Postpartum

Front 1

Postpartum- FULL SERVICE CARE

Back 1

F-Follow up
U- Uterus
L- Lochia
L- Legs

S- Sustenance
E- Elimination
R- Rest
V- Vaginal Area
I- Intervention
C- Contraception
E- Education

C- Caring
A- Attachment
R- Relationship
E- Emotional Status

Front 2

Postpartum Care Vaginal Delivery

Back 2

Vital Signs
Fundus Checks
Lochia Checks
Episitomy/Perineal Care
Bonding/BreastFeeding
Rest
Nutrition

Front 3

Postpartum Care Cesarean Delivery

Back 3

Vital Signs
Oxygen Status
I & O
Incision and Dressing- sterristrips
Fundus & Lochia Checks
Assess Post- Anesthesia State

Front 4

Postpartum Physiologic Changes

Back 4

Vital Signs
Temperature increased first 24 hours. up to 100.4
Pulse decreased, Could get tachy not good.
Blood pressure pre-birth levels, usually by 4th postpartum day. Watch orthostatic by hypertension.

Front 5

Postpartum Breast

Back 5

1st-2nd day Colostrum
3rd-4th day filling milk forms with milk ducts
.4th day breast may become engorged.
Breast Feed
Frozen cabage help in lactation. Breast binder Ice pack, Analgesics.

Front 6

Uterus Involution

Back 6

Reduction of uterus
The return of the uterus to nonpregnant state following birth.

Front 7

Uterus >Birth

Back 7

Between symphisis pubis and umbilicus

Front 8

Uterus 1HR>Birth

Back 8

Rises to umbilicus (24 hours)

Front 9

Uterus 24Hrs>Birth

Back 9

Decreases 1-2 FB per day

Front 10

Lochia

Back 10

Postchildbirth uterine discharge.
Uterine Flow consisting of blood/decidua/WBC/Bacteria
Placenta

Front 11

Lochia is measured according to amount

Back 11

Rubra= 1-3 days
Serosa= 4-10 days
Alba= 10-3 weeks

Not saturationg pad
Fundal massage

Front 12

Rubra

Back 12

1-3 days
Red, lot of blood all in pad, take care 3-4 hours everytime take care of baby, take care of self. Pad dry, change Pad

Front 13

Serosa

Back 13

4-10 days
Pink

Front 14

Alba

Back 14

10 days-3 weeks up to 6 weeks
Alba- Yellowish to white

Front 15

Perineum

Back 15

Tissue swelling/Tender/Eccymosis
Kegel Exercises
Perineal Care
Labia Majora(Trauma of birth)/Minora- Remain Atrophied/Soft
Sitz bath-UTI or Prone to UTI dont do. It Helps with circulation.
Sutures-Ice, edema present give some ice.

Front 16

Gastrointestinal System

Back 16

Hemorrhoids
Due to relaxin bowels may be sluggish

Front 17

Nursing Consideration to prevent/treat Constipation

Back 17

Ambulate
Drink Fluids
Apple Juice- Sorbital Contains- laxative properties
Fruits/vegetables/whole grains/breads
Stool softners
Suppository

Front 18

Genitourinary System

Back 18

Immediate>Postpartum= Trace Proteinuria
Diuresis=Begins 12 hrs> Delievery-1 week
Diuresis is result of:
Decrease Aldostererone Production
Decrease Sodium Retention
5lb weight loss

Front 19

Integumentary System

Back 19

Striae
Appear reddened/more prominent
Will Fade into pale white or darker pigmentation, not disappear.
Linea Negra/Chloasma- Line from to syphisis pubis
will disappear.

Front 20

Emotional status- According to Reva Rubin Maternal Adaption

Back 20

Day 1- Taking in Phase- Can last 2-3 days
Day 2- Taking Hold Phase- can do self
Letting go phase

Front 21

Maternal role attainment

Back 21

According to Ramona Mercer this is how monther learns behaviors
Anticiptory Stage
Formal Stage
Informal Stage
Personal Stage

Front 22

Anticipatory Stage

Back 22

Mother gong to model somebody

Front 23

Formal Stage

Back 23

Mom acts like other epeople ask her to last 6-8 weeks

Front 24

Informal Stage

Back 24

Mom develops own way

Front 25

Personal Stage

Back 25

Comfortable Self as mom by 4 months

Front 26

Engrossment

Back 26

Father's absorption/pre-occupation/interest in infant

Front 27

Postpartum blues

Back 27

(1day-2weeks) 75%-80% Normal temporary usually pass 2 weeks after delivery
Feeling "Emontional Liability"
Cry and do not understand why?
Difficulty concentrating/irritable/tearful/anxious/fatgued/sleep disturbance

Front 28

Postpartum Assessment
Bubble HHE

Back 28

Breast-size-Engorged, nipples cracked lactating.
Uterus-Fundle height check
Bladder-Empty
Bowel-Ascuiltate, gone to bathroom, stool softener.
Lochia
Episiotomyu-Asses site, pressnce of lacation, encourage perineal care
Hemorrhoids-Check site for hemmorrhoids
Homan's sign- Postpartum clots
Education-breast feeding, baby care

Front 29

Breastfeeding

Back 29

1st 6 months of life
Protein Eminoglobulins
Once placenta is delivered no longer inhibit fsa, ovulation contious.
If mom is not breast feeding begin 6-10 weeks. If she is menstrating beings 3-4 months or longer. If HIV postitive, no breast feeding.