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BSC SEM 6 UNIT 5 MIDWIFERY / OBSTETRIC AND GYNECOLOGY NURSING- I

UNIT 5 Postpartum care/Ongoing care of women

🌸 Postpartum (Puerperium) Care / Ongoing Care of Women

🔶 Definition of Postpartum Period:

The postpartum or puerperium period is the time after childbirth, lasting 6 weeks, during which the mother’s body returns to its pre-pregnant state, both physically and emotionally.


🔷 Objectives of Postpartum Care:

  1. Monitor and promote physical recovery from childbirth.
  2. Prevent postpartum complications.
  3. Support emotional and psychological adaptation to motherhood.
  4. Encourage and assist with breastfeeding.
  5. Provide health education and family planning advice.
  6. Support the family and involve them in care.

🔶 Key Components of Postpartum Care:

1. Physical Assessment and Monitoring

Performed regularly in the immediate, early, and late postpartum periods:

ParameterWhat to Monitor
Vital SignsBP, pulse, temperature, respiratory rate – for signs of infection, hemorrhage, preeclampsia.
Uterine InvolutionPalpate fundus for firmness and descent. A boggy uterus may indicate uterine atony.
LochiaType (Rubra, Serosa, Alba), amount, odor. Foul-smelling lochia may indicate infection.
Perineum & Episiotomy SiteCheck for pain, swelling, redness, hematoma, signs of infection.
BreastsEngorgement, nipple condition, lactation status.
Bladder FunctionEncourage voiding, check for retention or infection.
Bowel FunctionMonitor bowel movement, dietary intake, signs of constipation.
LegsCheck for signs of DVT – swelling, redness, tenderness.

2. Psychological and Emotional Support

  • Baby blues are common in the first week (tearfulness, irritability, anxiety).
  • Monitor for signs of Postpartum Depression or Psychosis – refer if needed.
  • Encourage emotional expression and reassure the mother.
  • Involve family in support and care.

3. Breastfeeding Support

  • Educate on:
    • Proper latch and positioning
    • Burping the baby
    • Signs of adequate milk intake
  • Manage problems:
    • Cracked nipples
    • Engorgement
    • Mastitis (refer if fever, pain, redness)
  • Encourage exclusive breastfeeding for 6 months.

4. Perineal Care

  • Educate mother on:
    • Perineal hygiene
    • Use of sitz baths
    • Pain relief measures (ice packs, analgesics)
    • Signs of infection
  • Monitor for hematoma or wound dehiscence.

5. Bladder and Bowel Care

  • Encourage early ambulation.
  • Adequate hydration and fiber-rich diet to prevent constipation.
  • Use stool softeners if required.
  • Monitor for urinary incontinence or infection.

6. Nutrition and Hydration

  • Nutritional counseling for:
    • Increased caloric needs during breastfeeding
    • Iron, calcium, and protein-rich diet
    • Adequate fluid intake
  • Supplements: Iron, calcium, folic acid as advised.

7. Rest and Sleep

  • Encourage rest between infant feeding schedules.
  • Educate family to support household responsibilities.

8. Postpartum Exercises

  • Teach pelvic floor (Kegel) exercises.
  • Gradual return to light physical activity.
  • Avoid strenuous activity until cleared by healthcare provider.

9. Family Planning and Sexual Health

  • Discuss return of fertility and contraception options.
  • Safe resumption of sexual activity (usually after 6 weeks).
  • Importance of spacing pregnancies.

10. Education and Counseling

  • Self-care practices
  • Newborn care and danger signs
  • Follow-up visits (usually at 6 weeks)
  • Immunization schedule for infant

🔷 Nursing Interventions and Role of Midwife

AreaNursing Role / Midwifery Action
AssessmentRegular monitoring, documentation, early identification of complications.
Health EducationBreastfeeding, hygiene, nutrition, danger signs.
Emotional SupportBuild rapport, active listening, provide reassurance.
ReferralIdentify and refer cases of infection, depression, hemorrhage.
Family InvolvementEducate family members to support the mother.
AdvocacyEnsure mother’s rights and preferences are respected.

🔷 Complications to Watch For (and Nursing Response):

ComplicationNursing Response
Postpartum HemorrhageFundal massage, administer uterotonics, alert medical team.
Infection (UTI, endometritis, mastitis)Monitor temp, antibiotics, promote hygiene.
DVTEarly ambulation, monitor leg swelling/pain, refer.
Puerperal SepsisRecognize early signs, maintain asepsis, urgent referral.
Postpartum DepressionEmotional support, screen using tools like EPDS, refer to mental health services.

🔷 Follow-Up and Discharge Planning

  • Ensure mother knows:
    • When to seek help (fever, excessive bleeding, depression)
    • Date of postpartum check-up (usually at 6 weeks)
    • Neonatal care and immunization schedule

🔷 Summary Table:

Area of CareFocus
PhysicalUterus, lochia, perineum, breasts, vitals
EmotionalPsychological adaptation, depression signs
EducationBreastfeeding, hygiene, contraception
NutritionIron-rich, protein diet; hydration
FamilyInvolvement, support, education

🌸 Normal Puerperium (Normal Postpartum Period)

🔷 Definition:

The puerperium (also called the postpartum period) is the time following childbirth during which the woman’s body returns to its pre-pregnant physiological state, except for the lactating breasts.


🔷 Duration of Puerperium:

StageDurationDescription
ImmediateFirst 24 hours after deliveryFocus on vital signs, hemorrhage risk, and uterine contraction
EarlyUp to 7 days postpartumInvolution begins, lochia, breastfeeding starts
Late6 weeks (42 days) postpartumComplete involution of reproductive organs and return to normal function

🔶 PHYSIOLOGICAL CHANGES DURING PUERPERIUM

These are system-wise changes that occur in a normal postpartum woman:


1. 🧠 General/Systemic Changes

  • Hormonal levels decline (estrogen and progesterone drop sharply).
  • Prolactin rises (if breastfeeding).
  • Body gradually returns to non-pregnant metabolic state.
  • Postpartum chills or sweating is common (due to hormone shift and fluid loss).

2. 👩‍⚕️ Reproductive System

A. Uterus – Involution

AspectDetails
SizeShrinks from 1000g to ~50-100g in 6 weeks
Fundal heightImmediately after delivery: midway between umbilicus and symphysis pubis; rises to umbilicus in 12 hours, then descends 1 cm/day
PositionMidline, firm on palpation
Failure of involutionCalled subinvolution – may be due to infection, retained products, etc.

B. Lochia – Vaginal Discharge

TypeDurationDescription
Lochia RubraDay 1–3Red, blood + decidua
Lochia SerosaDay 4–10Pinkish-brown, serous fluid + leukocytes
Lochia AlbaDay 11–14 (up to 6 weeks)Whitish/yellow, mucus + leukocytes

Abnormal signs: Foul odor, excessive bleeding, clots – may indicate infection or retained placenta.

C. Cervix and Vagina

  • Cervix remains soft, flabby; regains tone in 1 week.
  • Cervical os changes from circular (nullipara) to slit-like (multipara).
  • Vagina regains tone gradually; pelvic floor exercises (Kegels) help.

D. Ovaries and Menstruation

  • Non-lactating: Menses return by 6–8 weeks.
  • Lactating: Menstruation delayed (prolactin suppresses ovulation).

