postpartum

name	postpartum
description	Track postpartum recovery, newborn care, EPDS screening, and maternal health monitoring

Postpartum Care Management Skill

Comprehensive postpartum recovery tracking and newborn care management, from delivery to postpartum recovery period, providing professional postpartum health monitoring and guidance.

Core Flow

User Input → Parse Operation Type → Execute Operation → Generate/Update Data → Save → Output Result

Supported Operations

Operation	Description	Example
start	Start postpartum record	/postpartum start 2025-10-08 vaginal
lochia	Log lochia	/postpartum lochia rubra moderate
pain	Log pain	/postpartum pain uterine 6
breastfeeding	Breastfeeding record	/postpartum breastfeeding exclusive
epds	EPDS mental screening	/postpartum epds 8
mood	Log mood	/postpartum mood anxious
weight	Log weight	/postpartum weight 65.0
pelvic-floor	Pelvic floor record	/postpartum pelvic-floor kegel-exercises 20
baby	Baby record	/postpartum baby A feeding breastfeeding left 15min
status	View status	/postpartum status
recovery-summary	Recovery summary	/postpartum recovery-summary
extend	Extend tracking	/postpartum extend 1year

Step 1: Parse User Input

Operation Type Recognition

Input Keywords	Operation
start	start
lochia	lochia
pain	pain
breastfeeding	breastfeeding
EPDS, epds	epds
mood	mood
weight	weight
pelvic-floor	pelvic-floor
baby	baby
status	status
recovery-summary	recovery-summary
extend	extend

Delivery Mode Recognition

Keywords	Type
vaginal	vaginal
c-section, cesarean	c-section

Postpartum Stage Calculation

days_postpartum = today - delivery_date

if (days_postpartum <= 2) {
  stage = "immediate" // Acute phase (0-2 days)
} else if (days_postpartum <= 14) {
  stage = "early" // Early phase (3-14 days)
} else if (days_postpartum <= 42) {
  stage = "subacute" // Subacute phase (15-42 days)
} else {
  stage = "late" // Recovery phase (43 days+)
}

Lochia Stage Recognition

Keywords	Stage	Time	Color
rubra	rubra	0-3 days	Bright red
serosa	serosa	4-9 days	Pink/brown
alba	alba	10+ days	Yellow-white

Pain Location Recognition

Keywords	Location
uterine	uterine
incision	incision
breast	breast
head	head
back	back

Pain Severity Recognition

Keywords	Level
mild	Mild
moderate	Moderate
severe	Severe

Breastfeeding Mode Recognition

Keywords	Type
exclusive	exclusive
mixed	mixed
formula	formula

Breastfeeding Issues Recognition

Keywords	Issue
engorgement	engorgement
mastitis	mastitis
low-supply	low-supply
cracked-nipples	cracked-nipples

Mood Recognition

Keywords	Mood
happy	happy
anxious	anxious
sad	sad
irritable	irritable
overwhelmed	overwhelmed

Step 2: Check Information Completeness

start Operation Required:

• delivery_date: Delivery date
• delivery_type: Delivery mode

start Operation Recommended:

• baby_count: Number of babies (default 1)
• tracking_period: Tracking period (default 6months)

epds Operation Required:

• score: EPDS total score (0-30)

baby Operation Required:

• baby_id: Baby identifier (A/B/C/D)
• info_type: Information type (feeding/sleep/weight/diaper)

Step 3: Interactive Prompts (If Needed)

Scenario A: Missing Delivery Date

Please provide delivery date:
(Format: YYYY-MM-DD)

Scenario B: Missing Delivery Mode

Delivery mode?
• Vaginal birth (vaginal)
• C-section (c-section)

Scenario C: Missing Baby Count

Number of babies?
(Enter 1 for single or leave blank, 2 for twins)

Scenario D: EPDS Question 10 Positive

EMERGENCY WARNING

Question 10 score: 2-3 points
(Thoughts of self-harm)

IMMEDIATE ACTION REQUIRED:
Step 1: Tell someone close to you immediately
Step 2: Seek professional help immediately
Step 3: Ensure baby's safety

24-hour Help Lines:
• National Mental Health Hotline: [phone]
• Life Line: 400-821-1215

