World Health Organization : Year 1998 ; World Health Organization, Reproductive Health(Technical Support), Maternal and Newborn Health-Safe Motherhood, No. 98.3: Postpartum Care of the Mother and Newborn ; A Practical Guide

By World Health Organization

Book Id: WPLBN0000110548
Format Type: PDF eBook:
File Size: 6.46 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1998 ; World Health Organization, Reproductive Health(Technical Support), Maternal and Newborn Health-Safe Motherhood, No. 98.3: Postpartum Care of the Mother and Newborn ; A Practical Guide
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Health Organization, B. W. (n.d.). World Health Organization : Year 1998 ; World Health Organization, Reproductive Health(Technical Support), Maternal and Newborn Health-Safe Motherhood, No. 98.3. Retrieved from http://www.gutenberg.us/

Description
Medical Reference Publication

Excerpt
ABSTRACT This document reports the outcomes of a technical consultation on the full range of issues relevant to the postpartum period for the mother and the newborn. The report takes a comprehensive view of maternal and newborn needs at a time which is decisive for the the life and health both of the mother and her newborn. Taking women's own perceptions of their own needs during this period as its point of departure, the text examines the major maternal and neonatal health challenges, nutrition and breastfeeding, birth spacing, immunization and HIVIAIDS before concluding with a discussion of the crucial elements of care and service provision in the postpartum. The text ends with a series of recommendations for this critical but under-researched and under-served period of the life of the woman and her newborn, together with a classification of common practices in the postpartum into four categories: those which are useful, those which are harmful, those for which insufficient evidence exists and those which are frequently used inappropriately.

Table of Contents
CONTENTS Page EXECUTIVESUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1.1 Preamble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6. . 1.2 Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1.3 Defining the postpartum period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 1.4 The needs of women and their newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 1.5 The focus and content of this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2 WOMEN'S PERCEPTION OF POSTPARTUM PROBLEMS . . . . . . . . . . . . . . . . 11 2.1 Epidemiological studies on maternal morbidity . . . . . . . . . . . . . . . . . . . . . . 11 2.2 Frequency and nature of health problems . . . . . . . . . . . . . . . . . . . . . . . . . . .1 2 2.2.1 Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 2.2.2 Bladder problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 2.2.3 Backache . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.2.4 Frequent headaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.3 2.2.5 Pelvicpains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.2.6 Haemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2.2.7 Constipation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.3 2.2.8 Depression, anxiety and extreme tiredness . . . . . . . . . . . . . . . . . . . . 13 2.2.9 Perineal pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.4 2.2.10 Breast problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 4 2.2.11 Anaemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2.3 Sexual relations in the postpartum period . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2.4 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 3 MAJOR MATERNAL HEALTH CHALLENGES IN THE POSTPARTUM PERIOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 3.1 Postpartumhaemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 3.2 (Pre)eclampsia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 3.3 Puerperal genital infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 3.4 Thromboembolic disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 3.5 Complications of the urinary tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 3.5.1 Retention of urine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 3.5.2 Incontinence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 3.5.3 Infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 3.6 Complaints about the perineum and the vulva . . . . . . . . . . . . . . . . . . . . . . . .2 0 3.7 Puerperal mastitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 1 3.8 Psychological problems in the postpartum period . . . . . . . . . . . . . . . . . . . . .2 1