[Table, ASSESS THE MOTHER AFTER DELIVERY]. - Pregnancy, Childbirth, Postpartum and Newborn Care

ASK, CHECK RECORD	LOOK, LISTEN, FEEL	SIGNS	CLASSIFY	TREAT AND ADVISE
Check record: → bleeding more than 250 ml? → completeness of placenta and membranes? → complications during delivery or postpartum? → special treatment needs? → needs tubal ligation or IUD? How are you feeling? Do you have any pains? Do you have any concerns? How is your baby? How do your breasts feel?	Measure temperature. Feel the uterus. Is it hard and round? Look for vaginal bleeding Look at perineum. → Is there a tear or cut? → Is it red, swollen or draining pus? Look for conjunctival pallor. Look for palmar pallor.	Uterus hard. Little bleeding. No perineal problem. No pallor. No fever. Blood pressure normal. Pulse normal.	MOTHER WELL	Keep the mother at the facility for 24 hours after delivery. Ensure preventive measures D25 Advise on postpartum care and hygiene D26. Counsel on nutrition D26. Counsel on birth spacing and family planning D27 Advise on when to seek care and next routine postpartum visit D28. Reassess for discharge D21 Continue any treatments initiated earlier. If tubal ligation desired, refer to hospital within 7 days of delivery. If IUD desired, refer to appropriate services within 48 hours.

ASK, CHECK RECORD

LOOK, LISTEN, FEEL

SIGNS

CLASSIFY

TREAT AND ADVISE

Check record:
→
bleeding more than 250 ml?
→
completeness of placenta and membranes?
→
complications during delivery or postpartum?
→
special treatment needs?
→
needs tubal ligation or IUD?
How are you feeling?
Do you have any pains?
Do you have any concerns?
How is your baby?
How do your breasts feel?

Measure temperature.
Feel the uterus. Is it hard and round?
Look for vaginal bleeding
Look at perineum.
→
Is there a tear or cut?
→
Is it red, swollen or draining pus?
Look for conjunctival pallor.
Look for palmar pallor.

Uterus hard.
Little bleeding.
No perineal problem.
No pallor.
No fever.
Blood pressure normal.
Pulse normal.

MOTHER WELL

Keep the mother at the facility for 24 hours after delivery.
Ensure preventive measures D25
Advise on postpartum care and hygiene D26.
Counsel on nutrition D26.
Counsel on birth spacing and family planning D27
Advise on when to seek care and next routine postpartum visit D28.
Reassess for discharge D21
Continue any treatments initiated earlier.
If tubal ligation desired, refer to hospital within 7 days of delivery. If IUD desired, refer to appropriate services within 48 hours.

From: D, CHILDBIRTH: LABOUR, DELIVERY AND IMMEDIATE POSTPARTUM CARE

Cover of Pregnancy, Childbirth, Postpartum and Newborn Care

Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice. 3rd edition.

Geneva: World Health Organization; 2015.

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