woman:<br />

• That a breastfeeding woman needs<br />

additional time to rest. This is because<br />

she is recovering from pregnancy <strong>and</strong><br />

childbirth, breastfeeding, <strong>and</strong> taking<br />

care of a little baby, which takes up a<br />

lot of her time.<br />

• That she can try to negotiate with<br />

family members to help with<br />

household chores so that she can take<br />

more time to rest.<br />

• That she can ask a health care<br />

provider to help her explain her needs in the postpartum to her partner <strong>and</strong> family<br />

members.<br />

88<br />

<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />

<strong>Basic</strong> skills course

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