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New guidelines for postpartum labor are pushing for a fourth trimester treatment for mothers after the baby



While mothers around the world admire that Kate Middleton left home from hospital just hours after the birth of her third child on Monday, the largest group of women's doctors in the US is pushing a big change in the way As doctors for mothers of

Instead of six weeks to wait for the mother's first postpartum examination, the American College of Obstetricians and Gynecologists now recommends a "fourth trimester" of ongoing treatment for mothers of newborns. The care, which ideally would begin within three weeks of birth, would improve maternal and child health by continuously assessing the physical, social and psychological well-being of women, according to new recommendations released on Monday.

"This revised guidance is important because the new recommended structure should address and address the postpartum needs of all women, including those most at risk of falling out of care," said Drs. Haywood L. Brown, president of the American College of Women and Men born at the Maternity Hospital, does not attend a visit after birth ̵

1; and rates are lower in areas with limited resources. The new guidelines would help reduce health inequalities by assisting a mother when she needs her and then keeping her in custody, according to the guidelines outlined in the May issue of the College Journal Obstetrics and Gynecology to be published. 19659005] "As the leading group of physicians providing health care to women, we need to use the postpartum period as an entry-level opportunity to advise women on long-term health implications," said Brown.

An individualized study was performed after the first postpartum assessment. The woman-centered follow-up should include a complete assessment of emotional well-being, baby care and nutrition, sexuality, contraception, sleep, physical recovery from birth, management chronic diseases and other health measures, according to the guidelines.

The medical group notes that such a shift in postpartum treatment will require insurance companies to shoulder the cost of postpartum care more than just isolated treatment. Obstetricians-gynecologists and other obstetrics providers should lead the political effort to bring about the change, in the opinion.

Kim McCarthy, owner of Loving Hands Doula Services and Massage, which serves pregnant women and new moms in the Chicago area, said she was excited to see new guidelines that could help women who have problems weeks after birth, before you ever see a doctor.

"It's been happening after six weeks and the mothers are already there," McCarthy said, adding that the new guidelines reflect the approach of many doulas who stay in touch with their mothers for weeks after the birth of a child.

Robbin Uchison, family birth director at Oak Park's West Suburban Medical Center, said staff at the hospital have been working to urge newborn mothers to seek medical care earlier than six weeks after delivery, especially in the past few years. When Affecting High Blood Pressure and a Heart Attack (19659002) According to national guidelines aimed at bringing about this cultural shift in the maternal care of moms, progress is long overdue, Uchison said.

"One day a woman is pregnant, not the next day, her hormones are running wild, and the changes are so big that are happening to her bodies," Uchison said. "I really believe that they are due for much more than a six-week review."

vortiz@chicagotribune.com

@vikkiortiztrib

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