3. 🤱 Breasts and Lactation

  • Colostrum secreted first 2–3 days (rich in antibodies).
  • Milk comes in ~day 3–5 postpartum.
  • Engorgement, let-down reflex, nipple changes observed.
  • Hormones: Prolactin (milk production), Oxytocin (milk ejection).
  • Nursing care: Support breastfeeding, manage sore nipples, teach proper latch.

4. 🚽 Urinary System

  • Increased diuresis (fluid loss) first 2–3 days.
  • Risk of urinary retention (due to trauma, edema, anesthesia).
  • Full bladder can displace uterus → risk of hemorrhage.

5. 💩 Gastrointestinal System

  • Appetite increases.
  • Constipation common due to fear of pain, reduced motility, iron intake.
  • Encourage fluids, high-fiber diet, and ambulation.

6. 🩸 Circulatory System

  • Blood volume returns to normal within 1–2 weeks.
  • Hematocrit may fluctuate.
  • Clotting factors remain elevated → risk of thromboembolism.
  • Leg assessment important (for signs of DVT).

7. 🦵 Musculoskeletal System

  • Joints regain tone.
  • Diastasis recti (separation of abdominal muscles) may occur.
  • Encourage gentle exercises to regain strength.

8. 😌 Psychological Changes

  • Postpartum blues: Mild mood swings, tearfulness, resolves in ~1 week.
  • Monitor for Postpartum depression or psychosis.
  • Support, rest, family involvement essential.

🔷 Nursing Role in Normal Puerperium:

Focus AreaNursing Interventions
UterusFundal massage, monitor involution
LochiaObserve amount, type, odor
PerineumHygiene education, pain relief
BreastsSupport breastfeeding, prevent engorgement
Bladder/BowelPromote elimination, prevent UTI/constipation
NutritionEncourage balanced diet, hydration
RestEncourage naps, limit visitors if needed
EducationSelf-care, newborn care, contraception
Emotional SupportWatch for mood changes, encourage bonding

🔷 Health Education for Mother:

  • Personal hygiene (especially perineal)
  • Signs of infection or danger: Fever, foul lochia, pain, bleeding
  • Breast care and breastfeeding techniques
  • Contraception advice
  • Exercise and rest balance
  • Follow-up visit at 6 weeks postpartum

🌺 PHYSIOLOGY OF PUERPERIUM

(Normal Postpartum Recovery Changes)

🔷 Definition:

Puerperium is the period following childbirth during which the mother’s reproductive organs and body systems return to the pre-pregnant physiological state, excluding the breasts (which adapt for lactation).

⏳ Duration: Approximately 6 weeks (42 days) after delivery
📍 Divided into:

  • Immediate Puerperium (First 24 hours)
  • Early Puerperium (Up to 7 days)
  • Late Puerperium (Up to 6 weeks)

🔶 SYSTEM-WISE PHYSIOLOGICAL CHANGES


1. 🧠 Endocrine System

  • Estrogen & Progesterone: Sharp decline after delivery of placenta.
  • Prolactin: Increases in breastfeeding women; stimulates milk production.
  • Oxytocin: Stimulated by suckling; promotes milk let-down and uterine contractions.
  • hCG, hPL, relaxin: Rapidly disappear from circulation.

2. 👩‍⚕️ Reproductive System

A. Uterus – Involution

  • Uterus shrinks from ~1000g to ~50–100g over 6 weeks.
  • Fundal height decreases ~1 cm/day postpartum.
  • Physiological contraction & autolysis of uterine muscle cells leads to shrinking.
  • Subinvolution = failure to involute normally (abnormal).

B. Lochia (Postpartum Vaginal Discharge)

TypeDaysContents
Lochia Rubra1–3Blood, fragments of decidua
Lochia Serosa4–10Serous fluid, leukocytes
Lochia Alba11–14 (can last up to 6 weeks)Mucus, leukocytes, epithelial cells

Lochia has a fleshy odor — foul smell may indicate infection.

C. Cervix & Vagina

  • Cervix becomes soft and gradually regains tone.
  • Os changes from round (nullipara) to slit-like (multipara).
  • Vaginal tissues regain elasticity, especially in non-lactating women.

D. Ovaries & Menstruation

  • Non-lactating: Ovulation returns in 6–8 weeks.
  • Lactating: Suppressed ovulation due to high prolactin levels.
  • Menstruation may be delayed in breastfeeding mothers (lactational amenorrhea).

3. 🤱 Breasts and Lactation

  • Colostrum secreted in first 2–3 days — rich in antibodies.
  • Mature milk follows (~day 3–5).
  • Breast changes: enlargement, tenderness, warmth during engorgement.
  • Milk let-down reflex due to oxytocin.

4. 🚽 Urinary System

  • Diuresis (increased urine output) for 2–3 days due to hormonal changes and fluid shift.
  • Risk of urinary retention and UTI due to edema, trauma, or anesthesia.
  • Dilated ureters and renal pelvis gradually return to normal.

5. 💩 Gastrointestinal System

  • Appetite returns.
  • Constipation is common due to decreased bowel motility, fear of pain, dehydration.
  • Hemorrhoids may persist or worsen temporarily.

6. 🩸 Cardiovascular System

  • Blood volume reduces (diuresis + bleeding).
  • Cardiac output remains high for 48 hours, then normalizes.
  • WBC count may remain elevated for 1 week.
  • Clotting factors stay elevated — ↑ risk of thromboembolism.

7. 🦵 Musculoskeletal System

  • Joints return to pre-pregnancy state gradually.
  • Abdominal wall is soft; diastasis recti may be present.
  • Exercises help strengthen abdominal and pelvic muscles.

8. 😌 Psychological/Emotional Changes

  • “Baby blues” (mild sadness, tearfulness): seen in first week due to hormonal shift, sleep deprivation.
  • Monitor for Postpartum Depression or Psychosis — especially in high-risk women.
  • Emotional support and family involvement are essential.

🔷 Summary Table

SystemPhysiological Change
UterusInvolution, uterine shrinkage
LochiaRubra → Serosa → Alba
BreastsLactation begins (Colostrum → Milk)
HormonesDrop in estrogen/progesterone; rise in prolactin & oxytocin
OvariesDelayed ovulation (if lactating)
BladderDiuresis; possible retention
BowelConstipation common
HeartHigh cardiac output; risk of clotting
EmotionsMood swings, baby blues

🌸 Postnatal Assessment

(Maternal Assessment After Childbirth)
📅 Time Frame: Begins immediately after delivery and continues through the first 6 weeks of the puerperium.


🔷 Objectives of Postnatal Assessment:

  1. Monitor the mother’s physical and emotional recovery.
  2. Detect and manage early postpartum complications.
  3. Assess breastfeeding success and newborn care.
  4. Provide health education and promote maternal well-being.

🔶 TIMING OF POSTNATAL ASSESSMENTS

TimingKey Actions
Immediate (within 1–2 hrs)Monitor vitals, uterine firmness, bleeding
Early (first 24 hrs)Frequent assessments of vitals, uterus, lochia, bladder
First weekMonitor involution, breastfeeding, nutrition, perineal care
6-week follow-upComprehensive review of physical and emotional health, menstruation, contraception, etc.

