L9: postnatal care of the mother and child Flashcards
postpartum period=
6-8 weeks after birth
2 people providing care in postpartum
midwife
maternity support workers
signs of postpartum haemorrhage
- sudden and profuse blood loss/ persistent increase in blood loss
- faintness/ dizziness
- palpitations/ tachycardia
signs of infection
fever
shivering
abdo pain
offensive vaginal loss
signs of pre-eclampsia
headache + one or more of; visual disturbances nausea vomiting (within 72 hours after birth)
signs of thromboembolism (4)
unilateral calf pain
redness/ swelling of calves
SOB
chest pain
possible sites of infection after birth
uterus cannula site meningitis (epidural) caesarean breasts perineum
1/4 of maternal deaths are due to
sepsis
leading cause of direct deaths =
thrombosis
indicators for good attachment and positioning (3)
- mouth wide open
- less areola visible underneath chin than above nipple
- chin touching breast
indicators for successful feeding in babies
audible/ visible swallowing sustained rhythmic suck relaxed arms/ hands moist mouth regular soaked nappies
indicators for successful feeding in mother
breast softening
no nipple compression
women relaxed/ sleepy
ankylossia=
tongue tie
baby blues=
normal not a disorder 3-5 days after birth
puerperal psychosis=
severe mental illness which begins suddenly in days or weeks after birth
symptoms of puerperal psychosis
high mood depression confusion hallucinations delusions
risk of puerperal psychosis is increased in
people with bipolar
when should the newborn examination be done by
72 hours of birth
newborn blood spot tests is at
5 days old
newborn blood spot test tests for (4)
sickle cell disease
cystic fibrosis
congenital hypothyroidism
inherited metabolic diseases
