Postpartum

• Peurperium


  also known as postpartum

  • first 6 weeks of pregnancy
• What is the postpartum period duration?

  6 weeks after pregnancy
• What is involution in the postpartum process?

  Return to non-pregnant state in 6 weeks
• What are the dimensions of the uterus after delivery?

  3x2x1 cm
• What is the weight of the uterus immediately after delivery?

  1000 grams
• What is lochia?

  Postpartum vaginal discharge
• What happens to the fundus after delivery?

  It decreases by 1 finger breadth daily
• When is the fundus no longer palpable?

  On the 10th day
• What is sub-involution?

  Slow return to non-pregnant state
• What are the types of lochia?

  Lochia Rubra, Lochia Serosa, Lochia Alba
• What is Lochia Rubra and its duration?

  Bright red discharge for 1-3 days
• What does a heavy lochia indicate?

  Saturation of pad within 1 hour
• What is the abnormal postpartum bleeding volume for NSD?

  More than 500 ml
• What is the abnormal postpartum bleeding volume for CS?

  More than 1000 ml
• What happens to the cervix postpartum?

  Bruised, flabby, and closes slowly
• When does the internal os of the cervix close?

  1 week after delivery
• What changes occur in the vagina after delivery?

  Oedematous, bruised, and thin-walled
• When do rugae appear in the vagina postpartum?

  3-4 weeks after delivery
• What is the ovulation timeline for non-lactating mothers?

  4-6 weeks after delivery
• How long can lactating mothers experience anovulatory cycles?

  2-18 months, depending on LAM
• What is the weight loss expected after delivery?

  12-15 lbs
• What is the purpose of a binder after delivery?

  To support the abdomen
• What does BUBBLEHE stand for in postpartum assessment?

  • Bladder
  • Uterus
  • Bowel
  • Breast
  • Lochia
  • Episiotomy
  • Homan's signs
  • Emotional Status
• What are the nursing care priorities for the puerpera?

  • Balance rest and ambulation
  • Monitor vital signs and fundus
  • Promote bowel and bladder function
  • Encourage Kegel’s exercises
  • Provide psychological support
  • Promote bonding with newborn
• What are the methods to promote uterine involution?

  1. Early breastfeeding
  2. Fundal massage
  3. Early ambulation
  4. Bladder emptying
  5. Monitoring lochia
• What are the steps to promote successful breastfeeding?

  1. Start early: 30 mins after NSD, 4 hrs after CS
  2. Feed on demand
  3. Empty breast with each feeding
  4. Teach proper latching
  5. Educate on breast care
• What are the postpartum phases of maternal role-taking?

  1. Taking-in: 1-3 days postpartum (dependent role)
  2. Taking hold: 3 days - 2 weeks (striving for independence)
  3. Letting-go: 10 days to 2 weeks (independent)
• What is postpartum blues and its duration?

  Mild depression lasting 4-5 days to 6 weeks