🔷 COMPONENTS OF POSTNATAL ASSESSMENT (HEAD-TO-TOE)


1. 🧠 General Appearance and Vital Signs

  • Temperature: Monitor for infection (>38°C is abnormal).
  • Pulse: Should be normal; tachycardia may indicate blood loss or infection.
  • BP: Watch for hypertension (e.g., postpartum preeclampsia) or hypotension (shock).
  • Respiration: Observe for dyspnea or abnormal patterns.

2. 👀 Psychological & Emotional Status

  • Mood, bonding with baby
  • Signs of postpartum blues, depression, or psychosis
  • Sleep pattern and fatigue level

3. 👶 Breast Assessment

ParameterObservations
Size & ShapeSymmetry, fullness
NipplesInverted, flat, cracked, bleeding
AreolaSoft or engorged
MilkColostrum or mature milk present
ComplaintsPain, engorgement, mastitis signs

4. 👕 Abdominal Assessment

  • Uterine involution (fundus should descend 1 cm/day)
  • Fundal height and position (midline and firm)
  • Any signs of subinvolution or uterine atony
  • Check for diastasis recti (separation of abdominal muscles)

5. 👗 Perineal and Genital Area Assessment

Use REEDA Scale for Episiotomy or Laceration:

  • R – Redness
  • E – Edema
  • E – Ecchymosis (bruising)
  • D – Discharge (lochia)
  • A – Approximation of wound edges

Also observe:

  • Hemorrhoids
  • Perineal pain or discomfort
  • Hygiene practices

6. 💉 Lochia Assessment

FeatureNormal Findings
TypeRubra (1–3 days), Serosa (4–10 days), Alba (11–14+ days)
AmountModerate to scant
OdorFleshy, not foul

Excessive bleeding, clots, or foul smell = abnormal


7. 🚽 Bladder Function

  • Frequency and ease of urination
  • Signs of urinary retention or infection (burning, urgency, foul smell)
  • Palpate for bladder distention if uterus is displaced

8. 💩 Bowel Function

  • Return of bowel sounds
  • Passing flatus or stool
  • Constipation or hemorrhoids present
  • Appetite and fluid intake

9. 🦵 Lower Limb Examination

  • Observe for swelling, redness, warmth (signs of DVT)
  • Encourage early ambulation
  • Assess for pain or cramping in calves

10. 💊 Nutritional Status and Hydration

  • Adequacy of diet (especially for breastfeeding)
  • Fluid intake
  • Iron, calcium, and vitamin supplementation

11. ❤️ Bonding and Mother-Baby Interaction

  • Eye contact, touch, response to baby’s cues
  • Confidence in infant care tasks
  • Teach and observe bathing, feeding, and hygiene practices

🔷 SPECIAL TOOLS USED

  • BUBBLE-HE framework for memory:
    • B – Breasts
    • U – Uterus
    • B – Bowel
    • B – Bladder
    • L – Lochia
    • E – Episiotomy/Perineum
    • H – Homan’s Sign (for DVT)
    • E – Emotional Status

🔷 Nursing Responsibilities in Postnatal Assessment:

TaskAction
MonitoringRegular charting of vitals, lochia, uterus
EducationBreastfeeding, perineal care, contraception
Emotional SupportRecognize mood changes, support bonding
ReferralPromptly refer for infection, depression, hemorrhage
DocumentationAccurate and timely recording of findings

🔷 Summary Checklist:

✅ Vitals
✅ Uterine involution
✅ Lochia type and amount
✅ Perineum and episiotomy site
✅ Breast condition
✅ Bladder and bowel habits
✅ Nutrition and rest
✅ Emotional and psychological status
✅ Bonding and newborn care
✅ Contraceptive counseling

🏥 Postnatal Care – Facility for Postnatal Women

Postnatal care facilities are designed to provide physical, emotional, and educational support to mothers during the puerperium period (first 6 weeks after childbirth).


🔷 Types of Postnatal Care Facilities

TypeDescription
Hospital Maternity WardImmediate care for mothers (usually 24–72 hrs) after delivery
Postnatal WardExtended observation after complicated births (e.g., C-section, preterm)
Primary Health Centres (PHC)Basic postnatal services in rural/semi-urban areas
Community Health Centres (CHC)24×7 maternal health services, trained staff for deliveries and postnatal care
Maternity Homes/Nursing HomesPrivate setups for routine postnatal care
Home-based Postnatal CareOutreach services by ASHA, ANM, or midwives in the community
Mother & Baby Friendly ClinicsSpecialized outpatient clinics offering breastfeeding support, immunization, health education

🔶 Core Services Provided at Postnatal Care Facilities

1. 🩺 Medical & Nursing Assessments

  • Regular monitoring of vital signs, uterine involution, lochia, wound healing, etc.
  • Early identification of infection, hemorrhage, or hypertension.

2. 🤱 Lactation Support

  • Breastfeeding education
  • Management of sore nipples, engorgement, mastitis
  • Breast care teaching

3. 🧼 Perineal & Surgical Site Care

  • Episiotomy/stitch care
  • C-section wound care
  • Pain management

4. 🧠 Psychological and Emotional Support

  • Counseling for postpartum depression, anxiety, baby blues
  • Support for bonding and maternal confidence

5. 💊 Medication and Supplementation

  • Iron, calcium, vitamin supplements
  • Analgesics, antibiotics (if needed)
  • Immunizations for mother (e.g., Tetanus, Rubella if needed)

6. 🍲 Nutrition and Hygiene Guidance

  • Diet counseling for breastfeeding mothers
  • Personal hygiene education (especially perineal care)

7. 👶 Newborn Care Support

  • Guidance on feeding, bathing, immunization
  • Danger signs and when to seek help

8. ♀️ Family Planning Services

  • Counseling and provision of contraceptives
  • Lactational amenorrhea method (LAM)
  • Referral for IUDs, sterilization if desired

🔷 Staffing at Postnatal Care Facilities

PersonnelRole
MidwifeProvides primary care, assessments, education
Nurse (Maternal & Child Health)Ongoing monitoring, emotional support, newborn care
Obstetrician/GynaecologistManagement of complications, surgeries
PediatricianNewborn checks, immunizations
CounselorMental health support, family planning advice
ASHA/ANM (in rural settings)Community-level follow-up, health education, referral services

🔶 Infrastructure Requirements for Postnatal Facilities

  • Clean, private recovery beds with good ventilation
  • Breastfeeding/lactation counseling area
  • Sanitation and handwashing facilities
  • Basic diagnostic and emergency equipment
  • Neonatal resuscitation area
  • Storage for essential drugs and immunizations

🔷 Government Guidelines in India (Example)

Under National Health Mission (NHM) and Janani Suraksha Yojana (JSY):

  • Mothers are entitled to 48 hours of facility-based postnatal care.
  • Free transport, medication, food, and counseling are provided.
  • Home-based Newborn and Postnatal Care (HBNC) visits by ASHA workers.

