Table 1.
Mother | Baby | |
---|---|---|
In first 24 h if delivered in a facility | Regular assessment of vaginal bleeding, uterine contraction, fundal height, temperature, pulse. Blood pressure shortly after birth and within 6 h. Urine void documented within 6 h | A full clinical examination around 1 h after birth and before discharge |
At subsequent visits, enquire | General well-being, emotional well-being, family support, resumption of sexual intercourse, and possible dyspareunia | |
At subsequent visits, assess and refer if needed | Micturition and urinary incontinence, bowel function, healing of any perineal wound, headache, fatigue, back pain, perineal pain and perineal hygiene, breast pain, uterine tenderness and lochia, breastfeeding progress | Stopped feeding well, history of convulsions, fast breathing, severe chest in-drawing, no spontaneous movement, fever, low body temperature, jaundice in first 24 h |
Observe for signs or risk of domestic abuse | Identify low birth weight and provide special care | |
At subsequent visits, counsel | Danger signs and care seeking, nutrition, hygiene, family planning, safe sex, use of treated bednets for mother and baby (malaria areas), gentle exercise, rest | Danger signs and care seeking, exclusive breastfeeding, cord care, thermal care, immunization, play |
Adapted from Ref. (6).