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MoonDragon's Pregnancy Information
Postpartum Visits Forms
This is a webpage reproduction of my client file forms.






POSTPARTUM VISITATION NOTES





MOTHER__________________PHONE________INFANT____________BIRTHDATE_________


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POSTPARTUM CARE


MOTHER__________________PHONE________INFANT_____________BIRTHDATE_________


 
1ST HOME VISIT: DATE_________
2ND HOME VISIT: DATE_________
Breasts, Nipples &
Breastfeeding
 
 
Perineum, Sutures
 
 
Lochia Discharge
 
 
Uterus
 
 
Baby's Cord
 
 
Jaundice / Baby Behavior
 
 


SUGGESTIONS:________________________________________________________________
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FIRST PHONE CALL: TIME:_______________ DATE:_________________________________
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SECOND PHONE CALL: TIME:______________ DATE:________________________________
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OTHER VISITS:________________________________________________________________
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3 WEEK HOME VISIT: DATE_________
6 WEEK HOME VISIT: DATE_________
Breasts, Nipples &
Breastfeeding
 
 
Vaginal Exam, Cervix
 
 
Perineum, Muscle Tone
 
 
Lochia Discharge
 
 
Uterus
 
 
Infant Checkup
 
 
Parenting Skills
 
 


BIRTH CONTROL:____________________________________________________________
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POSTPARTUM CARE


1. Let us know if you soak more than one pad in 20 minutes - massage your uterus firmly to re-contract it, and if bleeding doesn't stop, contact us at once or seek emergency care.

2. Check your uterus for firmness and/or tenderness several times a day, for 3 days at least.

3. Notice if your flow has any bad odor (it should smell like your period) - and report to us.

4. Take your temperature twice daily for at least four days.

5. Drink lots of water (about 3 quarts daily to establish milk flow) and make one quart of the water into a tea made from a mixture of shepherd's purse and comfrey leaf tea (for healing and bleeding control.

6. If you have had stitches, soak them in (or use compresses of) comfrey, goldenseal, and ginger tea - 3 or 4 times daily. Report any pain.

7. Clean your baby's cord stump carefully with hydrogen peroxide or alcohol every few hours (or at each diaper change). Pay special attention to the folds where the cord joins the skin.

8. Do not hesitate to call us if the baby seems disinterested in nursing, listless, or irritable.

9. Get lots of rest, sleep when the baby sleeps, eat lots of good food with plenty of iron to replenish lost blood, and ask visitors for real help - like doing your dishes or laundry. Work into activity slowly, and you won't have any sudden breakdowns later.

10. Try to take the parenting one day at a time - call if you need to.

MoonDragon Birthing Services
Office: (978) 744-5583



If you want a free copy of this form, please send a self-addressed, stamped envelope and I will print out a copy and send it to you. This form is 3 pages in length.

If you want a copies of all my forms in Microsoft Word 2002 (Windows Version XP) on a CD or floppy disk, please enclose a check or money order with your request for $20.00. This price includes shipping and handling costs. These can then be downloaded on your computer and altered using your computer program for your own use. I always include several client handout articles and other helpful information on the CD as well as the forms. The MoonDragon's Client Forms CD can also be purchased with a credit card using PayPal by clicking on the "Buy Now" button below.

Send request to:
MoonDragon Birthing Services
116 Boston Street, Apt. #1-L
Salem, MA 01970


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MoonDragon's Client Forms Index

MoonDragon Birthing Services - Holistic Homebirth Midwifery





PREGNANCY RELATED LINKS

MoonDragon's Pregnancy Information & Survival Tips

MoonDragon's Pregnancy Information Index

MoonDragon's Pediatric Information Index

MoonDragon's Parenting Information Index

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