CARE‌‌OF‌‌MOTHER,‌‌CHILD,‌‌

   ‌
ADOLESCENT,‌‌AND‌‌FAMILY‌‌    ‌
IDIANALE‌‌BATCH‌‌2024‌  ‌
ST.‌‌LUKE’S‌‌COLLEGE‌‌OF‌‌NURSING‌  ‌
 ‌
TOPIC‌‌10:‌‌POST‌‌PARTUM‌  ‌
 ‌
 ‌ 5. discovering‌  ‌effective‌  ‌ways‌  ‌to‌  ‌encourage‌‌  
  ‌ women‌  ‌to‌  ‌maintain‌  ‌breastfeeding‌  ‌and‌  ‌to‌‌  
  ‌ monitor‌‌   their‌‌
  own‌‌
  health‌‌
  in‌‌
  the‌‌  postpartal‌‌ 
  ‌ period‌  ‌
● danger‌‌sign‌  ‌
  ‌
FACTORS‌‌AFFECTING‌‌THE‌‌POST‌‌PARTUM‌‌  
EXPERIENCE‌  ‌
 ‌
● Breast‌‌soreness‌  ‌
 ‌ ○ engorgement‌  ‌
ESSENTIAL‌‌CONCEPTS‌‌AND‌‌TERMINOLOGIES‌  ‌ ○ masakit‌‌magpadede‌  ‌
Post‌‌partum‌  ‌ ○ nadedepress‌  ‌sila‌  ‌kasi‌  ‌baka‌  ‌di‌‌  
enough‌‌milk‌‌nila‌  ‌
● 6th‌‌week‌‌after‌‌childbirth‌  ‌
● Regaining‌‌their‌‌figure‌  ‌
● 4th‌‌stage‌‌of‌‌labor‌‌yung‌‌start‌  ‌
○ weight‌  ‌loss‌  ‌malala‌  ‌due‌  ‌to‌‌  
● transfer‌‌f rom‌‌dr‌‌to‌‌maternity‌‌ward‌  ‌
breastfeeding‌  ‌
Involution‌  ‌
● Regulating‌  ‌the‌  ‌demands‌  ‌of‌  ‌their‌  ‌house‌‌  
● shrinking‌  ‌or‌  ‌return‌  ‌of‌‌
  an‌‌
  organ‌‌   (uterus)‌‌   to‌‌
  works,‌‌partner,‌‌and‌‌children‌  ‌
a‌‌former‌‌size‌‌(return‌‌to‌‌size‌‌of‌‌the‌‌wrist)‌  ‌ ● coping‌‌with‌‌their‌‌emotional‌‌tension‌  ‌
● balik‌‌sa‌‌non-pregnant‌‌state‌  ‌ ● fatigue‌  ‌
● normal‌‌  position‌‌  anteverted‌‌  slightly‌‌  leaning‌‌   POST‌‌PARTUM‌‌PHYSIOLOGIC‌‌CHANGES‌  ‌
forward‌‌sa‌‌stomach‌  ‌ Fundus‌  ‌
Lochia‌  ‌
● situated‌  ‌in‌  ‌the‌  ‌midline‌  ‌midway‌  ‌between‌‌  
● vaginal‌  ‌discharge‌  ‌classified‌  ‌according‌  ‌to‌‌   the‌  ‌symphysis‌  ‌pubis‌  ‌and‌  ‌the‌  ‌umbilicus‌‌  
its‌‌appearance‌‌and‌‌color‌  ‌ after‌‌placental‌‌delivery‌  ‌
 ‌ Lochia‌  ‌
GOALS‌‌OF‌‌POST‌‌PARTUM‌‌CARE‌  ‌
● rubra‌  ‌
1. Reduce‌‌the‌‌maternal‌‌mortality‌‌rate‌  ‌
● serosa‌  ‌
● crucial‌‌sa‌‌mother‌‌kasi‌‌yung‌‌period‌  ‌
● alba‌  ‌
● significant‌‌weight‌‌change‌  ‌
Cervix‌  ‌
● subinvolution‌  ‌
○ placental‌‌f ragments‌  ‌ ● closed‌‌internal‌‌os‌  ‌
2. Increase‌  ‌the‌  ‌proportion‌  ‌of‌  ‌mothers‌  ‌who‌‌   ● slightly‌‌open‌‌external‌‌os‌  ‌
breastfeed‌  ‌their‌  ‌babies‌  ‌in‌  ‌the‌  ‌early‌‌   Vagina‌  ‌
postpartum‌‌period‌  ‌ ● edematous‌  ‌
● non-separation‌‌of‌‌baby‌‌to‌‌mother‌  ‌ ● torn‌‌hymen‌  ‌
3. Observe‌  ‌closely‌  ‌in‌  ‌the‌  ‌immediate‌  ‌post‌‌   Menstruation‌‌and‌‌ovulation‌  ‌
partal‌  ‌period‌  ‌to‌  ‌detect‌  ‌maternal‌‌   ● delayed‌‌to‌‌breastfeeding‌‌mothers‌  ‌
hemorrhage‌  ‌ ● pag‌‌   di‌‌
 breastfeeding‌‌  magtutuloy‌‌  na‌‌
 ng‌‌
 2-3‌‌
 
