Main Changes and Care of Woman during Postpartum

Main Changes and Care of Woman during Postpartum Ren jianhua West China second university hospital

vocabulary �Postpartum 产后的 - Post- 之后的 - partum 起源于 parity（产次） - Postpartum period=puerperium �Placenta - 盘子 plate 胎盘 pre- 之前的

vocabulary �Involution 子宫复旧 - A shrinking or return to a former size - Volution是发展 a rolling or revolving motion - in-往里 - Revolution 进化（再一次运动发展？） �Fundus - 宫底 Foundation 基础

vocabulary �Atony 张力缺乏 - a- 无，没有 anormaly 异常的 - tone 音调 tension 张力 �Endometrial 子宫内膜的 - Endo- 内部的 exo- 外部的 - Menses 月经

vocabulary �Neonate - 新生儿 Neo- 新的 �Ambulation new? 移动，步行 - Ambulative 移动的 - Ambulance 救护车 �Thrombophlebitis - Thrombus 血栓 - Phlebitis 静脉炎 血栓静脉炎

Definition of postpartum � Placenta delivering—all organs return to pre- pregnant state � 6 -week period following childbirth � Physiologic changes � Psychological � Social changes

Definition of postpartum � Quiz � Puerperium childbirth �A 4 -week �B 6 -week �C 8 -week �D 10 -week refers to period following

The uterine involution �The process through which the reproductive organs return to their non-pregnant state. 子宫复旧是指生殖器官恢复至未孕状态的过程 �Placental �Other site— 6 to 7 weeks to heal site— 3 -4 weeks to heal �Weight of uterus: 1000 g— 50 g

The uterine involution �Signs Ø The for uterine involution fundus assessment Ø Lochia 恶露 子宫底

The uterine involution The fundus assessment � Preparation: empty bladder � Method: press in and downward on the umbilicus � Feeling: firm, globular

The uterine involution Signs for fundus assessment � The height of fundus 子宫底高度 � The consistency of fundus 子宫底质地 firm, round, smooth

The uterine involution Lochia 恶露 �Amount �Color �odor 3 types of lochia

The uterine involution �Lochia rubra 血性恶露 dark red the first days after delivery moderate

The uterine involution �Lochia serosa 浆性恶露 serous and pink the fourth day decrease in amount

The uterine involution �Lochia alba 白色恶露 yellow-white a week to 10 days scant alba—albicans candida 白色念珠菌

Psychological changes �Psychological � 1960 s, � 3 adaptation Rubin phases of psychological changes Ø Taking-in 依赖期 Ø Taking-hold 依赖-独立期 Ø Letting-go 独立期

Psychological changes �taking-in phase 2 -3 days focus primarily on her own basic needs 集中于自己基本需要 take in every detail of the neonate 关注新生儿的细节 allow other to make decisions for her 愿意别人替她做决定

Psychological changes �Taking-hold phase 4 days~2 weeks more independent 更独立 manage her own body-function 管理自己的健康 express strong interest in caring the neonate 更有兴趣照顾小孩

Psychological changes �Letting-go phase redefine her role 重新定位自己的角色 accept all traits of her baby 接受孩子所有的特征

Care plan �Enough time for health education �Family-centered �Increase the woman’s self-esteem

Diet � Balanced nutrition with enough calories 有足够热量并有均衡营养的饮食 � Provide between-meal snack 每餐之间提供小吃 � Increase intake of fluid 摄入更多的汤饮

Rest and activity � Sleep as much as possible � Early ambulation according to the mother’s strength

Hygiene