Description of the Learner: Learners are post-partum mothers especially primigravida

Learning need: Importance of uterine contraction after birth

Learning Diagnosis: Knowledge Deficient related to information misinterpretation

Objectives:

COGNITIVE:

After 30 minutes of health teaching:

a. the mother will be able to learn about what normally happens to the uterus after birth and sign and symptoms of uterine atony

b. the mother will be able to recite ways to promote uterine contraction

AFFECTIVE

After teaching session:

a. the mother will expresses desire to learn techniques to help uterine contraction

b. the mother will appreciate the essence of learning uterine contraction after birth

PSYCHOMOTOR

After 30 minutes of teaching session:

a.demonstrate proper uterine massage to promote uterine contraction

b. have breastfeeding to stimulate the production of oxytocin

Learning Objectives Learning Content TEACHING- RESOURCES METHOD OF EVALUATION
LEARNING METHODS REQUIRED

Importance of uterine contraction after birth: The following are the

COGNITIVE: Discussion and visual methods we will use to evaluate
After 30 minutes of health Once a baby is delivered, the uterus normally aids Pictures the client’s knowledge before
teaching: contracts and pushes out the placenta. After the
and after the health teaching:
a. the mother will be able to placenta is delivered, these contractions help put
learn about what normally pressure on the bleeding vessels in the area where
happens to the uterus after birth.
the placenta was attached. If the uterus does not 1. After 30 minutes of health
contract strongly enough, these blood vessels teaching the patient will be
b. the mother will be able to bleed freely. able recite 2 ways to promote
recite ways to promote uterine uterine contraction.
contraction. When does uterus go back to its pre-pregnant
size: Discussion and visual 2. After the teaching session
aids Pictures the mother will be able to
Six weeks after giving birth, your uterus will be assess boggy and firm texture
AFFECTIVE back to its non-pregnant size. of the fundus
After teaching session:
a. the mother will expresses The uterus continues to decrease in size until it 3. After teaching session the
desire to learn techniques to returns to its normal size and weight of about two mother will be able to
help uterine contraction. ounces six weeks after delivery. redemonstrate proper uterine
massage.
b. the mother will appreciate the Teach patient how to do self assessment:
essence of learning uterine Patients or a family member can be taught to Discussion and visual 4. After health teaching the
contraction after birth. assess the firmness of the fundus and to provide aids  Video mother will be able to
massage in the event of a boggy uterus or presentation breastfeed the infant to
excessive bleeding.  Objects that promote oxytocin production.
are associated
Teach also patients to void before palpation of the with firm and
uterine fundus because a full bladder displaces boggy texture.
the uterus and can lead to excessive bleeding.
.
PSYCHOMOTOR
After 30 minutes of teaching
session: What are the ways to promote uterine contraction:
a.demonstrate proper uterine
massage to promote uterine
contraction
b. have breastfeeding to
stimulate the production of
oxytocin
Discussion and
 You, your husband/partner, and your demonstration
Pictures
nurse can massage your uterus for the first Video presentation
few days after delivery. This is done by
placing your hand on your uterus and
slowly rubbing in a circular motion. This
procedure will stimulate contractions and
make your uterus become firm.
 If you breastfeed, the hormone oxytocin is
released, which causes your uterus to
contract.
 Occasionally, medication is given for
several days after birth to keep your uterus
firm (e.g. Methylergonovine injection is
used to prevent and control bleeding
from the uterus that can happen
after childbirth).
When to consult a doctor:
Discussion and visual
aids
If there is:
Pictures
  Uncontrolled bleeding- that may be
caused by retained placenta , uncontracted
uterus or subinvolution.
 Decreased blood pressure- sign that there
is bleeding
 Increased heart rate- sign that there is
bleeding
 Swelling and pain in the vagina and
nearby area

References:

Allina Health(n.d.). After birth pains. Retrieved from: https://www.allinahealth.org/health-conditions-and-treatments/health-library/patient-

education/beginnings/your-recovery-at-home/your-changing-body

Newton Wellesly Hospital(2014).Pain Management . retrieved from: https://www.nwh.org/patient-guides-and-forms/postpartum-guide/postpartum-chapter-

2/postpartum-care-pain-management

University of Rochester Medical Center Rochester(2020). Post partum hemmorage. Retrieved from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?
ContentTypeID=90&ContentID=P02486

Derricot,B.(n.d.). Postpartum Care and Complications. Retrieved from: https://wildirismedicaleducation.com/blog/postpartum-care