MATERNITY & BABY CARE

“The weeks following birth are a critical period for a woman and her infant, setting the stage for long-term health and well-being. To optimise the health of women and infants, postpartum care should become an ongoing process, rather than a single encounter, with services and support tailored to each woman’s individual needs. Association of og recommends that all women have contact with their obstetrician–gynaecologists or other obstetric care providers within the first 3 weeks postpartum. This initial assessment should be followed up with ongoing care as needed, concluding with a comprehensive postpartum visit no later than 12 weeks after birth”.

The comprehensive postpartum visit should include a full assessment of physical, social, and psychological well-being, including the following domains:

1. mood and emotional well-being

2. Infant care and feeding

3. Sexuality

4. contraception and birth spacing

5. sleep and fatigue

6. physical recovery from birth

7. chronic disease management

8. health maintenance

Women with chronic medical conditions such as hypertensive disorders, obesity, diabetes, thyroid disorders, renal disease, and mood disorders should be counselled regarding the importance of timely follow-up with their obstetrician–gynaecologists or primary care providers for ongoing coordination of care.

ION CARE PROVIDES HEALTH CARE PROVIDER AND HEALTH ATTENDANT who will be designated to take this primary responsibility for her ongoing care & counselling in the comfort of home. This will enable all women to recover from birth and nurture their infants.

To better meet the needs of women in the postpartum period, we provide postpartum care that would include an initial assessment, either in person or by phone, within the first 3 weeks postpartum to address acute postpartum issues. Following this with ongoing care as needed, concluding with a comprehensive well-woman visit no later than 12 weeks after birth .Ion care with help of gynaecologists have designed this tailored approach called fourth trimester care for mothers . After providing with comprehensive women centred care after childbirth we enable women to optimise her long term health and wellbeing with Well woman care

Home visitor health attendant

provide home visit services to meet specific needs of mother -infant after discharge from maternity care.

Ensures patient’s postpartum needs are addressed and comprehensive visit is completed,attend urgent call for acute concerns concerns during postnatal care,provide well woman care after comprehensive postpartum care.

Co-manage chronic medical conditions eg hypertension,diabetes.

co-manage complex medical problems during postpartum period and provide pre pregnancy counselling for future pregnancies.

primary care provider for infant after discharge from maternity care

provides educational guidance from garbhasanskar to wellwoman care

Components of ion postpartum care includes.

1. Screen for postpartum depression and anxiety.

2. Provide guidance regarding local resources for mentoring and support.

3. Screen for tobacco use; counsel regarding relapse risk in postpartum period.

4. Screen for substance use disorder and refer as indicated.

5. Follow-up on preexisting mental health disorders, refer for or confirm attendance at mental health-related appointments, and titrate medications as appropriate for the postpartum period.

1. Assess comfort and confidence with caring for newborn, including.
   • ● Feeding method.
   • ● child care strategy if returning to work or school.
   • ● ensuring infant has a paediatric medical home.
   • ● ensuring that all caregivers are immunised.
2. Assess comfort and confidence with breastfeeding, including.
   • ● Breastfeeding-associated pain.
   • ● Guidance on logistics of and legal rights to milk expression if returning to work or school.
   • ● Guidance regarding return to fertility while lactating; pregnancy is unlikely if menses have not returned, infant is less than 6 months old, and infant is fully or nearly fully breastfeeding with no interval of more than 4–6 hours between breastfeeding sessions.
   • ● Review theoretical concerns regarding hormonal contraception and breastfeeding, within the context of each woman's desire to breastfeed and her risk of unplanned pregnancy.

3. Assess material needs, such as stable housing, utilities, food, and diapers, with referral to resources as needed.

1. Review theoretical concerns regarding hormonal contraception and breastfeeding, within the context of each woman's desire to breastfeed and her risk of unplanned pregnancy.

2. Assess desire for future pregnancies and reproductive life plan.

3. Explain the rationale for avoiding an interpregnancy interval of less than 6 months and discuss the risks and benefits of repeat pregnancy sooner than 18 months.

4. Review recommendations for prevention of recurrent pregnancy complications to reduce risk of recurrent preterm birth, or aspirin to reduce risk of preeclampsia.

5. Select a contraceptive method that reflects patient's stated needs and preferences.

1. Discuss coping options for fatigue and sleep disruption.

2. Engage family and friends in assisting with care responsibilities.

1. Assess presence of perineal or caesarean incision pain; provide guidance regarding normal versus prolonged recovery.

2. Assess for presence of urinary and faecal continence, with referral to physical therapy or urogynecology as indicated.

3. Provide actionable guidance regarding resumption of physical activity and attainment of healthy weight.

1. Discuss pregnancy complications, if any, and their implications for future childbearing and long-term maternal health, including ASCVD.

2. Perform glucose screening for women with GDM: a fasting plasma glucose test or 75 g, 2-hour oral glucose tolerance test.

3. Review medication selection and dose outside of pregnancy, including consideration of whether the patient is breastfeeding, using a reliable resource.

4. Refer for follow-up care with primary care or specialist health care providers, as indicated.

1. Review vaccination history and provide indicated immunizations, including completing series initiated antepartum or postpartum.

2. Perform well-woman screening, including Pap test and pelvic examination, as indicated.