PBL+Case+3

__** Concerns of a new mother **__

Meena gave birth to a baby girl in the hospital. The weight of the baby at birth was 2348 gms. It is a celebration time for the family. Meena, however, is worried as the doctor informed her that the baby’s weight is less and the baby requires additional care during the first four weeks.

While in the hospital Meena had started feeding her child very soon after the birth and was really enjoying spending time with her child. After coming home, on the 2nd day Meena experienced slight pain in her chest while feeding the baby because of which she felt that her child was not able to take milk properly. She also complained to her mother-in-law that the baby had started sleeping for more time as compared to when she was in the hospital and was looking pale. Mother-in-law explained that the baby is sleeping so well because the baby really likes the massage and bath which the grandma is giving. However, Meena was worried and called the ASHA to come and see her baby.

Meena and her husband have decided not to have their second child immediately. When Meena enquired about this to the ASHA, she praised Meena and her husband for their decision. She informed her that pills are not suitable for her and she should meet the ANM after one and half month.

__** Resources: **__ - Park's Textbook of Preventive and Social Medicine Chapters: Health Programs in India, Preventive Medicine in Obstetrics, Paediatrics and Geriatrics, Nutrition and Health For Breast Feeding Queries: [|Breast feeding and Complementary feeding: A guide for the parents] [|Guidelines for Antenatal Care and Skilled Attendance at Birth by ANMs and LHVs] [|Module 1: Management of normal pregnancy, labour and the postpartum period - Care during pregnancy-Antenatal care] [|Page No :– 35-45 and 55]

[|Navjaat Shishu Suraksha Yojana: Basic Newborn Care and Resuscitation Program Training Manual;] [|Chapter 2 and Chapter 5]