Matters needing attention in postpartum follow-up Postpartum visit is one of the important contents of national basic public health services, maternal health care and health care for children aged 0-6.
Postpartum visit is a free door-to-door visit service provided by maternal and child doctors in community health service institutions in the rest place within 3-7 days after maternal discharge.
Postpartum visit content
I. Maternity
1, get to know the general situation, ask about the past history, labor process and delivery, breastfeeding, and get to know the current situation of spirit, sleep, diet and defecation.
2. Take your temperature and blood pressure.
3. Check whether the nipple is chapped? Is the breast red and swollen? Understand breast feeding, milk secretion, and whether the mammary duct is unobstructed? Whether there is constipation, etc.
4. Observe uterine involution and lochia? Observe perineal wound, abdominal wound by caesarean section, etc.
If any abnormality is found, timely guidance shall be given.
5. Promote puerperal health care knowledge? Guide science? Prevention and treatment of postpartum complications by confinement
Hair disease.
6. Promote breastfeeding knowledge.
Second, the newborn.
1, asking about the birth situation and birth mode of the newborn? Do you have a history of asphyxia, birth weight, BCG and hepatitis B vaccine? As well as breastfeeding, sleeping and defecation.
2. Observe the newborn's complexion, skin color, presence or absence of jaundice, and identify whether it is physiological or pathological. The latter needs to be sent to hospital for treatment. Pay attention to whether the umbilical cord stump falls off and whether there is exudate, and deal with the infection in time.
3. Weigh the child, observe the degree of physiological decline, guide breastfeeding to publicize the knowledge of family nursing in the neonatal period, understand the new problems in feeding and nursing, help analyze the reasons, give timely guidance, and fill in the visiting card.
Postpartum visit can not only keep abreast of maternal and child health status, but also effectively popularize maternal and child health care knowledge, laying a good foundation for the implementation of maternal and child life cycle services.
What are postpartum visits doing?
Newborn family visits
After the newborn is discharged from the hospital 1 week, the medical staff will visit the newborn's home after delivery. To understand the situation of neonatal disease screening at birth, vaccination and neonatal disease screening in areas where neonatal disease screening is carried out. Observe the family environment, focusing on asking and observing feeding, sleep, defecation, jaundice, umbilical region and oral development. Take the temperature of the newborn, record the birth weight and length, and have a physical examination. At the same time, establish a health care manual for children aged 0 ~ 6. Parents should be given breastfeeding, nursing and prevention guidance of common diseases according to the specific situation of newborns. If it is found that newborns are not vaccinated with BCG and hepatitis B vaccine 1 dose, parents should be reminded to replant as soon as possible. If it is found that the newborn has not been screened for neonatal diseases, notify the parents to go to the medical and health institutions with screening conditions for supplementary screening. For newborns with low birth weight, premature delivery, multiple births or birth defects, the number of visits should be increased according to the actual situation.
(2) Full Moon Health Management of Newborns
After 28 days, the newborns were followed up in township hospitals and community health service centers with the second dose of hepatitis B vaccine. Focus on inquiring and observing the feeding, sleep, defecation and jaundice of newborns, and carry out weight and length measurement, physical examination and development evaluation.
(3) Infant health management
Follow-up service after the full moon should be carried out in township hospitals and community health service centers, and in remote areas, it can be carried out 8 times in village clinics and community health service stations at the age of 3, 6, 8, 12, 18, 24, 30 and 36 months respectively. In areas where conditions permit, it is suggested to increase the number of follow-up visits in combination with the vaccination time of children. The service content includes inquiring about the feeding and illness, physical examination, growth and psychological and behavioral development evaluation of infants from the last follow-up to this follow-up, as well as health guidance on breastfeeding, complementary food addition, psychological and behavioral development, accident prevention, oral health care, traditional Chinese medicine health care, and prevention and treatment of common diseases. Hemoglobin 1 time was detected in infants aged 6-8 months, 18 months and 30 months respectively. Check whether there are any contraindications before each vaccination. If there are no contraindications, vaccinate after physical examination.
(D) preschool children's health management
Provide health management services for children aged 4 ~ 6 every year. The health management service of scattered children should be carried out in township hospitals and community health service centers, and collective children can be carried out in kindergartens. The service contents include inquiring about the diet and illness, physical examination, growth and psychological development evaluation, hemoglobin detection and vision screening between the last follow-up and this follow-up, as well as health guidance such as reasonable diet, psychological development, accidental injury prevention, oral health care, Chinese medicine health care and common disease prevention. Check whether there are any contraindications before each vaccination. If there are no contraindications, vaccinate after physical examination.
(5) Handling of health problems
Children with malnutrition, anemia and simple obesity found in health management should analyze their causes and give guidance or referral suggestions. Children with abnormal oral development (cleft lip and palate, high arch, teething), dental caries, low vision or abnormal hearing should be referred in time.
What are the benefits of postpartum fumigation? Giving birth to a child is a top priority in a woman's life. If you don't pay attention to the conditioning for one month after delivery, there will be various postpartum diseases in the future, which is a kind of torture to women's health. Postpartum fumigation is an effective means for lying-in women to regulate their bodies, which can help them recover after childbirth and treat the diseases of the second month. The advantages and disadvantages of postpartum fumigation are introduced in detail below.
profit
First, improve human microcirculation:
In summer, the outdoor temperature is very high and the sun is shining. At this stage, the moisture and cold in the body will concentrate on the bladder meridian in the back, but the human body is relaxed, and the meridians and qi and blood are circulating, so summer is the best time to get rid of the six evils in the body.
Second, through steam fumigation, the circulation of qi and blood is improved, which is conducive to dredging the meridians of the breast and promoting milk secretion.
Third, through fumigation and sweating, we can strengthen our physique, promote the synthesis of vitamin D and the supplementary absorption of calcium, and avoid symptoms such as osteoporosis, dizziness, backache and cramps caused by pregnancy.
Fourth, it can improve the absorption of endogenous nutrients, so as to realize the regulation of missing nutrients in the body.
Fifth, reduce the increased fat, avoid skin relaxation, and enhance skin smoothness and elasticity.
shortcomings
Avoid scalding the skin by suddenly spraying water when boiling, which will cause skin scalding, even damage skin tissue and cause permanent facial injury. Therefore, we must use it carefully and grasp the time; When fumigating, relax the whole body to avoid uneven spraying or insufficient heating affecting the nursing effect and the mood and feelings in the nursing process.
Maternal fumigation time
After the lochia is clean, the parturient can be fumigated and conditioned for about 20-30 days. Postpartum fumigation can improve the circulation of qi and blood, help to dredge the meridians of the breast, promote milk secretion, and also help to strengthen the maternal physique.
Here is to introduce the advantages and disadvantages of postpartum fumigation for everyone. Mothers should grasp the fumigation time, usually after the lochia is clean. Fumigation has a great conditioning effect on women, which can not only improve the blood circulation in the body, but also dredge the meridians, promote milk secretion and help women recover quickly.