The Postpartum Period The Postpartum Family Needs and

The Postpartum Period The Postpartum Family: Needs and Care Chapter 22 Maternal-Newborn & Child Nursing London, Ladewig, Ball & Bindler Prepared by Mary Ann Gagen Professor of Nursing

The Postpartum Family: Needs and Care • Clinical Pathway: For the Postpartum Period, pp 464 - 466

Nursing Management During the Early Postpartum Period • Nursing Diagnosis – Constipation r/t fear of tearing stitches AEB … – Family process alteration r/t inclusion of new member – Infection, HR for, r/t altered primary defenses during the postpartum period – Urinary elimination pattern alteration r/t sensory impairment during labor AEB… – Knowledge deficit r/t PP self-care AEB…Skin integrity impairment r/t surgical incision AEB… – Pain r/t PP physiologic changes AEB…

PP Nursing Management, cont’d • Promotion of Maternal Physical Well-being – Uterine status Table 22 -1, p 467 – Drug Guide, p 468 • Promotion of Comfort and Relief of Pain – – – Perineal discomfort Hemorrhoidal discomfort Afterpains Immobility Postpartum diaphoresis • Table 22 -3: Common PP drugs, p 470

The Postpartum Family: Needs and Care, cont’d • Suppression of lactation in the nonnursing mother • Promotion of rest and activity • Pharmacologic interventions

The Postpartum Family: Needs and Care, cont’d • Promotion of maternal psychologic well-being • Effective parent education • Parent – infant attachment • Promotion of family wellness

Nursing Management after Cesarean Birth • Promotion of maternal physical well-being • Promotion of parent-infant interaction after Cesarean birth

Discharge Information • Signs of possible complications • PP self care • “Hot-line”, agencies, support groups for special needs • Nutrition • PP appointment • Birth certificate • Basic infant care • S & Sx infant problems • Home visit/follow-up call

Sexual Activity and Contraception • Resumption of sexual activity • Teaching about… – pg 700 • Contraception – Chapter 3, pp 47 – 56 – Teaching about … pg 56

Questions?

Test question • The laboratory results of a postpartum woman are as follow: blood type, A; Rh status, positive (+); rubella titer, 1: 4; Hct, 30%; How would the nurse best interpret this data? • a. a blood transfusion should be given • b. Rubella vaccine should be given • c. A Kleinhauer-Betke test should be performed • d. Rh immune globulin is necessary within 72 hours of birth

Keep going… • Which of the following clients is most likely to experience strong afterpains? • a. She is a G 4 P 4004 • b. She is bottle-feeding her baby • c. She exhibited oligohydraminos • d. She had a baby that weighed 5 lb 3 oz