POSTPARTUM JORDAN, CH. 27
COMPONENTS OF POSTPARTUM CARE
LATEST UPDATE
Two week postpartum Subjective Assessment: - Answer--Maternal physical and
emotional adjustment
-Birth experience
-Family adaptation
-Infant feeding
-Exercise/activity
-Rest/sleep
-Diet/fluids
-Lochia
-Afterbirth pains
-Perineal comfort
-Diuresis/diaphoresis
-Constipation/hemorrhoids
-Sexuality/resumption of intercourse
-Contraception
Two-week postpartum Objective assessment: - Answer--Vital signs
-Weight
-Heart/Lungs
-Breasts
-Uterus
-CVAT
-Perineum/bleeding prn
-Extremities/ edema
-Postpartum depression screening
Two-week Postpartum Plan: - Answer--Teaching:
-Family adaptation
-Maternal role attainment
-Infant feeding
-Normal involution
-Exercise/activity
-Rest/sleep
-Diet/fluids
-Birth control
-Warning signs
-Follow-up at 6 weeks and prn
-Consult, collaborate, refer prn
, Six-Week Postpartum Subjective Assessment: - Answer-Same as two-week
-no after-pains discussion
-no diuresis/ diaphoresis discussion
Six-week Postpartum Objective assessment: - Answer-Same as two week:
-include abdomen
-include perineum and vagina
-include hemorrhoids prn
Six-week Postpartum Plan: - Answer-Same as Two-week:
-include resumption of menses and ovulation
-Follow up at annual exam or prn
-Consult, Collaborate, refer prn
Assessment of maternal and physical emotional adjustment - Answer--Assess feelings
and recovery since birth
-Note areas of knowledge deficit
-Note areas where support may be needed
-Specifically ask intimate questions about how they are feeling and adjusting
-Ask open-ended questions
-@assess at 2-weeks and 6-weeks
-
Two-week focus: - Answer--Involution is happening
-Noting psychological adjustments
-maladaptations physically or emotionally
6-week focus: - Answer--Involution is complete
-Psychological adjustments are continuing
-Family Planning
Question #1: - Answer-How are you feeling emotionally?
How are you feeling physically?
-Ask the woman to qualify her response if she gives a short answer
Maternal Goal: Balance: - Answer--Prioritize
-Script for: care for herself, her baby, and siblings
-postpartum doula
-family and friend practical support
-paternity/ partner leave
Postpartum Blues - Answer--80% of women experience
-Suspected cause: fatigue, decreased support, hormonal fluctuation, social isolation,
and marital or relationship conflict
-cry for unexplained reasons
-experience anxiety
COMPONENTS OF POSTPARTUM CARE
LATEST UPDATE
Two week postpartum Subjective Assessment: - Answer--Maternal physical and
emotional adjustment
-Birth experience
-Family adaptation
-Infant feeding
-Exercise/activity
-Rest/sleep
-Diet/fluids
-Lochia
-Afterbirth pains
-Perineal comfort
-Diuresis/diaphoresis
-Constipation/hemorrhoids
-Sexuality/resumption of intercourse
-Contraception
Two-week postpartum Objective assessment: - Answer--Vital signs
-Weight
-Heart/Lungs
-Breasts
-Uterus
-CVAT
-Perineum/bleeding prn
-Extremities/ edema
-Postpartum depression screening
Two-week Postpartum Plan: - Answer--Teaching:
-Family adaptation
-Maternal role attainment
-Infant feeding
-Normal involution
-Exercise/activity
-Rest/sleep
-Diet/fluids
-Birth control
-Warning signs
-Follow-up at 6 weeks and prn
-Consult, collaborate, refer prn
, Six-Week Postpartum Subjective Assessment: - Answer-Same as two-week
-no after-pains discussion
-no diuresis/ diaphoresis discussion
Six-week Postpartum Objective assessment: - Answer-Same as two week:
-include abdomen
-include perineum and vagina
-include hemorrhoids prn
Six-week Postpartum Plan: - Answer-Same as Two-week:
-include resumption of menses and ovulation
-Follow up at annual exam or prn
-Consult, Collaborate, refer prn
Assessment of maternal and physical emotional adjustment - Answer--Assess feelings
and recovery since birth
-Note areas of knowledge deficit
-Note areas where support may be needed
-Specifically ask intimate questions about how they are feeling and adjusting
-Ask open-ended questions
-@assess at 2-weeks and 6-weeks
-
Two-week focus: - Answer--Involution is happening
-Noting psychological adjustments
-maladaptations physically or emotionally
6-week focus: - Answer--Involution is complete
-Psychological adjustments are continuing
-Family Planning
Question #1: - Answer-How are you feeling emotionally?
How are you feeling physically?
-Ask the woman to qualify her response if she gives a short answer
Maternal Goal: Balance: - Answer--Prioritize
-Script for: care for herself, her baby, and siblings
-postpartum doula
-family and friend practical support
-paternity/ partner leave
Postpartum Blues - Answer--80% of women experience
-Suspected cause: fatigue, decreased support, hormonal fluctuation, social isolation,
and marital or relationship conflict
-cry for unexplained reasons
-experience anxiety
