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HEALTHCARE POSTPARTUM PRACTICES FOR NORMAL DELIVERY AND BIRTH

Cord cutting

  • Partner or other support person cuts cord
  • Caregiver cuts cord
  • Clamp and cut after cord stops pulsating
  • Clamp and cut immediately

Delivery of placenta

  • Spontaneous
  • Encouraged with breast stimulation, suckling
  • Hastened with medication or fundal massage
  • Upright position
  • Manual extraction
  • Use of placental tissue by the hospital

Maintaining uterine muscle tone

  • Breastfeed baby
  • Fundal massage by nurse or mother
  • Medication to contract uterus

Immediate care of baby

  • In parents' arms for observation and Apgar score
  • In mother's bed for observation and Apgar score
  • Near parents in bassinet or isolette
  • In mother's bed for observation, weighing, and first bath
  • In nursery for observation, weighing, and first bath

Warmth of baby

  • Baby skin-to-skin with mother, with blanket or heater over both
  • Wrapped in heated blanket, held by parent
  • In heated bassinet in mother's room
  • In special heated unit in nursery

Airway

  • Suction only if necessary
  • Suction with bulb syringe almost immediately

Vitamin Ê

  • Oral doses
  • By injection soon after birth

Eye care

  • None
  • Use of nonirritating antibiotic agent
  • At one hour after birth

Cord blood collection

  • Not planned
  • Public cord blood bank donation
  • Private or family cord blood collection and storage

Infant feeding

  • Breastfeeding within first hour
  • Breastfeeding, but could be delayed
  • Infant formula
  • Feeding on cues from baby
  • Feedings scheduled by hospital staff
  • Supplemental feedings to breastfed baby (water, glucose water, formula)
  • Supplement (if used) given to breastfed baby by parents or nurse

Contact with baby

  • Continuous rooming-in
  • Daytime rooming-in
  • For feedings only, in nursery at other times

Circumcision

  • None
  • Immediately (within two days)
  • Delayed (within two weeks)
  • With one or both parents present to comfort baby
  • With no anesthetic
  • With anesthetic
  • At religious ceremony performed by spiritual leader

Newborn exam

  • Performed by baby's caregiver
  • Performed by hospital caregiver
  • Performed in presence of parents

- Performed in nursery away from parents

Newborn vaccinations

  • None
  • Hepatitis Â
  • Controlling pain
  • Use of self-help techniques before use of medications
  • Medications

Visitors

  • Unlimited visitation desired
  • Limit who will visit
  • Limit when visitors can come into room
  • Hours or amount of time limited by hospital

Dietary preferences

  • General diet
  • Vegetarian (lacto-ovo or vegan)
  • Kosher
  • Food allergies and sensitivities
  • Other

*20/292/5*

WOMEN’S HEALTH

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