Question

Postpartum care and education for newly mother and family:

what are the indications

nursing intervntions

outcomes

client education

potential complication

Answer 1

POSTPARTUM CARE :

​​​​​​The care given to the mother and the child immediately after delivery of the baby and ends at 6 weeks in which the mother's body has nearly returned to pre pregnant stage is called as " postpartum care ".

Indications :

1. Sutural pain/ Episiotomy pain
2. Constipation/ Hemorrhoids
3. Vaginal bleeding
4. Fatigue
5. Breast tenderness

Nursing plan

Nursing interventions	Outcomes	Client education	Potential complication
Wound Dressing to the episiotomy region Comfortable position Sitz bath Medications as per physician order	Pain will reduce and feels comfortable	Educated about bathing after delivery to reduce infection Luke warm with dettol solution in a tub is used for sitz bath Menstrual hygiene	Infection at sutural region Sutural rupture
Educated to take liquid diet and semi solid solid for cesarean patients Educated to take more liquids High fiber diet If necessary use laxatives to maintain normal bowel pattern	Normal bowel pattern maintained	Educated about diet - more liquids at least 6 glasses per day , High fiber diet 2) postpartum exercises to reduce constipation and use regular medication for hemorrhoids	Constipation and Hemorrhoids will become worse if not treated
Monitor vaginal bleeding (colour,consistency, odour , amount) frequently Monitor vital signs 4th hourly Educated about signs of shock	Bleeding is normal and reduced	1)Educated about vaginal bleeding ,normal bleeding as regular menstrual bleeding upto 3 or 4 days and continuous upto 6 weeks 2)Educated about heavy bleeding like more than 6 pads per day and it's complications 3) Educated about iron rich diet and high protein diet 4) Educated about kegal exercises to reduce bleeding	Hemorrhagic shock Anaemia
Monitor vital signs frequently Educated about iron rich diet and protein rich diet Monitor signs of hemorrhagic shock	Reduced fatigue and feels comfortable	1) Educated about iron rich diet with plenty of vitamin c containing foods 2) Eat wide variety of vegetables , fruits with less fatty acid containing foods 3) Indicate giddiness , headache and light headedness immediately to health personnel	Hemorrhagic shock Anaemia
Educated About breast feeding technique Personal hygiene Hot application and breast massage when pain arises Use medications as per orders	Breast tenderness reduced	1) Educated about breast feeding technique 2) if the patient have cracked nipples or sore nipples , do not apply any medications without consulting and allow few drops of milk after feeding and leave the nipple open to air to dry 3) clean the nipples before feeding always to prevent infections for baby 4) Sit in comfortable position and use pillows for feeding the baby 5)Feed the baby on demand continuously 6) Breastfeeding is a natural contraception upto 6 months and maintain space for 2 years for next pregnancy	Breast engorgement if feeding technique is not well Breast infection Infections to the baby