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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Reference Manual<br />
Table 12. Suggested Timings of Postnatal Visits<br />
Ideally should be provided by a skilled attendant who is usually at the facility level, linked with a<br />
community health worker/volunteer (CHW). If access to the facility is extremely difficult, have the<br />
postnatal visit through the CHW.<br />
Scenario 1st postnatal visit 2d postnatal visit 3d postnatal<br />
visit<br />
Facility delivery, normal<br />
baby, discharge within 24<br />
hours<br />
In the first 2-3 days,<br />
ideally 2 days after<br />
birth<br />
5-7 days (may coincide<br />
with special events)<br />
4-6 weeks<br />
Facility delivery, normal<br />
baby discharge day 2 or 3<br />
Delivery by Cesarean<br />
section, normal baby <strong>and</strong><br />
discharged after a week, in<br />
some cases earlier<br />
4-7 days Second week 4-6 weeks<br />
2 weeks 4-6 weeks<br />
Home delivery<br />
Ideally on day of birth<br />
<strong>and</strong> within day 48-72<br />
hours; If not feasible,<br />
at least one visit within<br />
48 hours.<br />
5-7 days (may be adjusted<br />
to accommodate special<br />
family events)<br />
4-6 weeks<br />
LBW should ideally stay at<br />
least 3-7 days at facility.<br />
Refer very small babies <strong>and</strong><br />
those with problems to<br />
higher center.<br />
Visit every week until weight gain is adequate, e.g., 2000-2500 grams<br />
<strong>and</strong> the baby is doing well.<br />
The number <strong>and</strong> timing of home visits by the CHW can vary based on feasibility <strong>and</strong> the<br />
recommendations of the program implementing agency/MOH <strong>and</strong> on existing problems, but advocacy<br />
should be carried out for coverage during the first week, especially during the first 2 – 3 days.<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course<br />
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