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Brief introduction of foreign postpartum health care guidelines and its enlightenment to postpartum nursing work in China


[Abstract] This paper introduces the latest postnatal care guidebooks of the World Health Organization, the American College of Obstetricians and Gynecologists and the National Institute for Health and Care Excellence, and comparing with the puerperium health management standard in China, the paper puts forward four suggestions to optimize the puerperium health management service in China, including increasing the rate of postpartum interview, expanding the contents of puerperium health management, defining the qualification of puerperium health management practitioners and enhancing the continuity of medical information.

[Key words]Postnatal Care; Guidebooks; Nursing Services; Review

Puerperium refers to the period of time from the delivery of the placenta to the recovery of parturient organs (except mammary gland) to the normal state of non-pregnancy [1], and mostly refers to 6 to 8 weeks after delivery. During this period, the parturient will have pain, mood fluctuation and other manifestations, and there are risks of infection, bleeding and postpartum depression [1-2], which need scientific and systematic health care. Postnatal care refers to a series of health care work carried out to promote the health of mothers and infants in a period of time after the birth of a baby, especially during the puerperium, which plays an important role in parturient rehabilitation, infant growth and breastfeeding [3]. At present, postnatal care in China is mostly carried out in the form of health management, including postpartum visit and physical examination on 42 days after delivery [4], which has achieved a certain role in promoting mother and newborn health, but there are also some problems, such as the irrational composition of the visiting staff, low satisfaction of the parturient interviewed and so on [5-8]. The development of postnatal care in the United States, the United Kingdom and other countries is earlier, and the system is more perfect, which has a good reference for the domestic postpartum health management services in China. Therefore, through reviewing the postnatal care guidebooks of these countries and comparing with the postpartum health management standards in China, this paper puts forward some suggestions on puerperium health management services in China, with a view to further optimizing postpartum nursing, improving parturient satisfaction and promoting the health of mother and newborn.

1 Guidebooks for Postnatal Care Abroad

1.1 WHO Recommendations on Postnatalcare of the Mother and Newborn In October 2013, the World Health Organization (WHO) published the Recommendations on Postnatalcare of the Mother

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