● vital‌‌signs‌  ‌ months‌  ‌
4. Encouraging‌  ‌and‌  ‌supporting‌‌   women‌‌   who‌‌  ● 100%‌  ‌breastfeeding‌  ‌= ‌ ‌delayed‌‌   ovulation‌‌  of‌‌
 
breastfeed‌  ‌and‌  ‌ensuring‌  ‌that‌  ‌women‌‌   6-12‌‌months‌‌    ‌
receive‌  ‌reproductive‌  ‌life‌  ‌planning‌‌   Endocrine‌‌system‌  ‌
information‌  ‌ ● production‌  ‌of‌  ‌prolactin‌  ‌that‌  ‌aids‌  ‌in‌‌  
● use‌‌of‌‌family‌‌planning‌  ‌ lactation‌  ‌
● risks‌‌esp.‌‌for‌‌multigravida‌  ‌ Cardiovascular‌‌System‌  ‌
● increased‌‌BP‌‌(PIH)‌  ‌

 ‌
PROPERTY‌‌OF‌‌ODLID‌  ‌
50‌  ‌
 ‌
CARE‌‌OF‌‌MOTHER,‌‌CHILD,‌‌
   ‌
ADOLESCENT,‌‌AND‌‌FAMILY‌‌    ‌
IDIANALE‌‌BATCH‌‌2024‌  ‌
ST.‌‌LUKE’S‌‌COLLEGE‌‌OF‌‌NURSING‌  ‌
 ‌
Renal‌‌and‌‌Urinary‌‌System‌  ‌ ○ pag‌  ‌hindi‌  ‌narelieve‌  ‌madalas‌‌
 
● transient‌  ‌loss‌  ‌of‌  ‌tone‌  ‌and‌  ‌edematous‌‌   nilalagnat‌‌si‌‌patient‌  ‌
urethra‌  ‌ ○ backpain‌  ‌
● di‌‌niya‌‌ramdam‌‌if‌‌distended‌‌yung‌‌bladder‌  ‌
Gastrointestinal‌‌System‌  ‌
● elimination‌  ‌may‌  ‌be‌  ‌difficult‌  ‌due‌  ‌to‌‌  
episiotomy‌  ‌
● di‌‌makapoopoo‌  ‌
● pag‌‌walang‌‌bowel‌‌movement‌  ‌
Skin‌  ‌
● chloasma‌‌and‌‌linea‌‌nigra‌‌diminished‌  ‌
 ‌
POST‌‌PARTUM‌‌PSYCHOLOGICAL‌‌CHANGES‌  ‌
Taking‌‌In‌‌Phase‌  ‌
● 2-3‌‌days‌‌after‌‌childbirth‌  ‌
● mother‌‌   becomes‌‌  dependent‌‌  on‌‌ her‌‌ health‌‌
 
