10.6 Criteria for discharge from the maternity hospital


No danger signs (Section 10.3.1).

– Appropriate management of neonatal infection (Section 10.3.3 and Section 10.4) and risk factors for neonatal infection (Section 10.3.4).

– Healthy infant: good breastfeeding on demand, normal respiration and temperature, etc.

– Weight > 1500 g.

AND

– Preventive treatments (Section 10.1.7 ) and BCG, Hepatitis B (0) and Polio (0) vaccines administered (Section 10.1.8).

– Clinical record filled out (including discharge weight).

– Postnatal visit appointment (Chapter 11, Section 11.3) given.

AND

1) Breastfeeding: Appendix 3.

2) Infant care:

  • Wash the infant with soap and water once a day, and immediately dry with a towel or cloth to avoid hypothermia.
  • Cord care: clean with soap and water each time it is soiled, rinse well and dry then let it uncovered. Do not apply an antiseptic or other product or dressing on the cord. The cord falls between the 5th and 15th day after birth.
  • Kangaroo care if weight < 2500 g (Section 10.5.1).
  • Lay infant on the back.
  • Use a mosquito net day and night when the infant sleeps.
  • Keep the infant away from sick (contagious) children and adults.
  • Wash hands before and after caring for the infant.
  • Dispose of stool in the latrine.

3) Danger signs requiring a consultation:

  • Inability to breastfeed properly
  • Abnormal movements
  • Reduced activity
  • Trouble breathing
  • Abnormal colouring
  • Redness or purulent discharge from the umbilicus
  • Fever or hypothermia