Step 4: Generate JSON

Postpartum Record Data Structure

{
  "postpartum_id": "postpartum_20251008",
  "delivery_date": "2025-10-08",
  "delivery_type": "vaginal",
  "baby_count": 1,
  "tracking_period": "6months",
  "tracking_end_date": "2026-04-06",

  "current_status": {
    "days_postpartum": 0,
    "stage": "immediate",
    "progress_percentage": 0
  },

  "recovery_tracking": {
    "lochia": {
      "stage": "rubra",
      "amount": "moderate",
      "last_updated": null
    },
    "perineal_care": {
      "healing": "good",
      "pain_level": 3,
      "incision_type": null,
      "notes": ""
    },
    "breastfeeding": {
      "status": "establishing",
      "challenges": [],
      "last_updated": null
    },
    "pain": {
      "uterine_contractions": {
        "present": true,
        "severity": "moderate"
      }
    }
  },

  "mental_health": {
    "epds": {
      "last_screened": null,
      "total_score": null,
      "risk_level": "not_screened",
      "q10_positive": false,
      "last_updated": null
    },
    "mood_log": []
  },

  "physical_recovery": {
    "pelvic_floor": {
      "status": "recovering",
      "exercises": "not_started",
      "notes": ""
    },
    "diastasis_recti": {
      "present": null,
      "severity": null,
      "assessed": false
    },
    "weight_tracking": [],
    "sleep_tracking": []
  },

  "babies": [
    {
      "baby_id": "A",
      "name": null,
      "gender": null,
      "birth_weight": null,
      "current_weight": null,
      "feeding": {
        "method": "establishing",
        "pattern": "on_demand",
        "last_feed": null,
        "feeds_log": []
      },
      "sleep": {
        "pattern": "newborn",
        "last_sleep": null,
        "sleep_log": []
      },
      "diapers": {
        "count": 0,
        "last_change": null,
        "diaper_log": []
      },
      "notes": ""
    }
  ],

  "red_flags": {
    "active": [],
    "resolved": [],
    "last_assessment": null
  },

  "metadata": {
    "created_at": "2025-10-08T00:00:00.000Z",
    "last_updated": "2025-10-08T00:00:00.000Z"
  }
}

Complete schema definition: see schema.json.

Step 5: Save Data

1. Read data/postpartum-tracker.json
2. Update corresponding data
3. Write back to file
4. If detailed records exist, save to data/postpartum-records/YYYY-MM/YYYY-MM-DD_postpartum-record.json

Execution Instructions

1. Parse user input and determine operation type
2. Execute corresponding logic based on operation type
3. Validate input data and state
4. Generate JSON compliant with schema.json
5. Save to data/postpartum-tracker.json
6. Output operation result and summary to user

Example Interactions

Example 1: Start Postpartum Record

User: /postpartum start 2025-10-08 vaginal

System:
Postpartum record created

Delivery Information:
Delivery date: October 8, 2025
Delivery mode: Vaginal birth
Baby count: 1
Current postpartum day: 0

Tracking Settings:
Tracking period: 6 months
Tracking end: April 6, 2026

Postpartum stage: Acute phase (0-2 days)

RED FLAGS (seek immediate medical care if present):
• Postpartum hemorrhage (>1 pad/hour)
• Fever > 100.4°F (38°C)
• Severe headache
• Blurred vision
• Difficulty breathing
• Chest pain

Data saved to: data/postpartum-records/2025-10/2025-10-08_postpartum-record.json

Example 2: EPDS Screening

User: /postpartum epds 8

System:
EPDS mental health screening completed

EPDS Results:
Screening date: November 15, 2025
Postpartum days: 35
EPDS total score: 8

Risk Assessment: Low risk

Recommendations:
• Maintain positive mindset
• Adequate rest and sleep
• Communicate with family and friends
• Moderate exercise (such as walking)

Next screening:
3 months postpartum (around January 2026)

Rescreen anytime if:
• Persistent low mood
• Unable to care for baby
• Thoughts of hopelessness or self-harm

Example 3: Baby Feeding Record

User: /postpartum baby A feeding breastfeeding left 15min

System:
Baby feeding recorded

Baby A Feeding Information:
Time: October 15, 2025 14:30
Method: Breastfeeding (left side)
Duration: 15 minutes

Today's feeding count: 8 times
Feeding pattern: On demand

Assessment:
Feeding frequency normal (newborn 8-12 times/24 hours)

For more examples, see examples.md.