Overview of the Postpartum Period
The postpartum is a period that begins after the placenta is born and it will end when the uterine organs return to normal condition. The postpartum period lasts about 6 weeks. As long as the recovery period takes place, the mother will experience many changes n her body, both physically and psychologically. If there is no assistance or medical care, it will be potential to cause pathological conditions.
This period is crucial for health workers to always monitor. The less efective implementation and treatment can cause mothers to experience various problems, even can lead to complications during the puerperium or postpartum period, such as puerperal sepsis. Infection is the second leading cause of death after bleeding, so it is appropriate for medical workers to pay high attention toward this period. The existence of problems in the mother will also have an impact on the well-being of babies born because the baby will not get optimal care from the mother. Thus, infant morbidity and mortality will increase.
The basic purposes of childbirth care
Here are several purposes of giving the treatment to postpartum mothers.
- Improve physical and psychological caring for mothers and babies
By giving care, the mother will get facilities and support in her efforts to adjust her new role as a mother (especially the birth of the first child) and assist the family in making new forms and plan with the next child. If the mother can pass this period well, the baby’s physical and psychological well-being will increase.
- Prevention, early diagnosis, and treatment of complications in the mother
With care given to postpartum mothers, the possibility of problems and complications will be detected faster so that the handling can be more maximal.
- Give further recommendation to the mother to get more adequate services if necessary
Although mothers and families know that there are health problems in postpartum mothers who need a further recommendation, not all of the decisions taken are considered right. For example, they prefer not to come to health care facilities due to certain considerations. If the midwife always accompanies the patient and family, the right decision can be taken well according to the patient’s condition. This is beneficial for avoiding the incidence of maternal mortality.
- Support and strengthen mother’s beliefs, and enable mothers to be able to carry out their roles in family situations with certain cultures
When giving childbirth care, the skills of a midwife are highly demanded in providing health education to mothers and families. The skills that must be mastered by midwives include educational materials according to the patient’s condition, delivery techniques, media used, as well as effective psychological approaches. This is very important to note the people thought that there is no effect or problem physically if the baby is born safely. Further, people thought there is no need for mentoring for the mother’s health. Whereas for mothers (especially new mothers), adapting to their new role is very heavy and requires an optimal mental condition.
- Maternal immunization against tetanus
With the provision of maximum care, the incidence of tetanus can be avoided. This is in line with the latest report that now the incidence of tetanus has decreased.
- Encourage the implementation of healthy methods of feeding children, as well as increasing the development of good relationships between mothers and children
When providing care, material and monitoring provided are not only limited to the scope of the mother’s problem but also is comprehensive towards the mother and child. Opportunities to consult about health including child and family health will be very open. Midwives will assess the knowledge of mothers and families about their efforts to improve family health. Efforts to develop a good psychological relations pattern between mother, child and family can also be improved through the implementation of this care.
The Roles and Responsibilities of health workers during the postpartum period
- The closest friend and mother relatives in facing the critical period of childbirth
At the beginning of the puerperium, the mothers may experience difficult conditions. This is when they desperately need a close friend whom she can rely on to face her difficulties. How the relationship pattern formed between mother and midwife will be largely determined by the skills of midwives in placing themselves as friends and companions for mothers. If at this stage the relationship formed is good, reaching the goal of care will be more easily achieved.
- Educators in efforts to provide health education to mothers and families
The postpartum period is the most effective period for midwives to carry out their role as educators. In this case, not only mothers will receive health education material, but all family members. Involving the family in every mother and baby care activity is one of the techniques that can be used to provide appropriate health education. Also, decision-making related to health always involves the family. In short, midwives always involve the family in the implementation of care.
- Implementing care in matters of care, monitoring, handling problems, recommendation, and early detection of complications during the puerperium
In carrying out their roles and responsibilities, midwives are highly demanded their ability to apply the theories they have obtained toward the patients. The development of the up to date knowledge and skills must always be followed so that midwives can provide maximal quality services to patients. Mastery of midwives in terms of making appropriate decisions regarding the patient’s condition.
It is very important, especially regarding referral cases and early detection of patients so that complications can be prevented.
The Stages of the postpartum period
The postpartum period is divided into three stages, namely early puerperium, intermedial puerperium, and puerperium remote. Here’s the explanation:
- Early Puerperium
Early Puerperium is a period of recovery which is the mother has been allowed to stand and walk around.
- Intermedial puerperium
That stage is defined as a completed recovery period of genital. Here persists about 6 to 8 weeks after delivery.
- Remote puerperium
Remote puerperium is the period needed to recover and be perfectly healthy, especially if during pregnancy or labor has complications. The time for perfect health can last for weeks, months, even years.