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Care After Delivery-Postpartum Care PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Care after delivery: Postpartum Care”.

This medical PowerPoint presentation is about postpartum care, also known as postnatal care. Postpartum care refers to the medical care and support provided to a woman after she has given birth. This period is crucial for the mothers physical and emotional health, as well as for the well-being of the newborn baby.

Tags : delivery, Postpartum Care, postnatal care, newborn baby, Obstetrics and Gynecology, Obstetrics and Gynecology PowerPoint presentation

Published on : Jun 20, 2023 | Views : 653 | Downloads : 0

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Slide 1-

Care after delivery:Postpartum Care SBA - Presentation 5 (c) Maternal Health Division Ministry of Health & Family Welfare Government of India
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Care after delivery: Postpartum Care 2 Objectives To learn Number and timing of postpartum visits for mother and baby History-taking, examination, management and counseling during postpartum visits Steps for referral and transfer of baby
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Care after delivery: Postpartum Care 3 Importance of Postpartum Care More than 60% of maternal deaths take place during postpartum period First 48 hours are most crucial Most maternal and neonatal complicationsoccur during this period.
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Care after delivery: Postpartum Care 4 Postpartum visits by ANM/ASHA * There should be three additional visits in case of babies with low birth weight, on days 14, 21 and 28 as per Integrated Management of Neonatal and Childhood Illness (IMNCI) guidelines. 6 weeks after delivery 6 weeks after delivery Fourth visit 7th day after delivery 7th day after delivery Third visit * 3rd day after delivery 3rd day after delivery Second visit Not applicable 1st day(within 24 hrs) First visit After delivery at PHC/FRU (woman discharged after 48 hrs) After delivery at home / sub centre Visits
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Care after delivery: Postpartum Care 5 First postpartum visit Mother History Examination Management and Counseling Postpartum care and hygiene Nutritional advice Rest IFA supplementation Contraception Breast feeding Birth registration New born History Examination Newborn care Keeping baby warm Hygiene Cord care Breast feeding Immunization
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Care after delivery: Postpartum Care 6 First postpartum visit: Mother History Place of delivery Initiation of breast feeding Any complaints : Excessive bleeding Abdominal pain Convulsions Loss of consciousness Pain in legs , fever Urinary retention Difficulty in breathing Foul smelling lochia Examination Pulse, BP, RR. Temp Pallor Abdomen : tender uterus, refer to FRU Vulva and perineum: tear, swelling or pus, refer to FRU after initial management Excessive bleeding P/V refer to FRU after initial management Breast : lump, tender refer to FRU
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Care after delivery: Postpartum Care 7 First postpartum visit: Mother Management / Counseling 1. Postpartum care and hygiene Advise the mother to Wash perineum daily and after passing urine and stools Change perineal pads every 4 - 6 hours Wash hands frequently and take bath daily
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Care after delivery: Postpartum Care 8 Management / Counseling contd.. 2. Nutritional Advice To increase intake of fluid and food especially iron and protein rich foods like green leafy vegetables, jaggery, lentils, eggs and meat Increase intake of milk and milk products like curd, cheese etc 3. Advise adequate rest First postpartum visit: Mother
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Care after delivery: Postpartum Care 9 Management / Counseling contd.. 4. IFA Supplementation Women with normal Hb are advised to take 1 IFA tablet daily for 3 months If Hb below 11 gm%, advise her to take 2 IFA tabs daily and repeat Hb after 1 month 5. Contraception Counsel couple regarding contraception First postpartum visit: Mother
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Care after delivery: Postpartum Care 10 Management / Counseling contd.. 6. Breastfeeding Advise the mother- For exclusive breast feeding on demand, at least 6 to 8 times during day & 2-3 times during night AVOID PRE- LACTEAL FEEDS First postpartum visit: Mother
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Care after delivery: Postpartum Care 11 Breast feeding problems: Cracked /sore nipples Advise the mother: to apply hind milk for soothing effect ensure correct positioning and attachment of baby Engorged breasts Advise the mother: to continue breast feeding to put warm compresses First postpartum visit: Mother
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Care after delivery: Postpartum Care 12 Registration of birth Emphasize the importance of registration of birth with local panchayat It is a legal document Required for many purposes First postpartum visit: Mother
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Care after delivery: Postpartum Care 13 Postpartum period: danger signs Woman should be counseled to report to FRU if she has Fever Convulsions Excessive bleeding Severe abdominal pain Difficulty in breathing Foul smelling lochia
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Care after delivery: Postpartum Care 14 First postpartum visit for baby History taking: Ask if breast feeding has been initiated Inquire whether the baby has passed urine and meconium Elicit h/o any problems in newborn Refer to FRU if Not feeding well Cold to touch or fever Baby is lethargic or has had convulsions Difficulty in breathing
