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• Method options for the breastfeeding woman that can be used immediately postpartum include: lactational amenorrhea method, condoms, spermicide, female sterilization (within 7 days or delay 6 weeks), copper IUD (within 48 hours or delay 4 weeks). • Method options for the breastfeeding woman that should be delayed for 6 weeks include: Progestogen-only oral contraceptives, Progestogen-only injectables, implants, diaphragm. • Method options for the breastfeeding woman that should be delayed for 6 months include: combined oral contraceptives, combined injectables, fertility awareness methods. Advise on sexual intercourse during the postpartum period Explain to the woman: • that she can have sex as soon as she is ready and it is comfortable, but she should use a condom if she still has lochia discharge. • that unless partners have sex only with each other and are sure that they are both uninfected, they should practice safer sex. Safer sex means non-penetrative sex (where the penis does not enter the mouth, vagina, or rectum) or the use of a new latex condom for every act of intercourse. (Latex condoms are less likely to break or leak than animalskin condoms or the thinner more “sensitive” condoms.) Condoms should never be reused. Advise on danger signs Advise the woman to go to a hospital or health center immediately, day or night without waiting, if she experiences any of the following signs: • Vaginal bleeding: more than two or three pads soaked in 20-30 minutes after delivery or bleeding increases rather than decreases after delivery. • Convulsions • Fast or difficult breathing • Fever and too weak to get out of bed 90 Integrated maternal and newborn care Basic skills course
Reference Manual • Severe abdominal pain • Feels ill • Swollen, red or tender breasts, or sore nipple (seek advise as soon as feasible) • Urine dribbling or pain on micturition • Pain in the perineum or draining pus • Foul-smelling lochia Integrated maternal and newborn care Basic skills course 91
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HEALTH INTEGRATED PROGRAMMING MATER
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Reference Manual U.S. Agency for In
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Reference Manual ACKNOWLEDGEMENTS M
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Reference Manual TABLE OF CONTENTS
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Reference Manual List of Figures In
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Reference Manual About the Learning
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Reference Manual List of Abbreviati
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Reference Manual INTRODUCTION While
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Reference Manual 4 Million Newborn
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Reference Manual Materials required
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Reference Manual The Hand Rub When
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Reference Manual Use of Gloves Glov
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Reference Manual Gowns and waterpro
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Reference Manual Dispose of hypoder
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Reference Manual The materials need
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Reference Manual When preparing chl
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Reference Manual Table 1. Mixing A
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Reference Manual Recommended cleani
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Reference Manual CHAPTER 2: Clinica
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Reference Manual Step 3: Identify n
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Reference Manual When writing the p
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Reference Manual CHAPTER 3: Materna
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Reference Manual Malaria Susceptibi
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Reference Manual ANTENATAL CARE Ant
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Reference Manual Have the woman tak
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Reference Manual Informing the preg
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Page 97 and 98: Reference Manual CHAPTER 7: Routine
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Page 141 and 142: Reference Manual Underarm position
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Reference Manual CARE OF LOW BIRTH
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Reference Manual • Explain the re
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Reference Manual Breastfeeding the
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Reference Manual Follow-up checks b
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Reference Manual CHAPTER 13: Treatm
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Reference Manual Major infections i
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Reference Manual difficulty in brea
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Reference Manual o As Chlamydia may
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Reference Manual Table 17: Summary
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Reference Manual Table A.1. Uteroto
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Reference Manual Oxytocin Table A.3
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Reference Manual APPENDIX B: Altern
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Reference Manual Eyes • Cephalhem
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Reference Manual survival of babies
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Reference Manual REFERENCES The fol
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Reference Manual World Health Organ
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