🔶 Nursing Responsibilities in Postnatal Facilities

AreaNursing Role
Physical CareMonitor vitals, uterus, lochia, stitches
Emotional SupportActive listening, psychological care
EducationSelf-care, baby care, warning signs
BreastfeedingPositioning, troubleshooting
DocumentationRecord assessments, report abnormalities
CoordinationLiaise with doctors, counselors, health workers
Discharge PlanningEducate mother before discharge, give follow-up date

🔷 Postnatal Discharge Checklist (Before Leaving Facility)

✅ Stable vital signs
✅ Uterus well contracted
✅ Normal lochia
✅ Pain managed
✅ Breastfeeding established
✅ Education provided (nutrition, hygiene, danger signs)
✅ Baby feeding well and passed urine/stool
✅ Family planning advice
✅ Follow-up appointment given

🏡 Home-Based Care for Postnatal Women

(Home-Based Postnatal Care – HBPNC)

🔷 Definition:

Home-based postnatal care refers to supportive healthcare services provided to a mother at her home after childbirth, especially during the first 6 weeks postpartum, to promote recovery, prevent complications, and educate the family.


🔶 Importance of Home-Based Postnatal Care:

  • Ensures continuity of care after hospital discharge
  • Facilitates early detection of postpartum and newborn complications
  • Strengthens mother-infant bonding
  • Educates family and mother on hygiene, nutrition, infant care
  • Reduces maternal and neonatal mortality, especially in rural/low-resource settings

🔷 Target Group:

  • All postpartum women, especially:
    • Those discharged early (within 24–48 hours)
    • Women in rural or tribal areas
    • High-risk mothers (anemia, C-section, teenage mothers)
    • Newborns with low birth weight or special needs

🔶 Services Provided During Home-Based Postnatal Care

Service AreaWhat is Done at Home
Maternal AssessmentVitals, uterine involution, lochia, perineal wound/stitches
Breastfeeding SupportPositioning, latch, milk flow, manage sore nipples
Perineal/Wound CareHygiene education, infection prevention
Nutrition CounselingIron/protein-rich diet, fluid intake
Emotional Well-beingObserve mood, support for depression or anxiety
Newborn AssessmentBreathing, feeding, weight gain, danger signs
Family PlanningLAM method, contraceptive counseling
Hygiene & SanitationHandwashing, clean practices in mother and infant care
ImmunizationEducate on vaccine schedule, refer if due

🔷 Schedule of Home Visits (As per Government Guidelines – India)**

By ASHA/ANM under NHM (Home-Based Newborn Care + PNC):

Day of VisitPurpose
Day 1 (within 24 hrs of discharge)Check for bleeding, breastfeeding, baby feeding
Day 3Monitor uterus, lochia, breastfeeding
Day 7Look for signs of infection, mother and baby wellness
Day 14Continue counseling, newborn weight
Day 21 & 28Immunization info, address family concerns
42nd day (6 weeks)Final postnatal check-up & family planning advice

High-risk mothers may need more frequent visits.


🔶 Healthcare Workers Involved in Home-Based Postnatal Care:

WorkerRole
ASHA (Accredited Social Health Activist)Conducts scheduled home visits, basic assessments, health education
ANM (Auxiliary Nurse Midwife)Skilled care in complications, referrals, administers immunizations
Midwife/Community NurseCounseling, newborn care, breastfeeding support
Anganwadi WorkerNutrition support, health education, record maintenance

🔷 Key Nursing Responsibilities in Home-Based Postnatal Care:

AreaNursing Action
Physical AssessmentCheck uterus, lochia, breast condition, perineum
Emotional SupportRecognize postpartum blues, listen actively
Health EducationBreastfeeding, hygiene, nutrition, newborn care
ReferralIdentify complications and refer immediately
DocumentationMaintain Mother-Child Protection Card, HBNC register
Follow-upEnsure scheduled check-ups and immunization
Family InvolvementEducate husband, mother-in-law, caregivers

🔶 Maternal Danger Signs to Watch at Home:

✅ Heavy vaginal bleeding
✅ Foul-smelling lochia
✅ Fever > 100.4°F (38°C)
✅ Severe abdominal or perineal pain
✅ Swelling, pain in legs (possible DVT)
✅ Signs of depression or withdrawal


🔶 Baby Danger Signs to Report Immediately:

✅ Difficulty feeding or not feeding
✅ Fast or difficult breathing
✅ Fever or cold to touch
✅ Convulsions
✅ Yellowing of eyes/palms (jaundice)
✅ Umbilical redness or pus discharge


🔷 Advantages of Home-Based Postnatal Care

  • Builds trust between health worker and family
  • Addresses cultural beliefs in real settings
  • Reduces need for travel, especially in rural areas
  • Promotes comprehensive, personalized care

📋 Summary Table:

ComponentDetails
DurationFirst 6 weeks after delivery
VisitsAt least 6 visits (Day 1, 3, 7, 14, 21, 28, and 42)
ServicesAssessment, breastfeeding help, hygiene, nutrition, FP counseling
ProviderASHA, ANM, Midwife
FocusEarly detection of complications, mother-infant wellness

🌺 Postpartum Perineal Hygiene and Care

🔷 Definition:

Postpartum perineal care refers to cleaning, monitoring, and managing the perineal area (area between vagina and anus) after vaginal delivery, especially in women with episiotomy, lacerations, or swelling.


🔶 Importance of Perineal Care:

  • Promotes healing of tears or episiotomy stitches
  • Prevents infection and odor
  • Reduces pain, swelling, and discomfort
  • Maintains maternal hygiene and confidence
  • Enhances early mobility and comfort

🔷 Nursing/Midwifery Assessment of the Perineum

Use the REEDA Scale to assess episiotomy or perineal healing:

RRedness
EEdema (Swelling)
EEcchymosis (Bruising)
DDischarge (Lochia, pus, odor)
AApproximation of wound edges (healing of stitches)

📝 Document findings daily and report abnormalities.


🔶 General Guidelines for Perineal Hygiene:

  1. Wash hands before and after perineal care
  2. Use clean, warm water for washing
  3. Gently pat dry the area from front to back (vagina to anus)
  4. Change sanitary pads every 4–6 hours or when soaked
  5. Avoid using perfumed soaps or antiseptics directly on the perineum
  6. Wear loose, cotton undergarments and change frequently

🔷 Nursing Interventions for Perineal Care:

InterventionPurpose
Perineal wash (peri-wash) with warm water 2–3 times/dayKeeps area clean, prevents infection
Sitz bath (warm shallow bath) 2–3 times/dayReduces pain, promotes blood flow and healing
Ice packs in first 24 hoursReduces swelling and numb pain
Topical antiseptic sprays/creams (if prescribed)Provides pain relief, prevents infection
Analgesics or anti-inflammatory drugsReduces pain and discomfort
Tight stitch monitoringFor signs of pain, gaping, infection, hematoma

🔷 Patient Education for Mothers:

✅ How to clean perineal area
✅ Importance of changing pads frequently
✅ Signs of infection: foul-smelling discharge, fever, increasing pain
✅ How to do a sitz bath at home
✅ Encourage Kegel exercises to restore pelvic tone
✅ Advise sexual abstinence until 6 weeks postpartum or until healing is complete


🔶 Signs That Require Immediate Medical Attention:

🚩 Foul-smelling or purulent discharge
🚩 Persistent or worsening perineal pain
🚩 Fever > 100.4°F (38°C)
🚩 Swelling or hematoma formation
🚩 Gaping or dehiscence of stitches


🔷 Role of Midwife/Nurse:

  • Assess perineum regularly using REEDA
  • Assist with first perineal care post-delivery
  • Educate mother on hygiene and care practices
  • Encourage compliance with sitz baths and pain relief
  • Report and refer if infection, hematoma, or delayed healing is noted
  • Promote emotional support and respect mother’s privacy

📋 Summary Chart

AspectDetails
MethodPerineal wash, sitz bath, pad change, front-to-back cleaning
ToolsWarm water, clean towel, antiseptic spray (if advised), ice packs
Frequency2–3 times daily and after passing urine/stool
Nursing RoleAssessment, education, documentation, emotional support
Education FocusSelf-hygiene, warning signs, home care

🚽 Postpartum Bladder Function and Care

🔷 Overview:

After childbirth, many women experience changes in bladder function due to trauma, swelling, anesthesia, or hormonal effects. Proper care is essential to restore normal voiding, prevent complications, and support recovery.


