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prgilbert/mc-99

REPRODUCTIVE HEALTH: M OTHER- B ABY P ACKAGE. prgilbert/mc-99. The postpartum period covers a critical transitional time for a woman, her newborn and her family on a physiological, emotional and social level. prgilbert/mc-99. When women die - time of maternal deaths in developing countries.

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prgilbert/mc-99

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  1. REPRODUCTIVE HEALTH: MOTHER-BABYPACKAGE prgilbert/mc-99

  2. The postpartum period covers a critical transitional time for a woman, her newborn and her family on a physiological, emotional and social level prgilbert/mc-99

  3. When women die - time of maternal deaths in developing countries Antepartum Postpartum Intrapartum prgilbert/mc-99

  4. A. Before and During Pregnancy • Information and Services of FP • Advantages & Disadvantages of FP • Advantages & Disadvantages of each • method • How it works prgilbert/mc-99

  5. Information and Services of FP Cont’d…. • How effective • Myths and Misconceptions of FP • Myths and Misconceptions of FP methods • Where to get services • How much it costs prgilbert/mc-99

  6. STD/HIV Prevention and Management • Common symptoms • Itch, discharge, ulceration, smell, swelling, pain •  Dangers of ignoring symptoms • Danger of HIV (lack of symptoms) • Prevention • Where to get services prgilbert/mc-99

  7. Tetanus Toxic Immunization • Common causes • Presenting symptoms and signs • Myths and misconceptions • Prevention • Where to get services prgilbert/mc-99

  8.  Antenatal registration and care • Why antenatal care is important • Where to get antenatal care (ANC) • What will be done • How often • How much • Myths and misconceptions re: ANC • Monitor progress of pregnancy and health of mother and baby prgilbert/mc-99

  9. Antenatal registration and care • Cont’d. • Treatment of existing conditions • Advice re: nutrition and diet • Iron/folate supplementation • Recognition, early detection and • management of complications (eclampsia, • pre-eclampsia, bleeding, abortion and • anaemia) • Preparation for Breast feeding prgilbert/mc-99

  10. B. During Delivery • Clean and safe delivery • Recognition, early detection and management of complications a health centre or hospital (haemorrhage,eclampsia, prolonged/obstructed labour) • Early arrangement of transport in case of referral prgilbert/mc-99

  11. C. After Delivery: Mother • Recognition, early detection and • management of post partum complications • (haemorrhage, sepsis, eclampsia) signs • and symptoms prgilbert/mc-99

  12. After delivery: Mother Cont’d. • Postpartum Care • Breast and breast feeding •  Perineum and lochia (vaginal discharge) •  Involution (shrinking) of uterus prgilbert/mc-99

  13. After delivery: Mother Cont’d. •  Mood •  Information and services for FP •  STD/HIV prevention and management •  Tetanus toxoid immunization prgilbert/mc-99

  14. D. After delivery: Newborn  Resuscitation  Prevention and management of hypothermia (low body temperature)  Early and Exclusive breast-feeding  Prevention and management of infections including eye and cord infections prgilbert/mc-99

  15. In the postpartum period women need: • information/counselling on •  care of the baby and breastfeeding •  what happens with and in their bodies - • including signs of possible problems prgilbert/mc-99

  16.  information/counselling onCont’d… •  self care - hygiene and healing •  sexual life •  contraception •  nutrition prgilbert/mc-99

  17.  Support from • health care providers •  partner and family - emotional • and psychological prgilbert/mc-99

  18.  Support from Cont’d… • health care for suspected or • manifest complications • time to care for the baby •  help with domestic tasks prgilbert/mc-99

  19.  Support from Cont’d… •  maternity leave •  social reintegration into her family • and community •  protection from abuse/violence prgilbert/mc-99

  20.  Women may fear: inadequacy  loss of marital intimacy  isolation  constant responsibility for the baby and others prgilbert/mc-99

  21.  Newborn infants need: •  easy access to the mother •  appropriate feeding •  adequate environmental • temperature •  a safe environment prgilbert/mc-99

  22. Newborn infants need: Cont’d… • parental care •  cleanliness •  observation of body signs by • somebody who cares and can • take action if necessary •  access to health care for • suspected or manifest complications prgilbert/mc-99

  23.  Newborn infants need: Cont’d… • nurturing, cuddling, stimulation •  protection from • disease • harmful practices • abuse/violence prgilbert/mc-99

  24. Newborn infants need: Cont’d… • Acceptance of • sex • appearance • size prgilbert/mc-99

  25.  Newborn infants need: Cont’d… • recognition by the state • (vital registration system). prgilbert/mc-99

  26. Key References: 1. WHO: Mother-Baby Package, Implementing Safe Motherhood in countries. WHO Geneva 1994d 2. Safe Motherhood: Postpartum Care of Mother and Newborn - a practical guide. WHO, Geneva 1998 prgilbert/mc-99

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