Postpartum Care Fundamentals Flashcards
6 Periods of Perinatal Continuum of Care
Preconception 1st Trimester 2nd Trimester 3rd Trimester Labour and Birth Postpartum/Newborn
Which periods are marked by the antepartum period?
1st, 2nd and 3rd Trimester
Which period is marked by the intrapartum period?
Labour and Birth
Which periods are nurses typically involved?
Labour and Birth and Postpartum/Newborn
aka. the 4th Trimester and beyond
Puerperium
Birth to the return of reproductive system to pre-pregnant state (birth to 6 weeks)
What are some factors that affect postpartum psychosocial adaptation?
(Physical) - pregnancy/birth experience - physical recovery - fatigue (Psychological) - role attainment - bonding and attachment behaviours - emotional responses (External) - socioeconomics - social support - family dynamics - cultural considerations (Others) - ability to meet needs - newborn/infant characteristics
What are some cultural considerations and influences to be mindful about?
- beliefs and values
- health, self care and newborn care practices
- interactions with HCP
- family dynamics
- newborn and infant feeding practices
Rubin’s Phases of Maternal Postpartum Adjustment
- Taking in (dependent)
- Taking hold (dependent-independent)
- Letting go (Interdependent)
Mercer’s (healthy) Stages of “Becoming a Mother”
- Commitment and attachment in pregnancy
- Acquaintance and attachment to newborn
- Moving toward a new normal
- Achievement of maternal identity, redefinition of self, integration of motherhood
What are some of the (common) father’s developmental tasks?
- New expectations and priorities
- Striking a balance between work, own needs, needs of partner and baby
- Redefinition of role
- Reaping rewards
What are some challenges that LGBTQ communities experience?
- Lack of family acceptance
- Public/provider ignorance and judgement
- Social invisibility
- Limited resources
Nurses’ teaching priorities should be catered towards..
Client learning priorities and readiness to learn
What are some learning needs described by Fahey & Shenassa (2013)?
- Physical recovery
- Meet own needs
- Parental role attainment
- Effective mobilization of support
- Self efficacy
- Positive coping strategies
- Realistic expectations
What is the Healthy Babies Health Children Screening Tool?
At birth screening tool to determine the child/family’s risk level and needs
Gravidity
Total number of pregnancies
