Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
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• Check the infant for the following:<br />
o inadequate weight gain<br />
o skin rashes<br />
o oral thrush<br />
For the mother, do the following:<br />
• Refer the mother for clinical assessment <strong>and</strong> evaluation of the need for ARV treatment if<br />
eligible.<br />
• Provide cotrimoxazole prophylaxis therapy (CPT) for the mother, according to national<br />
guidelines.<br />
• Counsel the mother on:<br />
o The benefits of birth spacing if she is not already using a family planning method:<br />
Stress the special importance <strong>and</strong> benefits of birth spacing/family planning.<br />
Provide information on available methods.<br />
Support her in her choice of the method, including LAM.<br />
Arrange for follow-up counseling <strong>and</strong> support on her chosen method.<br />
o Continued safer sex practices.<br />
o Frequent occurrence in the baby of diarrhea, acute respiratory infections, acute otitis<br />
media, opportunistic infections such as thrush <strong>and</strong> failure to thrive.<br />
o Symptoms of opportunistic infections in herself, such as fever, cough, night sweats,<br />
weight loss, diarrhea.<br />
o When to bring the child for immunization, weight check-up/growth monitoring, <strong>and</strong> for<br />
supplements such as vitamin A.<br />
• If no clinical HIV services are immediately available for referral of the mother <strong>and</strong> infant,<br />
counsel the mother about HIV in infants <strong>and</strong> the need to get testing <strong>and</strong> treatment as<br />
soon as possible.<br />
• Provide psychosocial support <strong>and</strong> link the mother to community support for HIV care <strong>and</strong><br />
services.<br />
• Make an appointment for the next visit for HIV care according to national guidelines.<br />
• Place the family in contact with an available community health worker/volunteer where<br />
available <strong>and</strong> feasible.<br />
122<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course