Yet, this is the most neglected period for the provision of quality care. Social workers who may visit postpartum mothers can also be included to strengthen the social-service aspects of the care plan.
Similarly, clinicians felt that postpartum maternal health education about infant care was insufficient Kline et al. Sleep during nights becomes impossible because their minds are full of obsessive thoughts about being a bad mother Beck, ; Chan et al.
Studies revealed that at 2 months postpartum, many mothers also experienced pain in various parts of their bodies: Relaxation techniques and time-management skills may also be helpful for new mothers to manage fatigue.
Levitt and colleagues analyzed postpartum related studies that were either randomized controlled trials or therapeutic or preventive intervention studies conducted in Canada.
No specific national strategies, plans, or policies are in place to encourage new mothers to obtain postpartum health care. If needed, referrals to educational programs and mental-health professionals should be provided.
Gaynes and colleagues concluded in their meta-analysis that point prevalence for major depression was only 1. Assessments used to measure maternal health status by nurses working in advanced practice settings should address complications and discomforts throughout the perinatal period, evaluate mental health status, regard multicultural influences, and be able to quickly be administered.
As discussed above, mothers encounter not only physical discomforts but also psychosocial adaptation problems. Fichardt, van Wyk, and Weich identified that new mothers in South Africa were concerned more about needs and problems of self-care than those of infant care.
Conducting Studies on Maternal Health Research on postpartum maternal health should give special attention to maternal needs and factors that contribute to postpartum health problems. The content of the informational kits should be designed around the individual needs of new mothers and contain information about postpartum physical and psychological changes, diet and exercise, the detection of complications and management, strategies to manage common discomforts, infant development, and baby-care skills.
The only other national database on maternal postpartum health is the Listening to Mothers survey completed by the Maternity Center Association in Declercq et al.
As noted earlier in relation to postpartum depression, estimates of its prevalence varied widely across studies. Loh and Vostanis studied 41 depressed mothers and found that nearly one third of the mothers had pathological anger toward their infants and another one third reported anxiety, obsession with child harm, or lack of emotional response to the child.
In this way, mothers can arrange their time by convenience, and the clinic visits can meet their real needs.
Therefore, postpartum health care should include not only physical examinations but also a screening for common health problems, mental disorders, and progress of maternal role adaptation.Antenatal and postnatal care: a review of innovative models for improving availability, accessibility, acceptability and quality of services in low-resource settings Authors AD Kearns.
The guidelines focus on postnatal care of mothers and newborns in resource-limited settings in low- and middle-income countries. The guidelines address timing, number and place of postnatal contacts, and content of postnatal care for all mothers and babies during the six weeks after birth.
This guideline has been written within a conceptual framework which places the woman and her baby at the centre of care, appreciating that all postnatal care should be delivered in partnership with the woman and should be individualised to meet the needs of each mother-infant dyad.
Articles on Postnatal care are one of the recommended interventions to reduce the maternal and newborn deaths during postpartum period. Women delivering in a health facility should remain for observation for the firsthour period, and those who deliver at home need close observation as well, preferably by a Skilled Birth Attendant (SBA).
Like prenatal care, the postpartum health care that typically occurs during the 6 weeks after childbirth is considered important to new mothers' health.
Unlike the tracking of prenatal visits, however, few national statistics exist on postpartum health-care utilization or postpartum health problems encountered by new mothers (Albers, ). Although for most women and babies the postnatal period is uncomplicated, care during this period needs to address any deviation from expected recovery after birth.Download