ALL INDIA

POSTPARTUM
PROGRAMME
By.
M. Manjunath.
DEFINITION
Postpartum (puerperium) : The period
following childbirth during which the body
tissues (specially the pelvic organs) revert
back approximately to the pre-pregnant state
both anatomically & physiologically.
Depending on duration of postpartum, it is
divided in to 3 types :
1.Immediate – with in 24 hrs.
2.Early – up to 7 days.
3.Remote – up to 6 weeks.
Under this programme a bedded
sterilization ward , operation theatre & one
room accommodation for family welfare
centre along with the requisite staff &
equipment depending upon the centre &
work load handled by the institution have
been provided by the Govt.
Indian govt granting Rs
3000/bed/annum as
maintenance grant to
each institute, on
achievement of 75/60
Tubectomies / bed /
annum. This 100%
centrally assisted plan
scheme.
Under the programme, the 550 institutions
required to furnish 2200 quarterly reports,
against which a total of 1600 quarterly
reports have been received during 1997-
98,showing a response rate of 69.1%
against 1817(82.6%).
Under this programme, also includes
PAP(Papanicaloau) SMEAR TEST facility
programme – Early detection of cervical
cancer approved by the Govt. of India in
105 medical colleges.
No. of slides Examined -53684
Normal -30625(57.1%)
positive for carcinoma -1446(2.7%).
•Government sponsored AIHPP have
demonstrated that the integration of family
planning education with hospital maternity
services is both effective & efficient.
•Begun in 1969- 54 hospitals.
•1971 to 72 – 122 hospitals(90% attached to
medical colleges).
•The training medical students & post
graduates in the techniques of birth control
is an important aspect of the programme.
Main purpose of the programme:-

• To convince maternity &

abortion patients to adopt birth
control practices while they are
in the hospital & also to
interest others who hear about
the programme by word of
mouth.
• The contraceptive services
include sterilization – available
to all.
This programme also includes:-
• IMMUNIZATION SERVICES to children &
mother.
• TO MOTHER: -Administration of Anti - D
gamma globulin to unimmunised Rh(-)
mother bearing Rh(+) baby.
• Women who are susceptible to rubella-
vaccinated safely with live attenuated
rubella vaccine.
Contd…
•Booster dose of tetanus toxoid (TT) should
be given at the time of discharge (if not given
during pregnancy.
•And also prophylaxis against anaemia (due
to postpartum hemorrhage) - Fe
supplementation.
•To child - at birth - BCG & OPV -0 dose.
- at 6 weeks - BCG (if not given at
birth), DPT-1,OPV-1,Hepatitis-B.
Contd…
•Prophylaxis for blindness- Vit - A
supplementation.

The programme based on the following

rationale:-
•The women who have recently delivered
are of proven fertility & are at risk to
become pregnant again rapidly.
Contd…
At the time of
delivery & during
lying in period
they are
generally more
receptive to
adopt one or the
other family
planning method.
Advices
Improve her general health continuance
of supplementary Fe therapy.
Postnatal exercises.
Procedures to help her gradual return to
day to day activities.
Breast feeding & care of the newborn.
Avoidance of intercourse for a reasonable
period of 4-6 weeks.
Contd…
Family planning advice & guidance to non-
lactating women should practice some
form of contraceptive measures.
To have postnatal checkup after 3 weeks.
POSTNATAL CARE:- Includes
examination of the mother & baby &
appropriate advice given to the mother
during postpartum period.
Aims & objectives of programme:
To asses the health status of the mother &
institute effective therapy to rectify the
defect, if any medical disorders like
diabetes, hypertension should be
reassessed.

To detect & treat at the earliest any

gynaecological condition arising out of
obstetric legacy.
•To note the progress of
the baby & solve the
feeding problem &
formulate any preventive
measures to be taken,
mother is informed about
the immunization
schedule to the baby.
•To impart family
planning guidance.
Thank u