Module 2 Flashcards
Antepartum
The pregnant women before the onset of labor
Intrapartum
Time of labor and childbirth
Postpartum
6-8 weeks after delivery of baby
Involution
Pelvic reproductive organs returning to their approximate pre-pregnant size, position, and function
Rapid Involution
- breastfeeding
- normal delivery
- early ambulation
- complete expulsion of placenta
Slow Involution
- Multiple gestation
-C section - Full bladder
-Multiple pregnancies
-Prolonged labor
Uterine Atony
Boggy/soft uterus
Normal decent
1cm or 1 finger breath per day
Should be not palpable by day 10-14 (it is back behind symphysis pubis)
Afterpains
Intermittent uterine contractions, more uncomfortable in multiparous women
Lochia
Post partum uterine discharge
Lochia Rubra
-First 1-3 days
- Red
Lochia Serosa
-Day 4-10
- Pale to light brown
Lochia Alba
- Day 11-14
- Creamy/ yellow, white
- Usually gone within two weeks but may last up to six weeks
When does menstruation return after delivery?
Usually within 7-9 weeks
- First cycle will be non ovulatory
Rubella
-Administer vaccine to nonimmune mothers
- Safe for nursing
-Live vaccine AVOID getting pregnant for 1 month
Let Down Reflex
- Stimulation of the nipple by the baby’s suckling initiates action potentials in the afferent neurons that connect w/ the hypothalamus
- Hypothalamus stimulates the posterior pituitary to release oxytocin & the anterior pituitary to release prolactin
- Oxytocin stimulates milk release from the breast. Prolactin stimulates additional milk production
Breastfeeding Benefits
Infants
- Less allergies
-Stronger immune system
- Bonding
Mother
- Decreased risk of some cancers
- Weight loss assistance
Common Breast Feeding Positions
- Football hold
- Laying down
- Across the lap
- Cradling
Maternal Adaptations
- Taking in (dependent) -> First 1-2 days, absorbing experiences
- Taking hold (independent) -> Day 2+, more eager to learn about caring for baby
- Letting go (interdependence) -> able to redefine motherhood
Positive Attachment
-Touching
-Holding
-Kissing
-Cuddling
-Talking
Mal-Attachment
-Refusing to look at infant
- Refusing to touch or hold
-Refusing to name
Interventions:
- Rooming in
-Skin- to- skin
- Provide praise, support, and reassurance
Baby blues
Peak 3-5 days within delivery
Changes in hormones
80% of women
BUBBLE HEB
Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
H
Emotional Adaptations
Bonding
Violence Against Women
1 out of 4 women in the US will be inane abusive relationship
Battering is a more common cause of injury for women than car accidents
1 in 3 women attempt suicide who have home violence
