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Postpartum Care: Puerperium

The document discusses postpartum care and assessments. It recommends encouraging women to report any changes in mood, emotions, or behavior after giving birth. It also outlines the BUBBLE HE assessment method for the postpartum period, examining the breasts, uterine fundus, bladder function, bowel function, lochia, episiotomy site, and emotions of the new mother. Regular assessments of vital signs, bleeding, breastfeeding progress, and emotional well-being are important in the first few weeks after birth.

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Benedict Paul Ragunton
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167 views4 pages

Postpartum Care: Puerperium

The document discusses postpartum care and assessments. It recommends encouraging women to report any changes in mood, emotions, or behavior after giving birth. It also outlines the BUBBLE HE assessment method for the postpartum period, examining the breasts, uterine fundus, bladder function, bowel function, lochia, episiotomy site, and emotions of the new mother. Regular assessments of vital signs, bleeding, breastfeeding progress, and emotional well-being are important in the first few weeks after birth.

Uploaded by

Benedict Paul Ragunton
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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• All women and their families/partners should be

Postpartum Care encouraged to tell their health care professionals


about any changes

Puerperium - in mood,

 A Latin term for the period of involution when - emotional state


the mother’s body returns to its pre-pregnant - and behavior that are outside of the woman’s
state
normal pattern
Postpartum period
• Is the period beginning immediately after the
birth of a child and extending about six weeks Postpartum Maternal Physical Assessment Summary
(BUBBLE HE)
• The World Health Organization (WHO)
describes the postnatal care as the most critical • B-U-B-B-L-E H-E
and yet the most neglected phase in the lives of • B- Breasts
mothers and babies; most deaths occur during
the post natal period • U- Uterine fundus

• It is the time after birth, a time in which the • B- Bladder function


mother’s body, including hormone levels and • B- Bowel function
uterus size, returns to a non-pregnant state
• L- Lochia
Assessment of the mother
• E- Episiotomy
 First 24 hours after birth
• H- Homan’s sign
 All postpartum women should have regular
assessment of • E- Emotions

 vaginal bleeding

 uterine contraction
B- Breast
 fundal height

 temperature and heart rate(pulse) routinely


Assessments of Breast
during the first 24 hours starting from the first • Inspect for redness and engorgement
hour after birth.
• Palpate breast to determine if they warm
 Blood pressure should be measured shortly after
birth. If normal, the second blood pressure and tender
measurement should be taken within six hours.
• Pain on palpation
 Beyond 24 hours after birth
Breast Infection
• At each subsequent postnatal contact, enquiries
should continue to be made about general well
being and assessments made regarding the
following: micturition and urinary incontinence,
bowel function, healing of any perineal wound,
headache, fatigue, back pain, perineal pain and
perineal hygiene, breast pain, uterine tenderness
and lochia.

• Breastfeeding progress should be assessed at


each post natal contact

• At each postnatal contact, women should be


asked about their:

- emotional well being

- what family and social support they have

- their usual coping strategies for dealing with

day-to-day matters
What to assess/what to expect

 Height

-where is the top of the fundus in relationship to

the umbilicus

(below, at the level of the umbilicus, above)

- the fundus is measured above or below the

Umbilicus.

What to expect/what to assess

o Firmness

Let down reflex Palpate the fundus, how does it feel?

 The passing of milk down the ducts -The fundus should be firm and hard

 o Centeredness

Where is the fundus located?


U- Uterine Fundus - The fundus should be located midline to the

Assessment of the Uterine fundus umbilicus

• It should be firm, if not, massage prior to o Afterpains


palpation and assess for any blood discharge
- cramping caused by the involution of the
during massage
uterus
• Assess its location and the degree of uterine
contraction - breastfeeding also increases afterpains
• Note any tenderness or presence of pain

What to teach

o Encourage patients to empty bladder every two


hours

o Encourage patients to breastfeed

o Encourage patients to massage own uterus


B- Bladder function E- Episiotomy

Stress Urinary Incontinence

B- Bowel Function E- Emotions

L- Lochia Associated Risk Factors of Postpartum


Blues
• Hormonal changes
• Physical changes
• stress

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