Dr. Uskudar University, Department of Midwifery, Faculty of Health Sciences. Faculty member Ayesha Demir Yildirim and lecturer Gune Arslan gave an assessment on postpartum care.
Dr. Lecturer Aisa Demir Yildirim says that the puerperium is the period that begins with the birth of the placenta and includes 6-12 weeks after birth and is also called postpartum period.
Family-centered care should be applied
Dr. Lecturer Ayça Demir Yıldırım says that the care that is given during the postpartum period, which is called pyuraperium or postpartum, is called postpartum care and says:
“The postpartum period is one of the most sensitive periods for all family members. In order to protect family health in the postnatal period, pregnant women need to be provided with physical care as well as mental care and support especially for pregnant women. Since the needs of each individual and family will be different, individual-centered, family-centered care should be applied to determine the needs of mothers, fathers, children and, if any, other family members during the postpartum period. Says
Training should be given to adapt to the new role of parent.
Dr. Faculty Member Aisa Demir Yildirim, Postpartum Care Services; She said it covers trainings that facilitate adaptation to new roles, such as observing the physical, psychological, biological and spiritual aspects of pregnancy, and care practices that include protection and development of newborn health.
Dr. Lecturer Ayesha Demir Yildirim noted that postpartum care starts at the first moment of birth and lasts for the next 42 days, adding: Important postpartum midwifery care should be given to postpartum and neonatal care. ” Says
Personalized postpartum care should be started before birth
Dr. Faculty member Aisa Demir Yildirim also listed the following things that should be considered in effective postpartum midwifery care:
Safe and effective access to postpartum care for mother and newborn,
Individual care for each mother,
চনা Initiation of personalized postpartum care before or immediately after birth,
দেওয়া Allowing women to talk about their birth experiences,
Provide self-awareness to women for the well-being and health of their newborns,
• The duration of hospital stay should be determined according to the health and well-being of the mother and the newborn.
It is important to ensure the psychosocial coordination of family members.
Dr. Emphasizing the importance of midwifery care during this time, faculty member Ayesha Demir Yildirim said: , To ensure psychosocial adaptation of family members to these new situations, to improve health and to make recommendations. Postpartum midwifery care is very important. “
Postpartum follow-up should be done within 42 days.
Dr. Lecturer Ayesha Demir Yildirim emphasized the importance of observation during pregnancy and said, “The Ministry of Health has developed guidelines for postpartum care so that every baby in the first 42 days after birth can be monitored, protected from complications, and delivered early. Diagnosis and treatment, mentioning it if necessary and informing the mother about the relevant issues. According to these guidelines, postpartum management was planned with a close physician, a total of 6 postpartum visits, 3 hospitalizations and 3 home and 24 hours hospitalization in case of normal delivery and 48 hours in case of cesarean delivery. Postpartum Care Guide; These include important symptom monitoring, bleeding follow-up, general condition testing, laboratory testing, providing information on neonatal care (feeding / breastfeeding education), and interventions for deviations from healthy behaviors.
Dr. Lecturer Ayesha Demir Yildirim also pointed out the issues to be considered in postpartum care and said, “Every woman in postpartum care should be assessed for the danger signs and the signs of deteriorating health of mother and newborn should be well assessed. In case of any complications, it is very important that the emergency maternity care practices are performed by midwives. In addition, culture-based care models should be handled with care during postnatal care. “
These issues should be considered in the care of the newborn!
Instructor Gune Arslan says that the following methods are also included in the care of the newborn in postpartum care. Arslan says:
- “Provide neonatal discharge and discharge training at least 48 hours after birth,
- To this end, the application of sensual communication to take the first step in the mother-child bond with birth; Holding the newborn in the mother’s bosom,
- Breast milk, which we call colostrum and which is a unique nutritional product for the newborn, is made in the first 20 minutes after birth. Be sure to accept the newborn
The baby should wear thin clothes in 2-3 layers.
- To preserve the temperature of the newborn depending on the season and the temperature of the room, instead of a thick garment for this purpose; 2-3 layers thin, cotton, soft, lint-free, easy to wear and take off,
- To ensure that the newborn’s head, legs, and hands are the first place to cool down, and to ensure that the newborn’s head, legs, and hands are also covered,
Attention should be paid to jaundice and low blood sugar
- What we call hyperbilirubinemia; What we call jaundice and hypoglycemia; To ensure that the baby is fed at least every 2 hours to prevent low blood sugar, and to teach feeding and breastfeeding,
- 15-30 minutes a day. Kangaroo care provides information that strengthens and strengthens the child-parent bond, leaving the newborn with the mother or father on bare skin,
- Keep the room temperature at 22-24 degrees,
Take a bath after the umbilical cord has fallen off
- When changing diapers, it does not come on the umbilical cord, which we call umbilical cord, so that the stool does not infect the navel. Hold on,
- Newborns can be bathed after the umbilical cord has fallen off (average 3-10 days) and the bath water temperature is 36-37 degrees.
- Newborn; Protection from high heat, noise and light,
- This includes providing training such as stroller and carrier seat safety.
- Postpartum trainings are repeated frequently and get feedback from parents. The days on which the newborn is screened, the immunization process is explained, and follow-up breaks are continued. “