Nepal

Table 7.13.1 Postpartum checks/advice at the time of discharge
Among interviewed postpartum women, the percentages whose consultation included specific checks/advice related to the health of the mother and baby
at the time of discharge, by type of facility, Nepal Health Facility Survey 2015
Facility type
Type of check/advice
Zonal and
above hospitals
District-level
hospitals
Private
hospitals PHCCs HPs
National average
Mother
Check blood pressure 77.9 72.7 93.2 81.8 100.0 81.0
Check pulse 69.3 64.5 87.0 50.0 100.0 72.9
Check temperature 52.7 41.4 82.8 27.3 0.0 57.3
Check leg for tenderness/swelling 34.9 35.5 60.1 31.8 100.0 43.3
Inspect perineum for tear, bleeding, swelling 49.7 66.0 67.2 59.1 100.0 61.5
Examine breast for retracted nipple, cracked
nipple, engorgement 36.9 36.6 56.9 31.8 100.0 43.3
Ask if she has passed urine without
difficulties 54.0 59.7 76.5 59.1 100.0 63.4
Uterine consistency 54.2 46.3 70.8 81.8 0.0 56.7
Bleeding 53.6 66.0 81.2 72.7 100.0 67.3
Cord care advice 39.5 52.9 69.8 59.1 100.0 54.4
Breastfeeding advice 74.8 81.9 90.3 90.9 100.0 82.6
Family planning advice 24.4 25.7 24.8 40.9 0.0 25.1
Postnatal care (PNC) checkup/advice 55.1 67.6 64.6 81.8 100.0 63.3
Carried out wound site examination 45.7 35.8 66.9 40.9 100.0 49.0
Advised on danger signs during postpartum
period 33.8 31.5 51.3 27.3 0.0 38.2
All checks/advice 4.1 2.6 5.1 0.0 0.0 3.8
Baby
Check temperature by touching foot and
abdomen 50.1 64.8 87.7 59.1 100.0 67.6
Check any difficulty in breathing, grunting,
chest indrawn 49.6 58.9 85.8 40.9 100.0 64.4
Assess general appearance, movement, and
crying 41.3 54.4 79.5 50.0 100.0 58.4
Check umbilical cord for bleeding and
infection 45.2 52.0 79.1 68.2 100.0 58.9
Check for pustules on skin 21.0 25.6 50.6 31.8 0.0 32.0
Check eye for discharge 23.9 29.6 57.5 18.2 0.0 36.2
Look for signs of jaundice on forehead,
abdomen, palm, foot 36.2 36.8 71.2 40.9 100.0 47.8
Ask if newborn is breastfeeding well 78.2 82.2 93.3 90.9 100.0 84.7
Immunization 56.8 69.2 66.0 81.8 100.0 64.8
All checks/advice 8.9 11.3 35.5 0.0 0.0 17.9
Number of postpartum clients 94 111 97 5 2 309
166• Delivery and Newborn Care