🔶 1. Normal Postpartum Changes in Bladder Function

Physiological ChangesExplanation
Increased diuresisBody eliminates excess fluids (especially in first 48–72 hours)
Decreased bladder toneDue to hormonal effects and pressure during labor
Reduced sensation to voidFrom perineal trauma, edema, or epidural anesthesia
Displacement of uterusFull bladder can push uterus upward, affect involution
Risk of retentionCommon especially after prolonged labor or C-section

🔷 2. Nursing Assessment of Bladder Function

✅ Time of first void after delivery
✅ Frequency and amount of urination
✅ Difficulty, pain, or burning while voiding
✅ Signs of urinary retention (full bladder, no urge, small voids)
✅ Distended bladder on palpation
✅ Urine color, odor, and clarity


🔶 3. Signs of Urinary Complications

ConditionSymptoms
Urinary RetentionInability to void, distended bladder, discomfort
Infection (UTI)Burning, frequency, urgency, foul-smelling urine, fever
Bladder atonyWeak or absent bladder contractions
IncontinenceLeakage of urine due to pelvic floor weakness

🔷 4. Bladder Care – Nursing Interventions

InterventionPurpose
Encourage early ambulationStimulates normal voiding reflex
Provide privacy and comfortHelps relax and initiate voiding
Use warm water over perineumStimulates reflex urination (especially for first void)
Monitor intake and output (I/O charting)Detect retention or inadequate output
Palpate for bladder distentionIf uterus is not midline or firm
Catheterization (if needed)Temporary, for retention >6 hours after delivery
Educate about pelvic floor exercisesImproves tone, reduces incontinence risk

🔶 5. Postpartum Bladder Care After C-section or Anesthesia

  • Assess return of bladder sensation post-anesthesia
  • Remove indwelling catheter (usually within 12–24 hrs post-C-section)
  • Monitor first void after removal
  • Educate about avoiding bladder overdistention

🔷 6. Patient Education

✅ Void every 2–3 hours, even without urge
Report burning, urgency, or difficulty in urinating
✅ Drink at least 2–3 liters of water daily unless contraindicated
✅ Maintain perineal hygiene to prevent infection
✅ Do Kegel exercises to restore pelvic floor tone
✅ Avoid caffeine or carbonated drinks if experiencing irritation


🔶 7. Nursing Responsibilities

TaskAction
MonitoringTimely assessment of voiding pattern and urine output
DocumentationRecord frequency, volume, and characteristics of urine
SupportReassure and provide comfort to anxious mothers
Early DetectionIdentify signs of retention, UTI, or atony
CoordinationInform physician if catheterization or antibiotics needed
Health EducationTeach pelvic floor exercises, hygiene, fluid intake

🔷 Summary Chart

Focus AreaNormal CareWarning Signs
VoidingWithin 6 hrs of deliveryNo void after 6 hrs
FrequencyEvery 2–3 hrsPain, burning, retention
Output>150–200 ml per void<100 ml, dribbling
AssessmentPalpate for fullness, ask about discomfortDistention, uterine displacement
HygieneWipe front to back, clean perineum after voidFoul smell, fever

🌸 Minor Disorders of Puerperium and Their Management

These are non-life-threatening, commonly experienced physical or psychological issues occurring in the postnatal period (first 6 weeks after childbirth), due to physiological and anatomical adjustments.


🔶 1. Afterpains (Uterine cramps)

CauseIntermittent uterine contractions during involution, especially in multiparas or breastfeeding women
SymptomsCramp-like pain in lower abdomen, worse during breastfeeding
Management
  • Reassure mother: normal sign of uterine involution
  • Mild analgesics (Paracetamol or Ibuprofen)
  • Warm compress to lower abdomen
  • Encourage urination (full bladder worsens pain)

🔶 2. Perineal Discomfort or Pain

CauseDue to episiotomy, lacerations, swelling, or hemorrhoids
SymptomsPain, difficulty sitting or walking
Management
  • Sitz bath 2–3 times/day
  • Local antiseptic ointments (if prescribed)
  • Ice packs in first 24 hours
  • Analgesics as ordered
  • Maintain perineal hygiene

🔶 3. Breast Engorgement

CauseMilk stasis due to delayed or poor breastfeeding technique
SymptomsSwollen, hard, painful breasts; may lead to mastitis
Management
  • Encourage frequent breastfeeding
  • Manual expression or warm compress before feeding
  • Cold compress after feeding
  • Supportive bra
  • Pain relief if needed

🔶 4. Constipation

CauseReduced bowel motility, fear of pain, dehydration, iron supplements
SymptomsHard stools, straining, abdominal discomfort
Management
  • High-fiber diet (fruits, vegetables, whole grains)
  • Increased fluid intake
  • Mild laxatives or stool softeners (as prescribed)
  • Encourage early ambulation

🔶 5. Hemorrhoids (Piles)

CausePressure during delivery or constipation
SymptomsPain, itching, bleeding during defecation
Management
  • Sitz baths
  • High-fiber diet and hydration
  • Local ointments for pain or swelling
  • Avoid prolonged sitting
  • Gentle cleaning after bowel movement

🔶 6. Urinary Incontinence

CauseWeak pelvic floor muscles, nerve trauma during birth
SymptomsDribbling or leakage of urine on coughing/laughing
Management
  • Teach Kegel exercises
  • Reassure – usually temporary
  • Refer for pelvic floor physiotherapy if persistent

🔶 7. Urinary Retention

CauseEdema, pain, anesthesia effect, perineal trauma
SymptomsDifficulty initiating urination, incomplete voiding
Management
  • Encourage privacy and relaxed position
  • Warm water pour over perineum
  • Analgesics if pain is the cause
  • Catheterization if unable to void for >6 hours

🔶 8. Backache

CauseMuscle strain, poor posture, spinal anesthesia
SymptomsDull or sharp pain in lower back
Management
  • Correct posture while sitting/feeding
  • Apply warm compresses
  • Gentle stretching exercises
  • Analgesics if necessary

🔶 9. Fatigue and Sleep Disturbances

CauseHormonal changes, baby care, lack of rest
SymptomsTiredness, irritability, mood changes
Management
  • Encourage rest and sleep when the baby sleeps
  • Family support in newborn care
  • Reassurance, proper nutrition, hydration

