QUALITY IMPROVEMENT PROJECT ON MINIMIZING PERINATAL MORBIDITIES BY
IMPLEMENTING A POLICY OF ALLOWING VISITORS TO VISIT PATIENTS IN TERTIARY
CARE HOSPITALS IN SRI LANKA.
1 Acting Consultant Obstetrician and Gynaecologist, Ministry of Health Sri Lanka
Edition 01 :Vol 01
JOHAID:PP-2023-1-AUD-JAHA-PDF
Abstract
INTRODUCTION
The significance of perinatal morbidities, encompassing both maternal and neonatal health
challenges during the critical period surrounding childbirth, cannot be overstated.
Perinatal morbidities pose substantial risks to the well-being of both mothers and infants,
impacting not only immediate health outcomes but also potentially influencing long-term
health trajectories.
The immediate postpartum period, particularly the first 24 hours, stands as a critical phase
in the journey of both mother and newborn. During this time, the infant is navigating the
complexities of adapting to a new environment, while the mother is grappling with fatigue,
breast discharges, post-vaginal bleeding, discomfort, mood changes, and pain. This
vulnerable period demands meticulous assessment, as both mother and baby are at an
elevated risk of immunocompromise, necessitating vigilant care in terms of ventilation,
feeding, and hydration.
The initial 24 hours post-delivery emerges as a pivotal time frame where the delicate
balance of rest and care for the mother and minimal handling for the newborn becomes
paramount. However, the cultural context in Sri Lanka introduces a unique challenge – the
tradition of numerous visitors during this critical period. This cultural norm, though well-
intentioned, may inadvertently expose the newborn to potential risks.
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