(BQ) Part 2 book “Guidelines for perinatal care” has contents: Postpartum care of the mother, medical and obstetric complications, care of the newborn, neonatal complications and management of high-risk infants, perinatal infections, infection control. | Chapter 8 Postpartum Care of the Mother ^ Monitoring during the postpartum period is dictated in part by the events of the delivery, the type of anesthesia or analgesia used, and the complications identified. Pain management should be guided by guidelines established by the anesthesiologists and obstetricians in concert. Immediate Postpartum Maternal Care Blood pressure levels and pulse should be monitored at least every 15 minutes for 2 hours, but more frequently and for longer duration if there are complications. The woman’s temperature should be taken at least every 4 hours for the first 8 hours after delivery, and at least every 8 hours subsequently. Healthy term infants should be placed skin-to-skin with the mother immediately after birth and remain there for the first hour of life. In a metaanalysis of randomized controlled trials, skin-to-skin care in the first hour of life increased neonatal glucose concentrations, improved cardiorespiratory stability among late preterm infants, and increased breastfeeding duration by approximately 6 weeks. Evidence suggests that skin-to-skin care reduces infant stress during painful procedures, such as vitamin K injection. Skin-toskin contact is feasible in the operating room and is associated with reduced need for formula supplementation among breastfed infants. Nursing staff assigned to the delivery and immediate recovery of a woman should be free of other obligations. Discharge from the delivery room, which may involve recovery from an anesthetic, should be at the discretion of the woman’s obstetrician–gynecologist or other obstetric care provider or the anesthesia personnel in charge. If regional or general anesthesia was administered, the woman should be observed in an appropriately staffed and equipped hospital area until she has recovered from the anesthetic. After cesarean delivery, postanesthesia care should be similar to that given to other patients who have received similar 279 280 Guidelines for .
