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Table 2 Potential concerns to be assessed at 1–2 weeks postpartum by a project nurse in the home

From: The childbearing health and related service needs of newcomers (CHARSNN) study protocol

Infant Feeding: • Infant weight (< birth weight) • < 3 wet diapers in 24 hrs • < 1 stool in 24 hrs • Infant given other food/fluids other than breast milk or formula • Infant not receiving vitamin D supplements Safety: • Sleeping prone (↑ risk of Sudden Infant Death Syndrome) • Infant rides in car without car seat Infection: • Purulent discharge from eyes or conjunctivitis Hyperbilirubinaemia: • Jaundice visible below the umbilicus General health: • Blood in stool • Persistent vomiting and/or black/green/red in colour and/or copious amounts (> 250 mls) of vomit in the last 24 hours Psychosocial: • Insufficient clothing (as measured by < 1 change of indoor clothing, inappropriate outdoor wear, < 1 blanket) Maternal Pain: • Uterine → visual analogue scale (VAS) pain score > 4 in past 24 hrs (based on WHO Pain Ladder) • Perineum → VAS pain score > 4 in past 24 hrs • Breast (general) → VAS pain score > 4 in past 24 hrs • Breasts (engorgement) → VAS pain score > 4 in past 24 hrs • Nipples → VAS pain score > 4 in past 24 hrs • Back pain → VAS pain score > 4 in past 24 hrs Bleeding: • Soaking > 3 pads per 24 hrs • Clotting Breast care: • Pain while breastfeeding → VAS pain score > 4 in past 24 hrs • Pain prohibiting breastfeeding Infection: • Perineal discharge General: • Blood pressure (diastolic >90 systolic < 90 mm Hg) Psychosocial: • Signs of depression (score ≥ 10 on the Edinburgh Post-natal Depression Scale [91]) • Absence of social support (as measured by the Personal Resources Questionnaire – Q 11 [71] • No knowledge of tel. #911 in case of severe health problem or if in danger (self or infant) • Inadequate food (i.e., Woman has missed or reduced meals because of lack of resources to buy food)