What Are The Steps For Postnatal Care (PNC) For The Mother?

 Postnatal care (PNC) for the mother should include her special needs, beginning within an hour once the delivery of the placenta and increasing through the subsequent six weeks. The care includes the prevention, early detection, and treatment of complications and the provision of direction on breastfeeding, birth spacing, immunization, and maternal nutrition. To standardize the PNC service, you're suggested to use the screening, guidance, and postnatal care cards. These cards make sure that you've got all the essential steps in each home visit.

The foremost vital duties of a confinement lady or nanny are taking care of postnatal mater and newborn infants. The routine care provided to the mother throughout the postnatal amount is principally preventive measures targeted towards detecting the common causes of maternal morbidity and mortality in rural communities. You must do the subsequent routine activity throughout each postnatal visit, even once the mother doesn't complain of something.

 

Check the mother's very important signs

 

Check the mother's very important signs, i.e., her temperature, pulse rate, and vital signs, and check that they're among the normal range. Straight once the birth, check her pulse and vital sign a minimum of once each hour, and her temperature a minimum of once within the 1st six hours. If her vital sign is just too low and falling, and her pulse is just too fast and rising, she goes into shock. The foremost doubt could be a grievous hemorrhage. If there are not any signs of injury from the vagina, she is also losing blood internally.

 

Check if her female internal reproductive organ is contracting commonly

 

Palpate (feel) her abdomen to ascertain contraction of the female internal reproductive organ to create certain it's firm. Instantly once the birth, you must be ready to feel it acquiring close to the mother's belly button (belly button), and it, bit by bit, moves lower in her pelvis over the future period. Check her female internal reproductive organ every 15 minutes for the first 2 hours once birth and every 30 minutes for the third hour. If doable, check each hour for the subsequent 3 hours. If the female internal reproductive organ is difficult, leave it alone between checks. If it feels soft, rub the abdomen at the highest female internal reproductive organ to assist it in contracting. Teach the mother to try and do this for herself

The female internal reproductive organ is often inspired to contract once the birth by rubbing the abdomen. The medicine you gave the mother to expel the placenta and prevent injury (e.g., misoprostol or oxytocin) will facilitate the female internal reproductive organ to contract. Therefore can breastfeeding her baby. The mother may additionally have to be compelled to urinate if her bladder is full. As a result of this may stop the female internal reproductive organ from acquiring properly. Check the contraction of her female internal reproductive organ at each postnatal visit.

 

Clean the mother's belly, genital organ, and legs

 

Washing the mother's sex organ area is an element of core postnatal care for mother. Help the mother clean herself once the baby is born. Change any dirty bedding and wash the blood off her body. Continuously wash your own hands 1st and place them on surgical gloves before you bit the mother's genital organ, even as you probably did before the birth. It can defend her from any bacterium that will air her hands. Clean the mother's genital organ very gently, using soap and extremely clean water, and a clean artifact. Don't use alcohol or other disinfectants, which may irritate her delicate tissues. Wash downward, far from the canal. Take care not to bring something up from the anus toward the vagina. Even a chunk of stool that's too tiny to check will cause infection.

Taking care of a newborn infant is one of the foremost important duties of a confinement lady or confinement nanny. Tasks like feeding newborn infants on time, setting cleanliness and safety of newborn infants, attending to newborn infants quickly whenever required, and checking that postnatal matters don't stress for a newborn infant and have enough rest.

 

Check for serious injury (hemorrhage)

 

After birth, it's normal for a woman to bleed an identical amount as an important monthly amount. The blood ought to conjointly seem like monthly blood — recent and dark, or pinkish. At first, the blood comes to enter very little spurts or gushes once the female internal reproductive organ contracts or once the mother coughs, moves, or stands up. However, the flow ought to reduce over the following 2 to 3 days and become a lot of watery carmine discharge called lochia. A serious injury is dangerous. to ascertain serious injury within the 1st six hours once birth checks the mother's pads typically — five hundred ml (about 2 cups) of blood loss is just too much. If she soaks one pad per hour, it's considered a serious injury. If the mother is injured heavily and cannot stop it, take her to the hospital. Anticipate signs of shock. Keep in mind that postnatal trauma could be a major explanation for maternal mortality. It will happen at any time within the postnatal amount – tho' it's most typical within the 1st seven days.