POSTPARTUM CARE Flashcards
Refers to the medical and nursing care given to a patient from the time of delivery until her body returns to near its non-pregnant state.
POSTPARTAL CARE
The 6-week period after the delivery
PUERPERIUM
Beginning with termination of labor and ending with the return of the reproductive organs to the non-pregnant state.
PUERPERIUM
Oftentimes referred as the fourth trimester
PUERPERIUM
The process when Fundic height descends 1cm per day.
After birth, at umbilicus.
Day 10, behind symphysis pubis, non-palpable.
INVOLUTION
Refers to the progressive changes in the uterus after the delivery.
INVOLUTION
The descent of the uterus into the pelvic cavity
INVOLUTION
Fundic height descends
1cm / per day
After birth umbilicus is at
umbilicus
at Day 10 umbilicus is
behind symphysis pubis, non-palpable
- Early ambulation
- Emptying of the bladder
- Foods high in protein, vitamins and minerals
- Knee chest or prone position
TO PROMOTE UTERINE INVOLUTIONS
- Promote normal involution and return to the non-pregnant state.
- Prevent or minimize postpartum complications
- Facilitate newborn care & self-care by the new mother
GOAL OF POSTPARTAL CARE
- Nature of labor & delivery and the birth outcome.
- Preparation for labor & delivery and for parenting.
- Postpartal Complications
FACTORS AFFECTING POSTPARTAL EXPERIENCE
A. Pre-eclampsia/eclampsia
B. Bleeding – S/S: bright red blood, w/ chills
C. Precipitous/prolonged labor
- Pos-tpartal Complications
- Performing nipple stimulation
- Initiating breastfeeding (Cramping is normal and is caused by your baby’s sucking, which stimulates release of oxytocin)
- Administering oxytocin IM/IV. c.
BLEEDING CAN BE PREVENTED BY
REPRODUCTIVE SYSTEM
ENDOCRINE CHANGES
CARDIOVASCULAR
RESPIRATORY SYSTEM
RENAL & URINARY SYSTEM CHANGES
GASTROINTESTINAL SYSTEM CHANGES
MUSCULOSKELETAL SYSTEM CHANGES
INTEGUMENTARY SYSTEM CHANGES
POSTPARTAL BIOPHYSICAL CHANGES
- Firm
- In the midline below the umbilicus
UTERUS MUST BE (REPRODUCTIVE SYSTEM)
- Rubra (1-3 DAYS))
- Serosa(3-10 DAYS ),
- Alba (10-14 DAYS)
CLASSIFICATIONS OF LOCHIA (REPRODUCTIVE SYSTEM)
- If w/ very foul odor, sign of infection
LOCHIA (REPRODUCTIVE SYSTEM)
Gradually closes at week 6
CERVIX (REPRODUCTIVE SYSTEM)
- Edematous 1-2 days
- Healing of episiotomy takes 4-6months
CERVIX (REPRODUCTIVE SYSTEM)
4-6months
Healing of episiotomy takes
- Rapid drop in estrogen & progesterone levels with an increase in secretion of prolactin after delivery
BREASTS (REPRODUCTIVE SYSTEM)
transferred from the woman to the newborn through breastfeeding.
Immunoglobulin A