OB LEC

• Postpartal period (puerperium)

  
  

  Puer

  
  

  parere

  
  

  6-week

  
  

  retrogressive

  
  

  involution

  
  

  progressive

  
  

  lactation

  
  

  FOURTH


  __________ OR __________

  
  

  - Latin. _______, "child," and _______ "to bring forth"

  - ______ period after childbirth

  - ______ (_____ of the uterus & vagina) and

  - ______ (production of milk for _______)

  
  

  ______ TRIMESTER OF PREGNANCY
• Taking in phase

  
  

  2 to 3 days

  
  

  dependent

  
  

  own needs

  
  

  explores

  
  

  talk

  
  

  life experience


  PSYCHOLOGICAL CHANGES OF THE POSTPARTAL PERIOD:

  
  

  ________ PHASE -

  
  

  - 1st ______ postpartum

  - passive and _____

  - preoccupied with her _____ wants to talk about her pregnancy, labor and birth

  - Touches & ______ her baby

  
  

  - Encourage her to _____ about the birth to help her integrate it into her ______
• Taking hold phase

  
  

  3rd to the 10th

  
  

  dependent

  
  

  strong interest

  
  

  insecure

  
  

  mothering skills

  
  

  guidance and demonstrations


  PSYCHOLOGICAL CHANGES OF THE POSTPARTAL PERIOD:

  
  

  _________ PHASE -

  
  

  - ______ day

  - less _____, take a ______ in the care of her child and make her own decisions but still feels _____ about her ______

  
  

  - give _____ and _____ on how to care for her child
• LETTING-GO PHASE

  
  

  10 days to 6 weeks

  
  

  motherhood

  
  

  fantasized image

  
  

  unique


  PSYCHOLOGICAL CHANGES OF THE POSTPARTAL PERIOD:

  
  

  _______ PHASE -

  
  

  - ______

  - woman redefines her new role & ______ functions are established

  - gives up her ______ of her child and accepts her child as a _____ person
• En face position


  DEVELOPMENT OF PARENTAL LOVE & POSITIVE

  FAMILY RELATIONSHIPS

  
  

  ______ - looking directly at her newborn's face with direct eye contact
• Engrossment


  DEVELOPMENT OF PARENTAL LOVE & POSITIVE

  FAMILY RELATIONSHIPS

  
  

  ______ - fathers staring at the NB for long periods of time
• Complete rooming-in


  DEVELOPMENT OF PARENTAL LOVE & POSITIVE

  FAMILY RELATIONSHIPS

  
  

  _____ - mother and child are together 24h a day
• Partial rooming-in


  DEVELOPMENT OF PARENTAL LOVE & POSITIVE

  FAMILY RELATIONSHIPS

  
  

  ______ - infant remains in the woman's room most of the time
• Sibling


  DEVELOPMENT OF PARENTAL LOVE & POSITIVE

  FAMILY RELATIONSHIPS

  
  

  ____ preparation
• POSTPARTUM BLUES/BABY BLUES

  
  

  2nd, 3rd, 2 weeks

  
  

  mood swings, tearfulness, anorexia, overwhelming sadness, mood lability

  
  

  hormonal changes

  
  

  decrease

  
  

  fatigue

  
  

  stress

  
  

  dependency

  
  

  guidance, support, verbalize


  ________ OR ________

  
  

  - _____, _____ postpartal day or within the 1st _____

  
  

  - ______, anger, _____, feeling let-down,

  ______, insomnia, ______, feeling of inadequacy, ______

  
  

  - related to _____ (sudden _____ in

  E/P), _____ & psychological _____ related to infant _____

  
  

  - Anticipatory _____, individualized _____, chance to ______ are necessary resolves spontaneously
• placenta

  
  

  sealed off

  
  

  bleeding

  
  

  reduced

  
  

  pregestational


  REPRODUCTIVE SYSTEM CHANGES:

  A. The UTERUS

  
  

  2 processes:

  - area where the _____ was implanted is _____ to prevent _____ and the

  - uterus is ______ to its approximate ______ size
• REPRODUCTIVE SYSTEM CHANGES:

  A. The UTERUS

  
  

  INVOLUTION - reduction in size of the uterus after delivery to prepregnant size caused by uterine contractions that constrict or occlude underlying blood vessels
• REPRODUCTIVE SYSTEM CHANGES:

  A. The UTERUS
• REPRODUCTIVE SYSTEM CHANGES:

  A. The UTERUS
• REPRODUCTIVE SYSTEM CHANGES:
• REPRODUCTIVE SYSTEM CHANGES:
• REPRODUCTIVE SYSTEM CHANGES:
• REPRODUCTIVE SYSTEM CHANGES: