Nursing Care of a Postpartal Woman and Family

Objectives Compare and contrast the difference between Postpartum Blues and Post Partum Depression disorder Summarize the Psychological changes a mother makes during postpartum period Summarize the Physical changes a mother makes in the PP period Discuss Nursing care during this time period

Psychological Changes Phases Taking-in Taking-hold Letting-go

Psychological Changes Development of parental love and positive family relationships Rooming-in Sibling visitation

Psychological Changes Maternal concerns and feelings Abandonment Disappointment Postpartum “Blues” vs PP Depression Disorder

Physiologic Changes Reproductive changes Uterus Lochia Cervix Vagina Perineum

Physiologic Changes Hormonal Urinary Circulatory Gastrointestinal Integumentary

Physiologic Changes Progressive changes Lactation Return of menstrual flow

Nursing Care: First 24 Hours Postpartum Assessment Health history Family profile Pregnancy profile Labor and birth history Infant data Postpartum course/VS and fundus

Nursing Care: First 24 Hours Postpartum Perineal care Perineal self-care Rest Adequate fluid intake Prevent constipation Prevent development of hemorrhoids

Nursing Care: First 24 Hours Postpartum Relief of Discomfort After pains Muscular aches Episiotomy care Perineal exercises Hot and cold therapy Sitz baths

Nursing Care: First 24 Hours Postpartum Assess peripheral circulation Prevent/alleviate breast engorgement Breast hygiene Promote uterine involution

BUBBLE HEAD Breast Uterus Hemorrhoids Bladder Emotions Bowel Activity Lochia Episiotomy Hemorrhoids Emotions Activity Diet

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