CARE OF MOTHER IMMEDIATELY AFTER DELIVERY

Monitoring of mother

Check every 15 minutes for 2 hours, then at 3 and 4 hours, then every 4 hours until discharge
- Take the blood pressure
- Rapid assessment for danger signs such as excessive PV bleeding, difficulty in breathing,
  severe headache
- Feel if uterus is hard and round

Assess, classify, and treat

Raised diastolic blood pressure
- >110 mmHg with proteinuria 3+ and signs/ sympotms of eclampsia: manage as severe
  eclampsia.
- If 90-110 mmHg with proteinuria: manage as pre eclampsia
- If >90 mmHg with no proteinuria and no symptoms of eclampsia: monitor and treat as
  hypertension
Fever with chills or uterine tenderness or foul smelling discharge, treat as puerperal fever
- If isolated raised temperature, monitor, hydrate
  and observe for 12 hours. Treat for pueperal fever if it persists
If bleeding perineal tear
- Suture if trained or refer for further management
If bleeding (If pad soaked in <5 minutes or constant trickle of blood) and uterus not hard and
around:
- Treat as PPH
Anaemia: monitor for bleeding and look for conjunctival or palmar pallor, check Hb if
indicated, manage as appropriate

Care of mother