1. Nursing Care of a Postpartal Woman and Family

2. 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

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

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

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

6. Physiologic Changes Reproductive changes Uterus Lochia Cervix Vagina
Perineum

7. Physiologic Changes Hormonal Urinary Circulatory Gastrointestinal
Integumentary

8. Physiologic Changes Progressive changes Lactation
Return of menstrual flow

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

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

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

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

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

14. Home remedies