Timing and number of postnatal contacts
RECOMMENDATION 2
If birth is in a health facility, mothers and newborns should receive postnatal care in the
facility for at least 24 hours after birth.
If birth is at home, the first postnatal contact should be as early as possible within 24 hours
of birth.
At least three additional postnatal contacts are recommended for all mothers and
newborns, on day 3 (48–72 hours) and between days 7–14 after birth, and six weeks after
birth.
— Strong recommendation, based on moderate quality evidence for newborn outcomes and
low quality evidence for maternal outcomes
Remarks:
● Content of postnatal care to be received in first 24 hours, during days 3–14 and six weeks is
defined later in these guidelines.
● The location of contact, i.e. home or health facility, is flexible. Postnatal care contacts may
be complemented by additional mobile phone-based contacts between the health system
and mothers.
● If possible, an extra contact for home births at 24–48 hours is desirable.
● If there are issues or concerns about the mother or baby, additional contacts may be
required.
Review question
In neonates born in low- and middle-income settings (P), what is the optimal number and
timing of postnatal contacts (I) to improve neonatal survival and health (O)?
Timing and number of postnatal contactsRECOMMENDATION 2If birth is in a health facility, mothers and newborns should receive postnatal care in thefacility for at least 24 hours after birth.If birth is at home, the first postnatal contact should be as early as possible within 24 hoursof birth.At least three additional postnatal contacts are recommended for all mothers andnewborns, on day 3 (48–72 hours) and between days 7–14 after birth, and six weeks afterbirth.— Strong recommendation, based on moderate quality evidence for newborn outcomes andlow quality evidence for maternal outcomesRemarks:● Content of postnatal care to be received in first 24 hours, during days 3–14 and six weeks isdefined later in these guidelines.● The location of contact, i.e. home or health facility, is flexible. Postnatal care contacts maybe complemented by additional mobile phone-based contacts between the health systemand mothers.● If possible, an extra contact for home births at 24–48 hours is desirable.● If there are issues or concerns about the mother or baby, additional contacts may berequired.Review questionIn neonates born in low- and middle-income settings (P), what is the optimal number andtiming of postnatal contacts (I) to improve neonatal survival and health (O)?
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