One day, in the midwife’s house there are two patient who want to do re-visit during

postpartum

Midwife : “good evening. What can I do for you?”

Patient 1 and 2 : “good evening to Mom”

Patient 1 : “I have given birth since three days ago and now I am feeling dizzy”

Midwife 1 : “and you mom ,what ca I do for u ?”

Patient 2 : “I have given birth since seven weeks ago and my husband want me to
use contraception but I am still confused to choose it”

Midwife 1 : “okay, I will explain one by one and my assistant will help me. For the
first, now you’re in postpartum. Postpartum is time which placenta
discharge after six hour until fourty days or six weeks. At the time you
have to drink blood booster tablet and vitamin. Have not I given it for
you?”

Patient 1 : “yes you have given it for me but I didn’t drank it because I thought if
after gave birth didn’t need a medicine like that”

Midwife 1 : “but, is there its medicine mom? You should be drink it once of
everyday because it was an effect after you gave birth”

Patent 1 : “yes mom, start from now I will drink it. Thank you mom”

Midwife 1 : “you are welcome. Okay for the second patient will be explained by my
assistant”

Assistant : “Does you really want to use contraception?”

Patient 2 : “yes I do, but I am still confused for choosing it”

Assistant :“Does you still give breast milk to your baby?”

Patient 2 : “yes I do”

Assistant : “so like this mom, there are some suitable contraception for
breastfeeding mother. For the example are progestin injections, IUD,
implant, progestin pill, etc.

Patient 2 : “I want to use progestin pill mom”

Assistant : “okay, I will explain you how can use it. You have to drink it everyday in
the same time”

Patient 1 : “thanks for the explanation”

Assistant : “you are welcome”

The next day a simple patient came to BPM 2

Midwife 2 : “good evening mom, ”

Patient 3 : “good evening too. I want to checkup because from yesterday my body hurt
and my head was dizzy”
Midwife 2 : “wasn't yesterday the new give birth here”
Patient 3 : “yes, but today I have been in work because there is no leave”
Midwife 2 : “you should take a short break at home and take the medicine that I give
because the mother is still in the recovery period or postpartum period”
Patient 3 : “so like that. But if I don't work my husband and I lack the cost of daily
living because my husband's income is little”
Midwife 2 : “you should rest enough and maintain the pattern of eating and taking the
medication that I give you”

Patient 3 : “ok mom, I'll try to do it later”

Midwife 2 : “tomorrow there is a postpartum class in polindes you better come to

know more about the postpartum”

Patient 3 : “Okay I will come to Polindes”

The next day at the maternity hospital (POLINDES) health workers gathered with patients
in the postpartum class.

Midwife 1 : “good morning moms !!”

Midwife 2 : “How are you mom?”

Patient 1, 2, 3 : “Good morning, too. Alhamdulillah,”

Assistant : “here I and the midwives will explain the problems experienced during
childbirth or after giving birth. Are you ready?”

Patient 1, 2, 3 : “yes we are ready”

Assistant : “I will explain about the puerperium. The puerperal period has a period
calculated from a mother giving birth up to 6 weeks afterwards. Usually
what happens to the body during the puerperal period is breast pain and
breast discharge, psychology. And you have to make a visit during the
puerperium to find out if there are abnormalities experienced”

Midwife 2 : “how about the explanation? does anyone want to ask?”

Patient 1 : “can we immediately use contraception after giving birth?”

Midwife 1 : “you can use IUD, when the placenta is born. then this iud will be
inserted into your uterus”

Midwife 2 : “it is clear mom?”

Patient 1 : “yes mom already”

Midwife 2 : “during childbirth you have to take a lot of rest, eat nutritious foods and
take medication that has been given by the midwife”

Patient 2 : “if I don't feel dizzy, should the drug still be taken?”

Assistant : “if you don't feel dizzy, you don't need to drink the medicine, but you
should keep your rest and eat nutritious foods.”
Patient3 : “mom, my family belongs to a poor family. I just have to work to help
my husband fulfill everyday life. Then how can I fill my nutritional
needs?”
Midwife1 : “mom, healthy and nutritious food does not need to be expensive. You
can use vegetables and fruits near your house. It's okay to work but you
still have to set your rest pattern so you don't feel too tired.”
Patient3 : “oh so it's like that. Thank you mom for the information and
explanation.”
Assistant : “mom, you all already understands how the postpartum period and to
overcome the problems in the puerperium. Thank you for your presence,
if there is something that is unclear we can discuss it in the next
postpartum class. Wassalamualaikumwr.wb”
Patient 1, 2, 3 : “yes, mom you’re welcome. Waalaikumsalamwr.wb”