Hesperian Health Guides
Danger signs for the mother in the first few days after birth
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Start breastfeeding your baby right away. This will help you stop bleeding sooner.
Bleeding that starts more than a day after the baby is born is usually caused by pieces of the placenta that have been left in the womb. Get medical help.
- soaks more than 2 pads or thick rags in an hour during the first day after birth
- soaks more than 1 pad or thick rag in an hour after the first day
- a continuous small flow of blood
What to do:
- Rub the top of her womb until it gets very hard and the bleeding stops. Have the baby suck on her breasts, or have someone roll her nipples.
- Give 0.2 mg of ergonovine by mouth every 6 hours as needed, but no more than for 4 to 7 days.
- If the bleeding will not stop, get medical help. Continue to rub her womb as you take her to the hospital.
- If she has signs of infection, give the same antibiotics as for womb infection.
Infection of the womb is very dangerous. If not treated, a woman can become infertile or die.
If the mother complains that she does not feel well, watch her carefully for signs of infection.
|Medicines for womb infection|
|Medicine||How much to take||When to take|
|ciprofloxacin||500 mg||by mouth, 2 times a day|
|doxycycline||100 mg||by mouth, 2 times a day|
|metronidazole||500 mg||by mouth, 2 times a day|
|Continue giving all of the medicines for 2 more days after the fever is gone. But if she does not start to feel better after 1 day, take her to the nearest hospital. She may need other medicines by injection or in the vein (IV).|