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REPRODUCTIVE HEALTH:MOTHER-BABY PACKAGE

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The postpartum period covers a critical

transitional time for a woman, her newborn and

her family on a physiological, emotional

and social levelprgilbert/mc-99

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When women die - time of maternal deathsin developing countries

Antepartum

Intrapartum

Postpartum

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A. Before and During Pregnancy

Information and Services of FP

Advantages & Disadvantages of FP

Advantages & Disadvantages of each method How it worksprgilbert/mc-99

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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 costsprgilbert/mc-99

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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

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Tetanus Toxic Immunization

Common causes Presenting symptoms and signs Myths and misconceptions Prevention Where to get services

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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

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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

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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

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C. After Delivery: Mother

Recognition, early detection and

management of post partum complications

(haemorrhage, sepsis, eclampsia) signs

and symptoms prgilbert/mc-99

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After delivery: Mother Cont’d.

Postpartum Care

Breast and breast feeding

Perineum and lochia (vaginal discharge)

Involution (shrinking) of uterus prgilbert/mc-99

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After delivery: Mother Cont’d.

Mood

Information and services for FP

STD/HIV prevention and management

Tetanus toxoid immunizationprgilbert/mc-99

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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

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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

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information/counselling on Cont’d…

self care - hygiene and healing sexual life

contraception nutrition

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Support from

health care providers

partner and family - emotional

and psychological

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Support from Cont’d…

health care for suspected or

manifest complications

time to care for the baby

help with domestic tasks

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Support from Cont’d…

maternity leave

social reintegration into her family

and community

protection from abuse/violence

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Women may fear:

inadequacy loss of marital intimacy

isolation constant responsibility for the

baby and others

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Newborn infants need:

easy access to the mother

appropriate feeding

adequate environmental

temperature

a safe environmentprgilbert/mc-99

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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

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Newborn infants need: Cont’d…

nurturing, cuddling, stimulation protection from

• disease• harmful practices• abuse/violence

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Newborn infants need: Cont’d…

Acceptance of

• sex• appearance• size

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Newborn infants need: Cont’d…

recognition by the state (vital registration system).

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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