care‌   ‌
● dependency‌  ‌is‌  ‌brought‌  ‌about‌  ‌by‌‌   the‌‌
  post‌‌
  You‌‌can‌‌store‌‌the‌‌milk‌‌sa‌‌f reezer‌‌for‌‌6‌‌months‌  ‌
partum‌  ‌pains‌  ‌and‌  ‌fatigue‌  ‌associated‌  ‌with‌‌    ‌
the‌‌labor‌‌and‌‌deliver‌  ‌ Uterus‌  ‌
● tawag‌‌ng‌‌tawag‌‌kay‌‌nurse‌  ‌ ● Palpare‌‌for‌‌height,‌‌position,‌‌tone‌  ‌
Taking‌‌Hold‌‌Phase‌  ‌ ○ massage‌  ‌
● mother‌  ‌starts‌  ‌moving‌  ‌to‌  ‌independent‌‌   ○ level‌‌of‌‌1‌‌finger‌‌each‌‌day‌‌(1cm)‌  ‌
decision‌‌making‌  ‌ ● Firm‌  ‌
● focus‌  ‌of‌  ‌care‌  ‌to‌  ‌the‌  ‌newborn‌  ‌rather‌  ‌than‌‌  ● Center‌  ‌
self‌  ‌
● masyadong‌‌concerned‌‌kay‌‌baby‌  ‌
Letting‌‌Go‌‌Phase‌  ‌
● ‌new‌‌role‌‌acceptance‌  ‌
 ‌
Pag‌  ‌hindi‌  ‌niya‌  ‌nalampasan,‌  ‌di‌  ‌niya‌  ‌naalagaan,‌‌  
pwedeng‌‌post‌‌partum‌‌depression‌  ‌
worst‌‌yung‌‌post‌‌partum‌‌psychosis‌  ‌
● hormonal‌‌changes‌  ‌
● abrupt‌‌change‌  ‌
 ‌
POST‌‌PARTUM‌‌ASSESSMENT‌‌(BUBBLESHE)‌  ‌
Cephalocaudal‌‌kaya‌‌breast‌‌una‌  ‌
 ‌
Breast‌  ‌
● Breast‌‌feed‌‌the‌‌NB‌‌10‌‌mins/breast‌  ‌  ‌
● proper‌  ‌emptying‌  ‌para‌  ‌consistent‌  ‌milk‌‌    ‌
production‌  ‌  ‌
● Engorgement‌  ‌- ‌ ‌occurs‌  ‌2-3‌  ‌days‌‌
  Bladder‌  ‌
post-partum‌‌(usual)‌  ‌ ● encourage‌‌voiding‌  ‌
○ painful‌  ‌ ○ 6‌‌hours‌‌after‌‌delivery‌  ‌
● palpate‌‌for‌‌distention‌  ‌
 ‌
PROPERTY‌‌OF‌‌ODLID‌  ‌
51‌  ‌
 ‌
CARE‌‌OF‌‌MOTHER,‌‌CHILD,‌‌
   ‌
ADOLESCENT,‌‌AND‌‌FAMILY‌‌    ‌
IDIANALE‌‌BATCH‌‌2024‌  ‌
ST.‌‌LUKE’S‌‌COLLEGE‌‌OF‌‌NURSING‌  ‌
 ‌
● watch‌‌for‌‌sign‌‌and‌‌symptoms‌‌of‌‌UTI‌  ‌ Episiotomy‌  ‌
Bowel‌  ‌ ● Assess‌‌using‌‌REEDA‌  ‌
● Assess‌‌for‌‌presence‌‌of‌‌bowel‌‌sound‌  ‌ ○ Redness‌  ‌
● palpate‌‌abdomen‌‌for‌‌distention‌  ‌ ○ Edema‌  ‌
● usually‌‌after‌‌24‌‌hours‌  ‌ ○ Ecchymosis‌  ‌
Lochia‌  ‌ ○ Discharge‌  ‌
● Assess‌‌perineal‌‌pad‌‌daily‌  ○ Approximation‌  ‌
● Note‌  ‌ ● Kung‌  ‌wala‌  ‌naman‌  ‌ito‌  ‌no‌  ‌problem‌  ‌(no‌‌  
○ color‌  ‌ lacerations‌‌baga)‌  ‌
○ amount‌  ‌ ● Minsan‌  ‌dumadami‌  ‌yung‌  ‌dugo‌  ‌nagbubuo‌‌  
○ type‌  buo‌  ‌
○ foul‌‌odor‌  ‌ Skin‌  ‌
■ amoy‌‌regla‌‌hindi‌‌iba‌  ‌ ● diminishing‌‌chloasma‌‌and‌‌linea‌‌nigra‌  ‌
● increased‌  ‌body‌  ‌temperature‌  ‌due‌  ‌to‌‌  
dehydration‌‌or‌‌infection‌  ‌
● keep‌‌the‌‌skin‌‌comfortable‌  ‌
● excessive‌‌sweating‌  ‌
Homan’s‌‌sign‌  ‌
● assess‌‌for‌ 
○ redness‌  ‌
○ nodular‌‌or‌‌warm‌‌areas‌  ‌
○ discolorations‌‌or‌‌leg‌‌varicosities‌  ‌
● Encourage‌‌early‌‌ambulation‌ 
● Dorsiflexion‌‌of‌‌the‌‌leg‌‌    ‌
○ kapag‌  ‌may‌  ‌pain‌  ‌sa‌  ‌back‌  ‌of‌  ‌the‌‌
 
knees,‌‌+‌‌sign‌  ‌
 ‌ ● Check‌‌for‌‌thrombophlebitis‌  ‌
*‌‌light‌‌red‌‌not‌‌really‌‌pink‌‌(hugas‌‌isda/meat)‌  ‌ Emotional‌‌Status‌  ‌
**parang‌  ‌basang-basa‌  ‌daw‌  ‌so‌  ‌nagpapanty‌  ‌liner‌‌
  ● Taking‌‌in‌  ‌
na‌‌daw‌‌ang‌‌mothers‌  ‌ ● Taking‌‌Hold‌  ‌
● Letting‌‌Go‌  ‌
● Anong‌‌day‌‌na‌‌ba‌‌siya?‌  ‌
● Referral‌  ‌to‌  ‌support‌  ‌system‌  ‌kapag‌  ‌may‌‌  
delay‌‌sa‌‌days‌  ‌
 ‌

 ‌
 ‌ ● Heavy‌‌-‌‌puno‌‌within‌‌1‌‌hr‌  ‌
● scanty‌‌-‌‌1‌‌in‌  ‌
● light‌‌-‌‌<4‌‌in‌  ‌
● Moderate‌‌-‌‌6in‌  ‌

 ‌
PROPERTY‌‌OF‌‌ODLID‌  ‌
52‌  ‌
 ‌