产后随访除了复查一般健康情况外,常会遇到更迫切的问题如:哺乳、盆腔情况、避孕、绝育和婴儿先天性畸形等,还偶有特殊不幸者,如死胎,独身母亲和产后抑郁症患者,这些都需要积极进行处理。产后第4—6周,经过产科医师或家庭助产士体检后,产妇的生理和心理状态并未完全恢复正常,上述迫切等待解决的问题就有赖于产后随访。一、一般健康问题——产妇的血压小便和血色素应进行复查,特别是妊娠期间有贫血,冠心病,肾炎,和真性或妊娠期糖尿病患者,任何不正常症状都必须按内科程序跟踪治疗。失眠——如果晚间哺乳或婴儿啼哭是主因,就该采取措施加以改善,否则会导致精神毁损。职业妇女或子女众多的母亲,日间缺少休息,晚上再受干扰,势必极度疲乏,导致疾病就难应付了。应指导安排有规律的晚哺时间。在取得家里成员协助下,可酌量,于短期内,给予镇静药物。有些地方成立母亲互助组织,当一个母亲无法应付新生儿时,可以请有较大孩子的成员协助。 Postnatal follow-up In addition to reviewing general health conditions, more pressing problems such as breastfeeding, pelvic conditions, contraception, sterilization and congenital malformation of the baby are often encountered, with occasional special distress such as stillbirth, celibacy and postpartum depression , These need to be actively dealt with. Postpartum 4-6 weeks, after the obstetrician or home midwife physical examination, maternal physical and psychological state has not fully returned to normal, the urgent problem to be solved depends on postpartum follow-up. First, the general health problems - maternal blood pressure urine and hemoglobin should be reviewed, especially during pregnancy with anemia, coronary heart disease, nephritis, and true or gestational diabetes, any abnormal symptoms must follow the medical procedure tracking. Insomnia - If breastfeeding at night or crying babies are the cause, then steps should be taken to improve or cause mental damage. Mothers or working-children mothers who lack rest during the day and disturbances at night are bound to be extremely tired and unable to cope with the disease. Should be instructed to arrange regular late feeding time. With the assistance of members of the household, sedative drugs may be given discretion in the short term. In some places, mothers’ organizations are established. When a mother can not cope with newborns, she can be assisted by a larger child.