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 Background of the Study
 In Africa, at least 125,000 women die every year and 870,000 newborns die in the first week after birth, yet this is when coverage and programmes are at their lowest along the continuum of care. According to Warren, DaIly, Toure, Mongi, (2005) 18 million women in Africa currently do not give birth in a health facility. This poses a lot of challenges for planning and implementing postnatal care (PNC) for women and their newborns. According to WHO (2012), up to two-thirds of the 3.1 million newborn deaths that occurred in 2010 can be prevented if mothers and newborns receive known, effective interventions. A strategy that promotes universal access to antenatal care, skilled birth attendance and early postnatal care will contribute to sustained reduction in maternal and neonatal mortality. A little less than half of all mothers and newborns in developing countries do not receive skilled care during birth, and over 70% of all babies born outside the hospital do not receive any postnatal care (WHO, 2012). Basic care for all newborns should include promoting and supporting early exclusive breastfeeding, keeping the baby warm, increasing hand washing and providing hygienic umbilical cord and skin care, identifying conditions requiring additional care and counselling on when to take a newborn to a health facility. Newborns and their mothers should be examined for danger signs during home visits. At the same time, families should be counselled on identification of these danger signs and the need for prompt care seeking if one or more of them are present (WHO, 2012). Regardless of place of birth, mothers and newborns spend most of the postnatal period (the first six weeks after birth) at home. The post natal period begins one hour after the birth of the placenta and stretches to six weeks after childbirth (Liu, 2006). During this period the uterus and other reproductive organs and structures return to their pre-gravid state. The period is marked by physiological and psychological adjustments following a normal or traumatic delivery. The postnatal period marks the birth of the baby, which can be a time of great joy as well as enormous stress (Northern Rivers General Practice Network, 2008). The woman is stressed following pains accompanying labour and blood loss which can lead to shock and possible exhaustion. During the postpartum period the mother is at risk for such problems as infection, hemorrhage, pregnancy induced hypertension, blood clot formation, the opening up of incisions, breast problems, and postpartum depression. The postnatal period is often marked by cultural practices that keep the mothers and their babies in doors. Majority of mothers are contented and happy, some are anxious, apprehensive and sensitive (Ojo and Briggs, 2006). Some are contented and happy if their expectations concerning childbirth were met especially in terms of sex preference. Some are anxious because of transition from pregnancy to parenthood. Whatever the state a woman finds herself during the post natal period, the care she receives will either affect her positively or negatively.

Project detailsContents
Number of Pages124 pages
Chapter one Introduction
Chapter two Literature review
Chapter three  methodology
Chapter  four  Data analysis
Chapter  five Summary,discussion & recommendations
Chapter summary1 to 5 chapters
Available documentPDF and MS-word format


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