Ú Puer ± ³child´, parere- ³to bring

forth´
Ú 6 weeks period after the delivery
of the baby.

  
Ú thereturn of the reproductive
organs to their non-pregnant
state.

 
 

Ú 
 ± occurs during the first 2 ± 3 days

postpartum. The woman¶s attention is focused
on her own needs for sleep and rest and she is
dependent on others.

Ú 
 ± extends from the 3rd day to 2

weeks postpartum. the woman begins to initiate
action. The concern of the mother at this time is
focused on her ability to control body function
and her ability to assume the mothering role.
6 the client can already start to do her usual
activities and touches the baby slowly
{  
Ú J  ± the woman finally redefines her
new role. The mother realizes the
individuality of her baby. She gives up her
role of being childless and she now adjusts
herself to meet the needs of her child

6 the client already assumes the

responsibility of being a mother. The
client holds her baby with a happy face.






Ú xlood loss in normal delivery is 300-500
ml. c/s(500-1000ml)
Ú xlood loss and diuresis in the postpartum
period contribute to reduction in blood
volume. 1st to 2nd week after birth


Ú {hloasma, palmar erythema, linea nigra
gradually disappear during the postpartum
period. Striae gravidarum do not
disappear and assumes a silvery white
appearance.
Ú 3  ± the decrease of the
uterine size is due to the decrease in
myometrial size and not to their number. The
sudden decrease in estrogen and
Progesterone now causes atrophy of
myometrial cells and consequently, a decrease
in uterine weight.1000g to 500g after a week
and after 6 weeks it return to prepregnant
state(50g)
Ú Œ - is assessed for firmness, position
and height. Measure the position or height of
the fundus by using the umbilicus as the
landmark. Immediately after delivery, the
fundus is located midway between the
umbilicus and the symphisis pubis then it rises
to the level of the umbilicus. It then descends
into the pelvic cavity by one fingerbreadth a
day.
^

 ± is due to the strong uterine
contractions. Afterpains are more common to
multiparas, women treated with oxytocin and
breastfeeding mothers. These afterpains are
present 2 to 3 days after childbirth.
£

%
Ú èxplain to the woman the cause and purpose
of afterpains.
Ú Keep bladder empty by regularly voiding, a
distended bladder increases afterpains.
Ú Instruct woman to assume prone position.
Ú Massage uterus gently.
Ú Never apply heat
Ú Administer Analgesics as ordered.
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Ú x

Ú Trauma to the bladder results in loss of
bladder tone. Loss of bladder tone results in
increased capacity of the bladder and
decreased sensation to void.
Ú èffects of bladder distention
Ú Hemorrhage
Ú Infection
Ú increase discomfort
Ú Atony of the bladder wall
Ú overflow incontinence
Measures to induce voiding
Ú provide privacy
Ú open faucet and let woman listen to running
water
Ú pour warm water over the perineum
Ú encourage the woman to practice kegel
exercise several times a day.
Ú liberal fluid intake
Ú º

± immediately after delivery the
vagina is smooth and swollen. After 2 to 3
weeks,
Ú Rugae reappears, but not as numerous as
before pregnancy. The vagina returns to its
prepregnant condition after 6 to 8 weeks but
does not regain its ³virginal state´.
Ú  ± is soft, edematous and relaxed
right after delivery. It regains its
prepregnant firmness after the first week
postpartum. but the external os does not
return to its original prepregnant condition
as it is lacerated during delivery.
Ú  ± The discomfort of episiotomy
does not last for more than a week.
Perineal care must be done and perilight
therapy after.
{
{  
   
 

Ú 3terine atony
Ú Lacerations
Ú Retained placental fragments
Ú Subinvolution
Ú Hematomas
Ú Puerperial infection
Ú 3rinary tract infection
Ú Mastitis
Ú thrombophlebitis
d