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Training of Roma Health Mediators in Reproductive Health

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II-IV. POSTPARTUM VISITS (45 m<strong>in</strong>utes)<br />

Ask participants if they visit families or mothers with newborns and, if so, what they do<br />

dur<strong>in</strong>g these visits.<br />

Likely answers: they make sure that all is go<strong>in</strong>g well with the mother and baby.<br />

Ask participants:<br />

‣ What are the needs <strong>of</strong> a woman dur<strong>in</strong>g the postpartum period?<br />

Woman’s needs dur<strong>in</strong>g the postpartum period (refer to the tra<strong>in</strong>er document Women’s<br />

Needs Dur<strong>in</strong>g the Postpartum Period for additional details)<br />

• Rest<br />

• Work, physical activities, exercises<br />

• Diet<br />

• Extra iron and folic acid<br />

• Cleanl<strong>in</strong>ess<br />

• Resumption <strong>of</strong> <strong>in</strong>tercourse<br />

• Avoidance <strong>of</strong> potentially harmful practices: smok<strong>in</strong>g, alcohol, drugs and<br />

medic<strong>in</strong>es<br />

• Emotional support<br />

‣ When you visit women dur<strong>in</strong>g the postpartum period, what are the questions you<br />

ask them?<br />

• How are you feel<strong>in</strong>g?<br />

• Do you have any pa<strong>in</strong> <strong>in</strong> your lower abdomen?<br />

• Do you still have vag<strong>in</strong>al discharge?<br />

• Are you able to breastfeed the baby properly?<br />

• Do you have any pa<strong>in</strong>, heav<strong>in</strong>ess or swell<strong>in</strong>g <strong>in</strong> your breasts?<br />

• Are you eat<strong>in</strong>g well?<br />

• Are you pass<strong>in</strong>g ur<strong>in</strong>e and stools without difficulty?<br />

• Do you have any fever?<br />

• How is the baby do<strong>in</strong>g?<br />

• Is s/he breastfeed<strong>in</strong>g properly?<br />

Ask two volunteers to conduct a role-play <strong>in</strong> front <strong>of</strong> the group as a way <strong>of</strong><br />

demonstrat<strong>in</strong>g: 1) issues a mediator should discuss with a young mother dur<strong>in</strong>g the<br />

postpartum period, and 2) how the mediator should talk to a young mother. One <strong>of</strong> the<br />

volunteers will play the role <strong>of</strong> a young <strong>in</strong>experienced mother sitt<strong>in</strong>g with her “baby”; the<br />

other will play the mediator. Allow them 10 m<strong>in</strong>utes to demonstrate the discussion and<br />

then thank them.<br />

Ask “the mother”:<br />

123<br />

RFHI/JSI <strong>Roma</strong>nia <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>of</strong> RHMs <strong>in</strong> <strong>Reproductive</strong> <strong>Health</strong> Session 7: Postpartum Care

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