POSTPARTUM

NCMA217 RLE

BSN 2 -A-3
 Ajielaida Sandang
Anajoy Veran
Group Bea Manalili
Bas Gallego
Francheska Ann Reyes
Members: Francheska El Lua
Irish Torres
NCMA217 RLE Jorella Pialane
Kamea Villanueva
Sofia Ramos
Trishia Marquez

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Case Scenario:
Nurse Cindy is a Recovery Room Nurse at Brock Maternity Hospital,
She was assigned to Patient Nica Barameda, a 24 years old G1P1
postpartum mother who just gave birth 1 hour ago to a healthy
baby boy. Upon assessment the following Vital Signs were noted:
BP- 100/70, T-36.5’C, PR- 80, RR – 18. Upon palpation, the uterus is
firm and contracted with minimal vaginal bleeding. D5LR with 10
units of oxytocin at 30 gtts/min is hooked on her right arm. She has
an ice pack on her lower abdomen and complains of thirst and
hunger. Nica also said that she felt cold and wanted to rest but no
one would look after her baby. Nurse Cindy noted that Nica does
not have a background knowledge on breastfeeding.

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Answer the following questions:

1. Give 3 nursing management to prevent postpartum infection.

Assess Rubra lochia at least once a day to determine if the amount

discharged is still within the normal limits.
Perform perineum care twice daily for redness, edema, ecchymosis, and
discharge.
To prevent infections after delivery, it is better to take showers than tub baths
for the first two weeks. If showering is not an option, fill the tub three or four
inches deep, leave the drain open, and let the water flow. This is referred to as
a sitz bath, and it can be used for as long as the patient is comfortable

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2. Give 3 nursing management to prevent postpartum bleeding.

Massage fundus to illicit contractions and avoid excessive

bleeding.
Check for placental retention as it can cause hemorrhage
Monitor oxytocin drip every once in a while and give ice
pack to help fundal muscle constrict

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3. What are the benefits of breastfeeding to the baby?

Breastfeeding can help prevent newborns from certain illnesses and

disorders, both short and long-term.
It provides healthy and adequate nourishment to the infant since breastmilk
is high in nutrients and provides natural food.
It protects babies because breastmilk includes antibodies that fight
numerous illnesses and diseases.
It protects against allergies by producing signals that impact their babies'
immune system development.

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Breastfed newborns are less likely to develop asthma, obesity, type 1
diabetes, or Sudden Infant Death Syndrome (SIDS).
Ear infections and stomach bugs are also less common in breastfed
babies.
Lastly, it releases oxytocin, which makes the infant feel safe and tranquil
in his or her surroundings.

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4. What are the benefits of breastfeeding to the mother?

Breastfeeding creates a bonding experience between mother and child because

it promotes skin-to-skin contact, more holding, and stroking.
Breastfeeding can reduce the mother's risk of breast and ovarian cancer, type 2
diabetes, and high blood pressure are less common among women who
breastfeed.
Mothers who breastfeed are more likely to return to their pre-pregnancy weight
than mothers who formula-feed. Breastfeeding reduces the risk of long-term
obesity.
Breastfeeding can save money and preparation time. Breast milk doesn't need to
be prepared or purchased, unlike formula. Because there are no formula cans or
bottles to wash, breastfeeding is also excellent for the environment.
Oxytocin aids in uterine involution as it helps the uterus contract.

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Lowering her chance of developing postpartum depression, since
breastfeeding enables pregnancy hormones to decrease slowly, instead
of abrupt.
Mothers can feed their babies on the go without worrying about having
to mix formula or prepare bottles. When traveling, breastfeeding can
also provide a source of comfort for babies whose normal routine is
disrupted.

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5. If you are Nurse Cindy, what will be your health teaching for Patient Nica?

I would advise Patient Nica to take care of her physical and mental health,
particularly now that she is a mother. By maintaining a well-balanced diet,
consuming plenty of water, and eating healthful foods. If she could take
additional supplements, like vitamins it would help to assist strengthen her
immune system, that would be even better. Especially if she intends to
breastfeed the child. She must also be properly advised by her family if she
needs assistance or someone to watch the baby. For postpartum support, we
can recommend her to a licensed psychologist.

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As a new mother, it is important for Nurse Cindy to ask how Pt. Nica is and how is she
feeling and to assure her that she’ll be a wonderful mother. A solid support system to
ensure a healthy mental state will boost her confidence as a new mother. I would also
advise her to get plenty of rest and drink lots of water and health and nutritional food
since it’s what she and her baby needs most right now. A healthy mother can also
mean a healthy baby if looked after properly and given the proper nutrients and it
also promotes building up both the mother and baby’s immune systems. But most
importantly, I would teach her the proper way of breastfeeding and the importance of
only taking prescribed medicines. It would be good to take note that postpartum
depression requires treatment by a therapist and often medication. Please contact
your doctor/midwife if you or your family has any concerns about your mental health.

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