🔶 10. Night Sweats/Chills

CauseHormonal changes, fluid shift post-delivery
SymptomsSweating during night, shivering without fever
Management
  • Keep bedding light and breathable
  • Reassure – it’s temporary
  • Monitor for fever (may indicate infection)

🔶 11. Postpartum Blues

CauseHormonal fluctuation, emotional adjustment
SymptomsTearfulness, mood swings, anxiety, mild sadness (first 7–10 days)
Management
  • Reassurance and emotional support
  • Encourage open communication
  • Family involvement
  • Monitor for worsening (may lead to postpartum depression)

📋 Summary Table

Minor DisorderKey Management
AfterpainsAnalgesics, warmth, frequent urination
Perineal painIce, sitz bath, hygiene
Breast engorgementBreastfeeding support, cold/warm compress
ConstipationDiet, fluids, laxatives
HemorrhoidsSitz bath, ointments, fiber intake
IncontinenceKegel exercises
Urinary retentionWarm water trickle, catheter if needed
BackacheRest, posture, warm compress
FatigueRest, family help
Chills/Night sweatsLight clothing, monitor fever
BluesSupport, monitor mood, reassure

🌸 POSTPARTUM BOWEL FUNCTION AND CARE


🧠 1. Physiological Changes in Bowel Function Postpartum

  • Decreased Bowel Activity: Common in the first 2–3 days postpartum due to:
    • Effects of progesterone (smooth muscle relaxant)
    • Reduced abdominal tone after delivery
    • Dehydration from labor or blood loss
    • Pain and fear of defecation (especially with perineal tears/episiotomy)
    • Opioid analgesics which may cause constipation
  • Delayed First Bowel Movement:
    • Many women do not pass stool until 2nd to 3rd postpartum day
    • Especially in cesarean sections, where bowel motility takes longer to return

🩺 2. Nursing Assessment of Bowel Function

Midwives should assess the following:

ParameterDetails
🔄 Last bowel movementDate, time, ease or difficulty
🍽️ Dietary intakeFiber and fluid intake
💊 MedicationsUse of iron, painkillers (especially opioids)
🤕 Perineal conditionEpisiotomy, lacerations, swelling or pain
Signs of constipationStraining, abdominal distension, hard stools
🔍 Bowel soundsEspecially after cesarean section

💉 3. Nursing Interventions for Postpartum Bowel Care

✅ Routine Interventions:

  1. Hydration: Encourage 8–10 glasses of fluids/day (water, juices, soups).
  2. Diet:
    • High-fiber foods: whole grains, vegetables, fruits
    • Warm fluids in the morning to stimulate peristalsis
  3. Early Ambulation: Encourage walking to stimulate bowel motility
  4. Stool Softeners: Prescribed as needed (e.g., Docusate sodium)
  5. Laxatives: Mild ones like lactulose, if no bowel movement by 3rd day
  6. Pain Management:
    • Adequate relief reduces fear of bowel movement
    • Cold packs/sitz baths may relieve perineal discomfort

🛌 Special Care Post-Cesarean:

  • NG tube care (if placed)
  • Monitor for flatus and signs of bowel movement
  • No solid food until bowel sounds return
  • Advance diet gradually: clear → full liquids → soft → regular

👩‍⚕️ 4. Education and Counseling

  • Reassure that delayed bowel movement is normal in early postpartum
  • Instruct on proper toileting posture to reduce straining
  • Teach perineal hygiene after defecation to prevent infection
  • Educate on warning signs:
    • Persistent constipation
    • Severe abdominal pain
    • Rectal bleeding
    • Painful defecation with hemorrhoids

🛡️ 5. Preventing and Managing Common Issues

🔹 Constipation:

  • Encourage prevention rather than treatment
  • Early intervention with stool softeners
  • Address psychological fear (e.g., fear of stitches tearing)

🔹 Hemorrhoids:

  • Apply witch hazel pads, sitz baths
  • Encourage gentle wiping and use of soft toilet paper

🔹 Gas and Bloating:

  • Avoid gas-forming foods (beans, carbonated drinks)
  • Gentle abdominal massage may help
  • Ambulation is key

📌 6. Documentation in Midwifery Care

Record:

  • Bowel movement frequency and characteristics
  • Interventions provided (dietary, medications)
  • Client’s complaints, discomfort
  • Education given
  • Outcomes and follow-up needs

📚 Summary for Midwifery Students/Nurses:

Key PointDetail
First BM expected by2–3 days postpartum
Normal issuesConstipation, fear, pain, hemorrhoids
Key interventionsFluids, fiber, ambulation, stool softeners
Cesarean careMonitor bowel sounds, advance diet slowly
Nurse’s roleAssessment, education, early intervention, support

🍼 PHYSIOLOGY OF LACTATION.


🌼 Definition:

Lactation is the process by which the female breast produces and secretes milk to nourish the newborn. It involves hormonal, neurological, and mechanical components.


🧠 STAGES OF LACTATION:

StageDescription
1️⃣ MammogenesisDevelopment of mammary glands during puberty and pregnancy
2️⃣ LactogenesisInitiation of milk secretion (begins in late pregnancy and after delivery)
3️⃣ GalactopoiesisMaintenance of milk production
4️⃣ InvolutionCessation of milk production when feeding stops

💡 KEY HORMONES INVOLVED:

HormoneRole
EstrogenDevelops ducts and breast tissue (during pregnancy)
ProgesteroneDevelops alveoli and lobules (during pregnancy)
Prolactin (from anterior pituitary)Stimulates milk synthesis
Oxytocin (from posterior pituitary)Causes milk ejection or “let-down reflex”
Human Placental Lactogen (hPL)Helps in breast maturation

🧬 MECHANISM OF LACTATION:

🔹 1. During Pregnancy:

  • Estrogen and progesterone prepare the breasts but inhibit milk secretion
  • Prolactin levels rise, but high estrogen and progesterone prevent its full action

🔹 2. After Delivery (Postpartum):

  • Estrogen and progesterone drop rapidly (due to expulsion of placenta)
  • Prolactin becomes active and initiates milk secretion
  • Baby’s suckling stimulates nerve endings in nipple → Hypothalamus signals:
    • Anterior pituitary to release Prolactin → milk production
    • Posterior pituitary to release Oxytocin → milk ejection

💦 MILK EJECTION REFLEX (Let-Down Reflex):

  1. Baby suckles → nipple stimulation
  2. Hypothalamus → posterior pituitary → Oxytocin release
  3. Oxytocin causes contraction of myoepithelial cells around alveoli
  4. Milk is pushed into lactiferous ducts → Milk flows to nipple

🔔 Note: Emotional stress, anxiety, or pain can inhibit this reflex.


