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Session 12 CHW Workshop Summary. Schedule of counseling visits. REMEMBER Counseling: No missed chances!. Key PPFP messages: Antenatal. Start to breastfeed right after the baby is born Breastfeed only for the first 6 months Discuss possibility of next pregnancy
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Key PPFP messages: Antenatal • Start to breastfeed right after the baby is born • Breastfeed only for the first 6 months • Discuss possibility of next pregnancy • Counseling and get permission from the woman for postpartum methods right after giving birth (postpartum IUD and tubal ligation) • Skilled person should be with the mother during the birth
CHW counseling pregnant women Photo credit: Mary Gibson, CNM
Key PPFP messages: 1st week postpartum • Breastfeeding only for the first 6 months • Return to fertility • Spacing the next pregnancy • Care for the newborn baby • Danger signs for mother and newborn
CHW counseling new mother Photo credit: Robin Hale, CNM
Key PPFP messages: 6 weeks postpartum • Breastfeed only for the first 6 months • Think about and plan for when she can become pregnant again • Return to having sex • Spacing the next pregnancy • LAM or other methods based on when she wants to become pregnant again • Family planning choices that have no effect on breastfeeding • Postnatal visit for mother and newborn
Counseling at 6 weeks postpartum Photo credit: Robin Hale, CNM
Key PPFP messages: Within baby’s 1st year • Only breastfeeding through first 6 months; then add other foods • Return to fertility • Spacing the next pregnancy • Switching to other methods based after LAM • Family planning choices that have no effect on breastfeeding • Care for the baby during the first year
Counseling in the child’s 1st year Photo credit: Mary Gibson, CNM
PPFP counseling • WHO Community Health Worker: You!! • WHAT Give PPFP guidance to women • WHY To save lives of mothers/babies • WHEN Many times: before and after birth • WHERE In women’s homes and at clinics • HOW With PPFP counseling messages