POSTNATAL ASSESSMENT

P.SUMATHI
M.SC NURSING
NURSE EDUCATOR
BIACH&RI
 INTRODUCTION

History Taking
Postnatal Mother Examination
 OBJECTIVE
 To observe the general condition of the mother.

To find out postnatal problem and manage.

To provide necessary health teaching to mother and

family.
To improve mental and physical health of mother.
 EQUIPMENTS
Thermometer tray

BP instrument

Measuring tape

Clean glove

Kidney tray
CONT…
Clean swabs and gauze piece

Weighing scale

Bed pan for mother unable to move

Screen

Torch
 PROCEDURE
A. GETTING READY
 Prepare the necessary equipment.

 Greet the women respectfully and with kindness.

 Explain mother about the procedure

 Ask the mother to empty her bladder.

 Maintain Privacy.

 Wash hands
B. PHYSICAL EXAMINATION

1. Assessment of General well being

2. Vital sign Measurement

3. Breast

4. Abdominal Examination

5. Bladder examination 

6. Bowel examination

7. Lochia Examination
Components of postnatal examination “BUBBLE-HE”

Breast B
Uterus U
Bladder B

Homan’s sign H
Emotional Status E
Bowel B
Lochia L

Episiotomy E
8. Episiotomy and perineum examination Examine episiotomy and perineum area
through REEDA Assessment
R- Redness

E- Edema

 E- Ecchymosis

 D- Discharge

A- Approximation

Redness → infection or hematoma.

Ecchymosis (excessive bruising) → vaginal trauma and requires additional evaluation.

Discharge→ should follow the expected lochia pattern.

Approximation→ episiotomy lines should be well approximated.

Episiotomy line

  Pull the labia from front to back.

 Check the episiotomy or areas of vaginal tearing.

 Look for hematoma formation, hemorrhoids, vaginitis,

perineal tearing.
9. Homan’s sign Complain of pain in calf of the leg

upon dorsi- flexion of foot with leg extended is

diagnostic of Deep Vein Thrombosis (DVT) of the area.
A positive Homan's sign is indicative of DVT.
10. Emotional status After delivery the woman may

progress through Rubin’s stages of taking in, taking hold

& letting go phases. • May Begin with a refreshing sleep
after delivery. 
11. Health Teaching Health teaching should be given as
per need identification of mother.