🥛 COMPOSITION OF BREAST MILK:

ComponentFunction
Colostrum (first 2–3 days)Rich in proteins, antibodies (IgA), vitamins A & E – protects against infection
Transitional Milk (day 3–10)Mix of colostrum and mature milk
Mature MilkBalanced nutrition: carbohydrates (lactose), fats, proteins, water, enzymes

👶 BENEFITS OF BREASTFEEDING:

  • To the baby:
    • Enhances immunity
    • Reduces infections (diarrhea, respiratory)
    • Promotes bonding
    • Ideal nutrition for growth
  • To the mother:
    • Stimulates uterine involution (oxytocin effect)
    • Delays ovulation (natural contraception)
    • Promotes emotional bonding
    • Reduces risk of breast and ovarian cancer

👩‍⚕️ NURSING ROLE IN LACTATION SUPPORT:

  • Promote early initiation of breastfeeding (within 1 hour)
  • Teach correct latching techniques
  • Encourage exclusive breastfeeding for 6 months
  • Assess for breast engorgement, cracked nipples, or insufficient milk
  • Provide emotional support and reassurance

📚 QUICK REVISION TABLE:

ProcessKey HormoneAction
Milk productionProlactinSynthesizes milk in alveoli
Milk ejectionOxytocinContracts ducts to eject milk
Inhibits milk during pregnancyEstrogen, ProgesteroneBlocks prolactin effect
Breast developmentEstrogen, Progesterone, hPLPrepares ducts and lobules

🍼 LACTATION MANAGEMENT.


🌸 Definition:

Lactation Management refers to the promotion, support, assessment, and treatment of breastfeeding to ensure optimal feeding, health, and well-being of both mother and baby.


🔄 PHASES OF LACTATION MANAGEMENT:

PhaseFocus
1️⃣ InitiationEarly initiation after birth, correct latching
2️⃣ EstablishmentFrequent feeding to stimulate supply
3️⃣ MaintenanceSustaining lactation over months
4️⃣ WeaningGradual replacement of breast milk with other foods

🧠 PRINCIPLES OF EFFECTIVE LACTATION MANAGEMENT:

  1. Early Initiation: Within the first hour after birth
  2. Exclusive Breastfeeding: For first 6 months – no water or formula
  3. Feeding on Demand: Day and night
  4. Correct Position and Latch: To ensure effective milk transfer and prevent nipple trauma
  5. Emptying of Breasts: Prevents engorgement and maintains supply
  6. Avoid Artificial Teats: They cause nipple confusion

👶 SIGNS OF EFFECTIVE BREASTFEEDING:

Baby’s SignsMother’s Signs
Regular swallowing soundsNo pain in nipples
Baby appears satisfied after feedingBreasts feel softer post-feed
Passing urine 6–8 times/dayLet-down reflex (tingling sensation)
Adequate weight gain

🩺 NURSING RESPONSIBILITIES IN LACTATION MANAGEMENT:

🧷 1. Assessment:

  • Breast condition (engorgement, cracks, inverted nipples)
  • Positioning and latch
  • Baby’s sucking ability
  • Signs of dehydration or poor weight gain

👩‍🏫 2. Education & Support:

  • Demonstrate proper breastfeeding techniques
  • Counsel on feeding frequency (every 2–3 hrs)
  • Explain importance of exclusive breastfeeding
  • Address myths (e.g., colostrum is bad – educate it’s vital)

💊 3. Managing Common Problems:

ProblemManagement
Breast engorgementCold compress, frequent feeding, gentle massage
Cracked nipplesCorrect latch, apply breast milk on nipples, avoid soap
Inverted nipplesUse of breast pump, syringe method, nipple shields
Low milk supplyFrequent feeding, hydration, rest, lactogogues (fenugreek, Shatavari)
Blocked ducts/mastitisWarm compress, massage, continue feeding, antibiotics if needed

🧃 DIETARY ADVICE FOR LACTATING MOTHERS:

  • High-calorie, high-protein diet
  • Plenty of fluids (3–3.5 L/day)
  • Calcium, iron, and vitamin supplements
  • Avoid smoking, alcohol, and strong medications

💡 TIPS FOR PROPER LATCHING:

🔹 Good latch includes:

  • Baby’s mouth wide open
  • Chin touching breast
  • More areola visible above than below
  • No clicking or smacking sounds

🔹 Positioning styles:

  • Cradle hold
  • Cross-cradle
  • Football hold
  • Side-lying position

🛡️ BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI):

Promotes 10 steps to successful breastfeeding including:

  1. Policy support
  2. Staff training
  3. Rooming-in
  4. No formula or pacifier
  5. Community support post-discharge

📚 SUMMARY TABLE:

Key AspectIdeal Practice
InitiationWithin 1 hour of birth
Frequency8–12 times/day
Exclusive feedingFirst 6 months
Weaning startsAt 6 months (with complementary feeding)
Full breastfeeding durationUp to 2 years or more

👩‍⚕️ POSTNATAL COUNSELING AND PSYCHOLOGICAL SUPPORT.


🌸 DEFINITION:

Postnatal counseling is the process of providing emotional, informational, and psychological support to mothers during the postpartum period (first 6–8 weeks) to promote mental health, maternal well-being, and positive adjustment to motherhood.


🧠 WHY IS IT IMPORTANT?

  • Hormonal fluctuations, physical exhaustion, and role transition make postpartum women vulnerable to mental health issues
  • Early support helps prevent:
    • Postpartum depression
    • Anxiety
    • Postpartum psychosis
    • Bonding difficulties with baby
    • Breastfeeding problems due to stress

🩺 OBJECTIVES OF POSTNATAL COUNSELING:

  1. Promote maternal confidence and emotional well-being
  2. Facilitate mother-infant bonding
  3. Identify early signs of mental health problems
  4. Support in breastfeeding, sleep, rest, and role adaptation
  5. Empower family involvement and support systems

💬 KEY TOPICS TO ADDRESS IN POSTNATAL COUNSELING:

AreaDetails
🌼 Emotional AdjustmentMood swings, baby blues, anxiety, feelings of inadequacy
👶 Infant Care GuidanceFeeding, sleeping patterns, hygiene, soothing
🧘 Self-careRest, nutrition, hygiene, time management
👫 Family DynamicsRelationship with partner, family support, expectations
💔 Warning SignsDepression, suicidal thoughts, detachment from baby, excessive worry
📞 Support ServicesMental health referral, support groups, helplines

👂 NURSE/MIDWIFE’S ROLE IN POSTNATAL PSYCHOLOGICAL SUPPORT:

🔍 1. Assessment:

  • Screen for postnatal depression using tools like EPDS (Edinburgh Postnatal Depression Scale)
  • Observe emotional state, sleep patterns, crying episodes
  • Take psychosocial history (support system, past mental illness)

💬 2. Counseling Approach:

  • Use active listening and empathetic communication
  • Normalize her feelings: “It’s okay to feel overwhelmed.”
  • Reassure, guide, and avoid judgment
  • Encourage expression of fears, doubts, or guilt
  • Involve family in counseling sessions when appropriate

🤝 3. Support Strategies:

StrategyActions
🍼 Breastfeeding SupportPractical help + emotional encouragement
🧠 Mental Health SupportReferral to psychologist/psychiatrist if needed
💡 EducationTeach about normal newborn behavior, maternal changes
💬 Peer SupportEncourage mother groups or online communities
📆 Follow-upRegular home visits or postnatal check-ups

⚠️ POSTPARTUM MENTAL HEALTH CONDITIONS TO WATCH FOR:

ConditionKey Features
Baby BluesMild mood swings, tearfulness, irritability (up to 2 weeks)
Postpartum DepressionPersistent sadness, fatigue, loss of interest, sleep issues
Postpartum AnxietyExcessive worry about baby’s health, panic attacks
Postpartum PsychosisDelusions, hallucinations, disorganized behavior (emergency!)

