Postpartum Nursing. Postpartum or Puerperium. Period of 6 wks after delivery during which the reproductive system and the body returns to normal immediate--first 24 hrs early--first week late--2nd to 6th week. Dramatic Changes in every body system.
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Period of 6 wks after delivery during which the reproductive system and the body returns to normal
immediate--first 24 hrs
late--2nd to 6th week
Assess color, amt, odor, clots
More severe when breasfeeding in both primiparas and multiparas.
Check breasts for engorgement, nipple cracks, soreness
Note, transient glycosuria, proteinuria, and keytonuria are normal in immediate pp. period.
Signs of full postpartum bladder=uterus high and displaced to side (usually R)
Increase roughage and fluids, laxatives and suppositories--bowels normal by 1wk pp
700-1000 cc Csection
Shaking chill due to vasomotor instability
night sweats and increased odor
May do head and shoulder raises and lie on abdomen--ask MD about resumption of more vigourous activity
(other muscles may be weak due to the exertion of delivery and lactic acidosis)
The new mother must move from dependent to independent in a short time
Reva Rubins three stages of the postpartum
May last for several hours or days
Lasts from 2days to 1wk