1 prgilbert/mc-99 REPRODUCTIVE HEALTH: M OTHER- B ABY P ACKAGE

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 Intrapartum Postpartum

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

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

6 q 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 n 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 n Antenatal registration and care Contd. 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 R Recognition, early detection and management of post partum complications (haemorrhage, sepsis, eclampsia) signs and symptoms prgilbert/mc-99

12 After delivery: Mother Contd. Postpartum Care Breast and breast feeding Perineum and lochia (vaginal discharge) Involution (shrinking) of uterus prgilbert/mc-99

13 After delivery: Mother Contd. 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 prgilbert/mc-99 information/counselling on Contd… self care - hygiene and healing sexual life contraception nutrition

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

18 Support from Contd… health care for suspected or manifest complications time to care for the baby help with domestic tasks prgilbert/mc-99

19 Support from Contd… 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: Contd… 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: Contd… nurturing, cuddling, stimulation protection from disease harmful practices abuse/violence prgilbert/mc-99

24 Newborn infants need: Contd… Acceptance of sex appearance size prgilbert/mc-99

25 Newborn infants need: Contd… recognition by the state (vital registration system). prgilbert/mc-99

26 prgilbert/mc-99 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