CHILDBIRTH-LABOUR.DELIVERY AND IMMEDIATE POSTPARTUM CARE (CONTINUED PREVENTIVE MEASURES AND ADDITIONAL TREATMENTS FOR THE WOMAN 2G Advise on postpartum care 2Preventive measures 2G Advise on postpartum care and hygiene Give tetanus toxoid D25 Counsel on nutrition Give vitamin A postpartum Counsel on birth spacing and family planning Give iron and folic acid Counsel on the importance of family planning Give mebendazole D2 Lactation amenorrhea method (LAM) Motivate on compliance with iron treatment 23 Advise on when to return ROGive preventive intermittent treatment for falciparum malaria 23 Routine postpartum visits Advise to use insecticide-treated bednet 2Follow-up visits for problems Give appropriate oral antimalarial treatment 2 Advise on danger signs R Give paracetamol 2Discuss how to prepare for an emergency in postpartum Additional treatments for the woman Home delivery by skilled attendant Give appropriate oral antibiotics 2Preparation for home delivery Give benzathine penicillin IM D2 Delivery care 3 Observe for signs of allergy 2Immediate postpartum care of mother 2Postpartum care of newborn POSTPARTUM CARE Postpartum examination of the mother(up to 6 weeks) 3 Respond to observed signs or volunteered problems If elevated diastolic blood pressure 3 If pallor.check for anaemia Check for HIV status E6 If heavy vaginal bleeding E5 If fever or foul-smelling lochia If dribbling urine If pus or perineal pain If feeling unhappy or crying easily 3If vaginal discharge 4 weeks after delivery 告 33 If breast problem EIf cough or breathing difficulty If taking anti-tuberculosis drugs If signs suggesting HIV infection Table of contentsTable of contents TABLE OF CONTENTS D CHILDBIRTH – LABOUR, DELIVERY AND IMMEDIATE POSTPARTUM CARE (CONTINUED) D26 Advise on postpartum care D26 Advise on postpartum care and hygiene D26 Counsel on nutrition D27 Counsel on birth spacing and family planning D27 Counsel on the importance of family planning D27 Lactation amenorrhea method (LAM) D28 Advise on when to return D28 Routine postpartum visits D28 Follow-up visits for problems D28 Advise on danger signs D28 Discuss how to prepare for an emergency in postpartum D29 Home delivery by skilled attendant D29 Preparation for home delivery D29 Delivery care D29 Immediate postpartum care of mother D29 Postpartum care of newborn E POSTPARTUM CARE E2 Postpartum examination of the mother (up to 6 weeks) E3-E10 Respond to observed signs or volunteered problems E3 If elevated diastolic blood pressure E4 If pallor, check for anaemia E5 Check for HIV status E6 If heavy vaginal bleeding E6 If fever or foul-smelling lochia E7 If dribbling urine E7 If pus or perineal pain E7 If feeling unhappy or crying easily E8 If vaginal discharge 4 weeks after delivery E8 If breast problem E9 If cough or breathing difficulty E9 If taking anti-tuberculosis drugs E10 If signs suggesting HIV infection F PREVENTIVE MEASURES AND ADDITIONAL TREATMENTS FOR THE WOMAN F2–F4 Preventive measures F2 Give tetanus toxoid F2 Give vitamin A postpartum F3 Give iron and folic acid F3 Give mebendazole F3 Motivate on compliance with iron treatment F4 Give preventive intermittent treatment for falciparum malaria F4 Advise to use insecticide-treated bednet F4 Give appropriate oral antimalarial treatment F4 Give paracetamol F5–F6 Additional treatments for the woman F5 Give appropriate oral antibiotics F6 Give benzathine penicillin IM F6 Observe for signs of allergy