D.Cur. / The postpartum-period is a very emotional time for the mother with a new baby, which increases her need for support. Various factors contribute to this need for support, such as the change from the extended family to the nuclear family, which has reduced the number of network persons. The hospitalisation period of the mother after the birth of a baby has also decreased drastically, owing to the high medical costs associated with the birth of a baby. This results in the mother being discharged from the hospital much earlier and her accessibility to professional support being limited thereby. This source of support, namely the professional person who provides the mother with support, is also insufficient since the growth of the population far exceeds that of the nursing occupation, and the need is to huge for only professional persons to provide in. If the mother does not receive the necessary support that she may need, it could lead to postpartum-depression, which has a detrimental effect not only on the mother but also on the new baby and the mother's family. This research is therefore vitally important to the midwife, as it ensures a healthy mother and baby, not only in the hospital environment but also at home in her community where she must live and raise her baby. Community support to the mother during the postpartum-period is a relatively unfamiliar field in midwifery. Although the term community support is often used, the definition thereof has not yet been clarified, and it is used in different contexts, with different meanings. The term community support to the mother has therefore not yet been adequately described within the context of the postpartum-period. The objective of this research is to investigate and describe, and analyse the term community support to the mother during the postpartum-period, and to identify the characteristics of community support to the mother during the postpartum-period, as well as the network persons who must provide this community support to the mother, in order to establish the necessary guidelines for the provision of sufficient community support to the mother during the postpartum-period.

The purpose of this study was to investigate the effect of prepartum and postpartum nutrition on milk production of commercial beef cows. Forty-three Angus or Angus X Holstein females, ranging in age from 2 to 6 yr, were randomly assigned by age and percentage Holstein within age to one of two prepartum grazing treatments (PRE). All females, regardless of PRE, were assigned at calving to receive the same post-calving nutritional energy. Females were assigned at calving by age, percentage Holstein within age, prepartum nutritional treatment and calving date to one of two milking groups. Milk weight (grams), milk composition (fat, protein, lactose, solids-not-fat, somatic cell count), dam body condition score (1 to 9), dam body weight, dam backfat thickness, loineye area, calf weaning weight and postpartum interval to estrus were all evaluated. Milk removal occurred biweekly by vacuum milking machine after intravenous injection of 20 IU of oxytocin. Samples were weighed and taken for milk analysis and determination of milk components. At 76± 10 d post-calving, females were assigned by age, percentage Holstein within age, prepartum nutritional treatment, and calving date to receive one of two postpartum nutritional treatments (POST). Females continued to be milked by machine biweekly until calves were weaned 199 ± 10 d. Differences in grazing level prior to calving significantly effected calf birth weights, with dams on the prepartum restricted grazing being lighter in weight at birth, 36.69 ± .68 and 38.95 ± .81 kg for PRE-L and PRE-H groups, respectively, however grazing differences did not effect calf weaning weight, calf gain or calf average daily gain. POST nutritional treatments significantly effected all calf performance traits with 37.10±.70, 38.54±.88; 196.89±4.9, 213.33±6.2; 159.79±4.8, 174.78±6.0; .809±.024, .888±.030; for birth weight, weaning weight, calf gain and calf average daily gain from cows on the POST -M or POST -H nutritional treatments, respectively. Pre-partum nutrition effected milk production (P < .001) with dams from the PRE-L grazing group producing less milk, 5622 ± 75 vs 6888 ±80 g. Postpartum energy also effected milk production with dams on the POST-H energy level producing more milk than dams from the POST-M group. Percentages of fat, protein, lactose and solids-not-fat were not different between the prepartum or postpartum diets (P>. 10). Somatic cell count was negatively correlated with dam milk production (P< .03). Postpartum interval to estrus was shorter for the PRE-L group than for the PRE-H, 43 ± 4 vs 53 ± 4 d. / Master of Science

M.Cur. / The purpose of this study was to do a needs assessment of mothers with their first baby in the postpartum period in respect of community support. Since there are as yet little or no support systems in South Africa, it is important to firstly determine the needs of the mother before these community support systems can be mobilised by the midwife and can function efficiently. Semi-structured questionnaires that were compiled from literature were given on one occasion to mothers with their first baby in the postpartum period at community clinics to complete. These results were then collated to identify the needs of the mothers to thereby mobilise the necessary community support systems, in order to sufficiently support mothers in the postpartum period and thus create a healthier community. Recommendations were made on the application in practice, education, and further research that can be carried out in this field.