Page 84 - fourth year book
P. 84

MATERNAL AND CHILD HEALTH CARE (MCH)



                      The  MOH/  Maternal  and  child  health  department  has  set  a
               schedule of five home visits for postpartum care to be done by the nurse
               or midwife.

               The following activities will be emphasized in each visit in addition to
               the routine postpartum care.


                  Visit         Time of visit                             Activities
                                                    For the mother:
                                                    1-  Check vital signs and blood pressure
                                                    2-  Estimate the fundal level.
                                                    3-  Ask  about  lochia,  bleeding,  urine  and  bowel
                                                        movement.
                                                    4-  Episiotomy care.
                                                    5-  Check the condition of the lower extremities
                                                    6-  Assess the condition of breast and perineum
                                                    For the baby
                                                    1-  Take the temperature.
                    I       2  postpartum day       2-  Weigh the baby
                             nd
                                                    3-  Assess the eye, cord condition.
                                                    4-  Cord dressing
                                                    Health education
                                                    1-  Early ambulation
                                                    2-  Nutrition
                                                    3-  Breast feeding
                                                    4-  Postpartum exercises
                                                    5-  Hygiene
                                                    6-  New born care
                                                    Record the findings and referral if needed
                                                    For the mother:
                                                    1-  Assess the mother general condition
                                                    2-  Check vital signs.
                                                    3-  Check  lochia  condition,  fundal  level  and
                                                        perineal condition.
                                                    4-  Check flow of milk
                                                    for the baby:
                                                    1-  Take temperature
                    II      4  postpartum day       2-  Cord dressing
                             th
                                                    3-  Baby bath
                                                    Health education:
                                                    1-  Personal hygiene.
                                                    2-  Rest and sleep
                                                    3-  Postpartum exercises
                                                    4-  Breast feeding





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