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 />
Danger Signs: Breastfeeding<br />
• The baby is not taking the breast well.<br />
• Breastfeeding has not yet been initiated.<br />
• Breastfeeding 2 to 3<br />
times in the 6 hours<br />
• Psychological reactions every hour<br />
Danger Sign<br />
• Negative feelings about herself or the baby<br />
Counsel <strong>and</strong> care for the woman 1-6 hours after delivery of the placenta<br />
During this time, the provider should:<br />
• Encourage the woman to eat, drink, <strong>and</strong> rest.<br />
• Ensure the room is warm (25 °C).<br />
• Ask the woman’s companion to watch her <strong>and</strong> call for help if bleeding or pain increases,<br />
if the woman feels dizzy or has severe headaches, visual disturbance or epigastric<br />
distress.<br />
• Keep the mother <strong>and</strong> baby together.<br />
• Monitor the mother <strong>and</strong> baby frequently as noted.<br />
• Document all findings <strong>and</strong> care provided.<br />
• Perform a comprehensive exam of the woman six hours after childbirth.<br />
Taking care to respect the family’s culture <strong>and</strong> customs, congratulate the family <strong>and</strong> discuss<br />
how they can help the woman care for herself.<br />
• Her body, clothing, bedding, <strong>and</strong> environment should be kept clean to prevent<br />
infection.<br />
• She needs to eat well. Ask the family what foods they have available.<br />
Encourage them to offer her plenty of the foods she wants. Keep cultural<br />
beliefs <strong>and</strong> practices in mind.<br />
• She needs to drink frequently because fluids help her body produce milk <strong>and</strong><br />
replace lost fluids. A simple way to remember is to try <strong>and</strong> have something to<br />
drink at the baby’s feed times.<br />
• She needs to get enough rest. She has just worked very hard so she needs<br />
to rest after this job. Getting enough rest is one of the most important things<br />
she can do to help herself <strong>and</strong> her baby. It will help her uterus stay hard <strong>and</strong><br />
get smaller sooner, so she bleeds less.<br />
• She can move around as much as she feels able. She shouldn’t do any hard<br />
work or lift any heavy objects. Someone should help her with any heavy<br />
house work.<br />
• If she experiences pain after delivery, she can take some<br />
paracetamol/acetaminophen to help relieve the discomfort.<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course<br />
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