Özet:

Postpartum period is a period that starts after the end of the birth and covers 6 weeks when all systems, especially the reproductive organs, return to pre-gravity conditions. The postpartum care service, which is an important place in the main child health services, is a protective health service. The Ministry of Health recommends that the hospital after childbirth should be monitored 6 times, 3 in the home, 3 in the postborn hospital. The topics to focus on postpartum period are especially: postpartum bleeding, genital system infections, tromboembolism, headaches, constipation and hemorrhoids, mental problems, breast problems and newborn care. The purpose of this study was to evaluate the mental and physical condition of women who apply to our postpartum hospital, to analyze the problems that lohuses need support treatment and the supported health care services provided. Material-Method: In December 2017, the lohusa, who applied to the postpartum room, filled the form containing the obstetric stories of women, the examination findings and consulted units, the nutrition methods of babies, the application of the Edinburgh Postpartum Depression Scale (EPDÖ) and the score. Identificative frequency analysis of the data obtained. The study included 303 women who gave birth in a women’s health hospital. In 2017 there were 16,000 births in our hospital. Patients who appealed to postpartum room in the period of 1 month accounted for 22.7% of women who gave birth in our hospital in the same period. 72.2% of women were between the 3rd and 12th days of the lohusa period. 9.2 percent of patients were diagnosed with an antibiotic treatment. 3.3% of postpartum women complained of urinary loss. In 5.3 percent of lohus, increased vaginal bleeding, 3.3 percent headaches, 2.6 percent severe abdominal pain, 0.7 percent convulsions and 1.3 percent breathing difficulties were identified. The support services and the units they consulted after examinations were: 98.3 percent family planning consultancy, 83.2 percent nutritional consultancy, 87.5 percent breastfeeding consultancy, 70 percent physiotherapist postpartum exercise program, 0.66 percent sexual life consultancy, 0.33 percent family consultancy. The oral health and dental unit was consulted at the 0.66% intravenous unit at 1.32% lohusa. The Edinburgh Depression Scale was applied to all patients and psychological advice was given to 14.6 percent of women with a scale score above 12. 43.2% of mothers were diagnosed with breast problems. According to the survey, 78.2 percent of mothers fed their babies with only breast milk and 17.2 percent fed their mothers with breast milk. The percentage of mothers who never gave their babies breast milk was 4.6%. of women. 27.4 percent said that they decided to protect with intrauterine vehicle, 24.1 percent condom, 13.8 percent withdrawal and 8.9 percent oral contraceptive and 8.6 percent tubulation, 0.3 percent subcutaneous implant, 2.9 percent 1 or 3 months injection, 1.6 percent calendar method, 0.3 percent vasectomy, 11.8 percent said that they did not yet decide. In the postpartum period, parents must provide baby care, create a safe environment for the baby, communicate with the baby, learn new roles, develop family sensitivity and deal with problems related to the baby. Therefore, if no support is received, the postpartum period can become a crisis life for the family. A programmed support given to the family by health professionals during this period will lead to mental and physical healthy family individuals.

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