MANAGEMENT PROTOCO L FOR POST-PARTUM CHECK-UP AND CARE OF THE NEWBORN (Flowchart No. 32} PLAN A: 1. 0 2. 0 3. 0 Visit the p:il'icnt :ind her newborn baby at le11st once a day unti J the seventh day and as often as necessary afterwards depending on their needs. Dete1m·ine knowledge of the patient on post-partum care and of the newborn. Based on 2. 0, advise the patient on the followin g aspects during the first visit: 3. 1. Nutritio n-3. 1. 1. Liquid diel (milk, soup, elc. ) or soft diet ()ugaw, oabnea J, etc. ) 3. 1. 2. :-3. 1. 3. should he given on the fir. ;t day. Start full or rr. g11lar diet on the second day after delivery. Slr C. 'i/'\ the importance of eating the right ldnd and the right amount of food especially if the mother is breastfeeding the newborn. 3. 2. Person:il cleanliness-3. 2. 1. Advise p:llicnt to take sponge bath daily du. ring the first two days after delivery b11t n quick full bath can be started as early as the third day if she is strong enough. 3. 2. 2. Breast and nipples should he cleaned with soap and water before and after ench breastfeeding session. 3. 2. 3. Perineum (puerta) should be properly washed with soap and warm wnter every time she urinates. Do not apply alcohol on the area. 3. 3. F. arly ambulntjon-3. 3. 1. On the first day, patient must stay in bed but should move freely in it. She c:rn sit down aud dangle her legs at the side of the bed, she can go to the batl,room or toilet if she is assisted. 3. 3. 2. On the second c. fay she should start walking around even if it is still painful to do sci. 3. 3. 3. Discourage the patient from staying in bed for long time unless there is profuse vaginal blced1ng. 3. 4. Bowel habits-pnticnt should have daily bowel movement. 3. 5. Abdominal mnssage-patient should not have her abdomen 111as.-. ~1ged. 3. 6. Clothing-;3. 6. 1. Patient should wear dean, loose, comfortab le clothes. 3. 6. 2. Discourage the patient from wearing a ~bigkis". 4. 0 Based on 2. 0, advise patient on how to give milk feed properly. 4. 1. Breastfeeding should not be done if any of the followin g are present: 4. 1. 1. On the part of the patient: a. u ntrc:l'ted tubercu Jos'is b. any serious illness c. swellinp,. intl11mm11tion or open wound in the chest. 4. 1. 2. On the p;tr1 of the baby: a.,my defect in the mouth, like cleft lip and/or cleft palate. b. baby is too weak to suck (e. g., baby is premature or small for his 3A'C). 4. 2. I low lo breastfeed the baby: 4. 2. 1. Both breasts should be washed before and after feewng then dried with a clean towel. 275 