Services are provided by Marilyn Fraktman, RN
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Prenatal Visit
(1) Visit, usually 1 hour in duration This can be a joint visit with both prospective parents or an individual visit. Discussion related to the progression of the pregnancy • Difficulty conceivingDiscussion related to physical and emotional readiness for delivery • Understanding the onset of laborTeaching/support related to labor and delivery • Printed material related to the labor processTeaching/support related to infant care and feeding • Understanding of breastfeeding and its challengesDiscussion related to an available social support network • Explore post partum needs and available resources to meet those needsDiscussion related to a smooth transition into the parenting role • Explore previous experience with newborn infants 
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Post Partum Visits
(5) Visits ranging from 1-2 hours in duration Suggested timing for the first post partum visit is usually 3-5 days post normal vaginal delivery and 6-8 days post Cesarean. The rationale for this timing is to allow the new family to settle into their familiar environment and begin the process of caring for their newborn. If the new mother is breastfeeding it gives her an opportunity to generate questions. It is also the time that the breast milk is in. It is a visit that acknowledges both parents and their individual needs and strategies as they transition into the parenting role. Subsequent visits: will be arranged based on the needs of the family. Telephone contact: Telephone calls between visits from the professional are a way to check in and answer any questions that may have arisen after a visit. Telephone calls from the new parents to the professional are most welcome. Mother Services include:
Physical assessment of the mother
• Temperature, Blood Pressure, Assess bleeding, Assess level of the uterus, Assess perineal tear (stitches), Assess breast and nipplesTeach and support the post partum recovery process • Review the importance of rest, good nutrition, adequate hydration, and limited activityAssess/teach/support breastfeeding • Observe breastfeedingDiscuss the psychological response to the adjustment to the parenting role • Review the normal response to "bringing baby home"Assess the social support network • Encourage accessing supportAssist with social support resources if needed Partner
Discuss the psychological response to the adjustment to the parenting role
• Review the important role of supporting the partner's parenting efforts Infant
Physical assessment
• Temperature, heart rate, breathing, cord care, circumcision careGrowth and Development • Teach normal newborn development |
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Contact Marilyn by Phone: 617-966-3382 or by E-mail: |
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