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Care after delivery: Postpartum Care 15 First postpartum visit for baby Examination of newborn Refer to FRU Cry and activity Poor cry Lethargic / unconscious Chest in drawing Severe chest in drawing is a sign of pneumonia Respiration If <30 or ≥ 60 breaths /min Central Cyanosis Bluish discoloration of tongue and lips Body temperature If temperature is <35.5oC or > 37.4o C
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Care after delivery: Postpartum Care 16 First postpartum visit for baby Examination of newborn Refer to FRU Umbilical stump Any bleeding, redness or pus Skin infection If ≥ 10 pustules or a big boil Jaundice If appears in < 24 hrs of birth Eyes Redness, discharge or swelling Congenital malformation and Birth injury If present
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Care after delivery: Postpartum Care 17 First postpartum visit for baby Breast Feeding : Signs of good attachment Chin touching breast Mouth wide open Lower lip turned outward More areola visible above than below the mouth A baby poorly attached to the breast A baby well attached to the breast
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Care after delivery: Postpartum Care 18 First postpartum visit for baby Breast Feeding: Effects of poor attachment Pain and damage to nipples, leading to sore nipples Breast is not emptied completely, resulting in breast engorgement Poor milk supply: baby not satisfied Poor weight gain of baby.
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Care after delivery: Postpartum Care 19 First postpartum visit for baby Immunization of Newborn Counsel mother on where and when to take baby for immunization
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Care after delivery: Postpartum Care 20 2nd and 3rd visit for mother On 3rd and 7th day following delivery History taking: As on first visit In addition ask for history of Continued bleeding P/V, foul discharge P/V Swelling or tenderness of breast. Feeling unhappy or crying easily Examination: Same as on 1st visit Management and Counseling: Same as on 1st visit
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Care after delivery: Postpartum Care 21 History taking and Examination: Same as in first visit Management and Counseling: In addition to counseling in first visit, advise the mother : To exclusively breast feed for six months. To wean at six months. 2nd and 3rd visit for baby
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Care after delivery: Postpartum Care 22 Fourth visit for mother At 6 weeks following delivery History taking: Ask the mother for following: Has vaginal bleeding stopped? Has menstrual cycle returned? Is there any foul smelling vaginal discharge? Any problems regarding breast feeding? Any other complaints? Give relevant advice & refer to M.O. if needed
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Care after delivery: Postpartum Care 23 Fourth visit for mother Examination: Similar to examination during previous visit Management and Counseling: Diet and Rest: Emphasize importance of nutrition as in second and third visit. Contraception: Emphasize importance of using contraceptive methods for spacing and limiting family size
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Care after delivery: Postpartum Care 24 Fourth visit for baby History taking: Ask the mother about Vaccines received by baby so far Is baby taking breast feed well? Weight gain of baby Any other problem Examination: Check weight of baby. General examination of baby
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Care after delivery: Postpartum Care 25 Fourth visit for baby Management and Counseling: Emphasize on exclusive breast feeding Refer baby to F.R.U. if Not sucking well at breast Is lethargic / unconscious Has fever or is cold to touch Cord - swollen or discharge present Diarrhea, blood in stool Convulsions Difficulty in breathing
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Care after delivery: Postpartum Care 26 Key messages Post partum care: Mother Make at least 4 postpartum visits for timely recognition of complications like PPH, puerperal sepsis Advise mother on nutrition Advise mother on rest, hygiene, breast feeding and contraception
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Care after delivery: Postpartum Care 27 Key messages Post partum care: New born Screen for danger signs in newborn Advise the mother to Keep baby warm Take care of umbilicus, skin & eyes Give exclusive breast feeds Ensure correct positioning & attachment to breast Immunize the baby
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Care after delivery: Postpartum Care 28 Steps for transfer and referral of baby Preparation: Explain reason for transferring baby to higher facility If possible transfer the mother with baby so that she can feed the baby A health care worker should accompany baby Ask relative to accompany baby and mother
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Care after delivery: Postpartum Care 29 Steps for referral of baby Communication: Fill up a referral form with baby’s essential information and send it with baby If possible contact health care facility in advance
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Care after delivery: Postpartum Care 30 Steps for transfer of baby Care during transfer: Keep baby in skin to skin contact with mother, if not possible keep baby dressed and covered Ensure that baby receives feeds If baby gasping or respiratory rate <30 breaths /minute, resuscitate baby using bag and mask
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Care after delivery: Postpartum Care 31 Thank you