Скачать с ютуб ডেলিভারির পরে মা'য়ের যত্ন - Postnatal care bangla - Postnatal care plan в хорошем качестве

ডেলিভারির পরে মা'য়ের যত্ন - Postnatal care bangla - Postnatal care plan

Ostocal G নিবেদিত এ স্বাস্থ্য ভিডিওতে "ডেলিভারির পরে মা'য়ের যত্ন" নিয়ে বলেছেন অধ্যাপক ডা. বেগম হোসনে আরা স্ত্রীরোগ ও প্রসূতিবিদ্যা বিশেষজ্ঞ বিভাগীয় প্রধান, গাইনী ও অবস্ বিভাগ ঢাকা সেন্ট্রাল ইন্টারন্যাশনাল মেডিকেল কলেজ ও হাসপাতাল মিডিয়া পার্টনার - MediTalk Digital Care of the mother and newborn after birth Some women will give birth in the home with a skilled attendant; others may not have a skilled attendant present. Some women who give birth in the facility will spend time there following childbirth. WHO recommends that a women not be discharged before 24 hours after birth. Regardless of the place of birth, it is important that someone accompanies the woman and newborn for the first 24 hours after birth to respond to any changes in her or her baby's condition. Many complications can occur in the first 24 hours. Following childbirth at home, it is important that the mother and baby receive a postnatal examination as early as possible, preferably within 24 hours of birth. If the birth was at a facility, mother and baby should receive a postnatal examination before discharge. There are a number of important points to discuss with the woman and her family following birth to ensure that the woman has adequate care. See the WHO PCPNC for additional information. IMPORTANT ISSUES TO DISCUSS WITH WOMEN AND THEIR FAMILIES, IMMEDIATELY FOLLOWING BIRTH The importance of having someone nearby for the first 24 hours. The importance and recommended timing of postnatal visits. The importance of the new mother eating more and healthier foods – discuss in the context of local practices and taboos to ensure women have access to good nutrition. The new mother should also drink plenty of clean, safe water. The importance of rest and sleep and the need to avoid hard physical labour. Discussion of normal postpartum bleeding and lochia – discuss with women how much blood loss they can expect, for how long. When bleeding is more than normal, they should seek care urgently. Discuss the danger signs for the woman and baby and the importance of seeking help quickly. Personal hygiene in the context of local practices and the environment. Discuss with women the type of pads they will use and their disposal, and care of episiotomy in the context of home conditions. Hand washing is particularly important to prevent infections. It is also important not to insert anything into the vagina. Talk to them about when they can resume sexual relations and the importance of condom use to prevent STI and HIV transmission (see Sessions 12 and 14). Sexual intercourse should be avoided until the perineal wound heals. Discuss the importance of birth spacing and counsel on the use of a family planning method. Discuss infant feeding and breast care (see Session13) and the importance of only taking prescribed medicines when breastfeeding. Discuss the importance of the home environment for promoting the health of the baby and recovery of the mother. For example, discuss the need for warmth, good ventilation and hygiene for both mother and baby. In an area with malaria, discuss the importance of mother and baby sleeping under an insecticide-treated bednet. Timing of postnatal visits Following childbirth the woman and newborn should be examined within 24 hours by a health worker. At this time also discuss with the woman and family the timing of subsequent visits and the immunization schedule for the baby. WHO recommends that the mother and baby be visited at home by a trained health worker, preferably within the first week after birth. If your facility does not carry out home visits, discuss with the mother how she will come to the facility or local clinic for these scheduled visits. These visits early in the postnatal period are important for the mother and baby. It is also an important opportunity to ensure the establishment of breastfeeding and address any difficulties with attachment and positioning. How to provide information and support for the care of the mother after birth The PCPNC provides a list of practical tasks that need to be carried out following birth, if you do not have the PCPNC you should follow the norms and standards established in your facility. Explain the reasons behind the tasks you are carrying out and discuss with the woman any advice or recommendations you have for her to ensure appropriate care in the home during the postnatal period (refer to the points above). Encourage her to ask questions during the examination and use your active listening skills to reflect on and clarify what she is telling you. Help her to think of ways she can implement your advice. Sometimes, when women are unsure or hesitant they voice concerns in an indirect manner rather than directly raising an issue. Be aware of her body language and the non-verbal signs she may be showing you.