Postpartum(2).pdf - Postpartum Adaptation and Nursing Assessment Objectives ∗ Identify the postpartum period and physiology involved in the process

Postpartum(2).pdf - Postpartum Adaptation and Nursing...

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Postpartum Adaptation and Nursing Assessment
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Identify the postpartum period and physiology involved in the process Identify the types of lochia Identify the Nursing interventions during the postpartum Nursing intervention in boggy uterus Identify the nursing intervention in uterine hemorrhage Understand the mechanism of action, contraindications and adverse effects of medications used in the postpartum and its complications Objectives
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Period after pregnancy and delivery (usually 6 weeks) when the body returns to the nonpregnant state 1. Care during this period is focused on wellness and family integrity 2. Teaching must be initiated early to cover the physical self-care needs and the emotional needs of the mother, infant, and family Normal Puerperium (Postpartum)
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Uterus Involution: the rapid reduction in size and the return of the uterus to a nonpregnant state. Involution begins immediately after expulsion of the placenta with contraction of uterine smooth muscles At the end of third stage, the uterus is in the midline, about 2 cm below the level of the umbilicus and weights 1000g Involution occurs 1-2 cm per day First day: at or 1 to 2 cm above umbilicus 7 to 10 days: decrease to 12 week size, slides back under symphysis pubis Placenta site contracts and heals without scarring Subinvolution: placental site does not health; lochia persists, with brisk periods of lochia rubra. Normal Postpartum Changes
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The uterine height is greater than the normal for the particular day of postpartum. Normal postpartum uterus may be displaced by a full bladder or a loaded rectum. It feels boggy and softer upon palpation. Predisposing factors Grand multiparity Overdistension of uterus as in twins and hydramnios Ill maternal health C/S Uterine prolapse
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