🏥 REFERRAL INDICATIONS:

  • Depression symptoms lasting >2 weeks
  • Thoughts of harming self or baby
  • Hallucinations or delusions
  • Refusal to feed baby or care for self
  • Social withdrawal or complete emotional detachment

📚 TEACHING/COUNSELING TIPS FOR MIDWIVES:

  • Use simple, reassuring language
  • Offer printed resources or helpline numbers
  • Be culturally sensitive (consider beliefs, practices)
  • Maintain confidentiality and privacy
  • Observe non-verbal cues (tears, blank expressions, hesitation)

📌 SUMMARY TABLE:

Key AreaNursing Focus
Emotional healthSupport, screen, refer if needed
Mother-infant bondingPromote skin-to-skin, reassure
EducationTeach normal changes, self-care
Partner/familyInvolve and empower them
Follow-upContinue support beyond hospital discharge

👶 NORMAL POSTNATAL BABY BLUES.


🌸 DEFINITION:

Postnatal Baby Blues refers to a mild, temporary emotional disturbance that many women experience after childbirth.
It is not a psychiatric disorder and usually resolves on its own without medical treatment.


📅 ONSET AND DURATION:

  • Begins: Usually 2–5 days after delivery
  • Peaks: Around day 4 or 5
  • Duration: Lasts for a few hours to up to 10–14 days
  • If symptoms persist beyond 2 weeks → assess for postpartum depression

🤱 CAUSES:

Postnatal baby blues are caused by a combination of:

FactorExplanation
Hormonal ChangesSudden drop in estrogen and progesterone after delivery
FatiguePhysical exhaustion from labor and delivery
Sleep DeprivationFrequent waking to feed or care for the baby
Emotional StressNew responsibilities, fear of inadequacy
Physical DiscomfortPain from stitches, breast engorgement

⚠️ COMMON SIGNS AND SYMPTOMS:

Emotional SignsPhysical Signs
Tearfulness for no clear reasonTrouble sleeping even when baby sleeps
Irritability or mood swingsFatigue or low energy
Anxiety or worryPoor concentration
Feeling overwhelmedHeadache or appetite changes
Emotional sensitivityFeeling unsure about motherhood

🔔 Note: Despite these symptoms, the mother usually still cares for and bonds with her baby.


🩺 NURSING CARE AND COUNSELING:

👂 1. Listen and Reassure:

  • Normalize the experience: “Many new mothers feel this way.”
  • Offer emotional support and nonjudgmental listening

🧠 2. Educate:

  • Explain that baby blues are common and temporary
  • Differentiate from postpartum depression

👪 3. Promote Support System:

  • Encourage rest and help from family members
  • Involve the partner in caregiving and emotional support

🌿 4. Encourage Self-Care:

  • Sleep when the baby sleeps
  • Eat nourishing food and stay hydrated
  • Take short breaks for personal time

📞 5. Monitor:

  • If symptoms worsen or continue beyond 2 weeks, refer to mental health services

🔄 DIFFERENCE BETWEEN BABY BLUES & POSTPARTUM DEPRESSION:

FeatureBaby BluesPostpartum Depression
Onset2–5 days after birthWithin 2–6 weeks
Duration≤ 2 weeks> 2 weeks
SeverityMildModerate to severe
FunctioningNormal bonding with babyMay avoid baby or feel disconnected
TreatmentSupport and restMay require counseling or medication

📚 SUMMARY FOR NURSING STUDENTS:

Key PointDescription
% of women affected50–80% of new mothers
Onset2–5 days after birth
DurationResolves in 1–2 weeks
TreatmentReassurance, rest, support
Nurse’s roleEducate, support, monitor for PPD

🌧️ RECOGNITION OF POSTNATAL DEPRESSION.


🧠 WHAT IS POSTNATAL DEPRESSION?

Postnatal Depression (PND) is a moderate to severe depressive disorder that occurs in women after childbirth, typically within 2–6 weeks postpartum, but it can develop anytime in the first year.

It is different from baby blues — longer-lasting, more intense, and interferes with daily functioning and mother–infant bonding.


📊 PREVALENCE:

  • Affects 10–15% of postpartum women
  • Often underdiagnosed due to stigma, denial, or lack of awareness

⚠️ RECOGNITION – KEY SIGNS AND SYMPTOMS:

CategorySymptoms
EmotionalPersistent sadness, frequent crying, hopelessness, guilt, irritability
CognitiveDifficulty concentrating, indecisiveness, low self-esteem, suicidal thoughts
BehavioralWithdrawal from family/friends, disinterest in baby or self-care, excessive worry or detachment
PhysicalSleep disturbances (insomnia or oversleeping), fatigue, appetite changes, headaches

🛑 Red Flag: Thoughts of harming the baby or self = emergency referral required.


🕵️ NURSING RECOGNITION STRATEGIES:

1️⃣ Observation:

  • Note persistent sadness, detachment, or anxiety
  • Check for lack of interest in baby, hygiene, or feeding

2️⃣ Verbal Cues:

  • Statements like “I feel like a failure,” “I’m not a good mother,” or “I can’t cope anymore”

3️⃣ Use Screening Tools:

ToolUse
EPDS (Edinburgh Postnatal Depression Scale)Most widely used; 10-item questionnaire
PHQ-9General depression screening tool
Clinical InterviewAsk open-ended and empathetic questions

Example EPDS questions:

  • “Have you been able to laugh and see the funny side of things?”
  • “Have you felt scared or panicky for no good reason?”

A score of ≥13 on EPDS suggests possible depression → needs further assessment.


💡 DIFFERENTIATE FROM BABY BLUES:

FeatureBaby BluesPostnatal Depression
Onset2–5 days postpartum2–6 weeks (up to 1 year)
Duration< 2 weeks> 2 weeks
SymptomsTearful, emotionalPersistent sadness, withdrawal
FunctioningAble to care for babyMay neglect baby or self
TreatmentSupport and restPsychological therapy ± medication

👩‍⚕️ NURSE’S ROLE IN EARLY RECOGNITION:

  • Build rapport so the mother feels safe sharing emotions
  • Create non-judgmental and empathetic space
  • Involve family/support systems in observation
  • Monitor mother–infant bonding
  • Document and report any concerns to mental health professionals
  • Refer to psychologist or psychiatrist as per institutional protocol

📞 WHEN TO REFER IMMEDIATELY:

  • Suicidal thoughts or attempts
  • Refusal to feed or care for baby
  • Psychotic symptoms (hallucinations, delusions)
  • Severe functional impairment

📚 QUICK REFERENCE TABLE:

SignAction
Crying for no reasonAsk about sleep, stress, mood
“I can’t do this anymore”Screen using EPDS
Avoiding the babyRefer to mental health team
Lack of sleep & appetiteCounsel and monitor closely
Family reports unusual behaviorInvolve in care planning

👪 TRANSITION TO PARENTHOOD.


🌸 DEFINITION:

Transition to parenthood refers to the physical, emotional, psychological, and social adjustments that individuals and couples undergo as they become parents and adapt to their new roles after childbirth.


🧠 WHY IS THIS TRANSITION IMPORTANT?

  • It is a major life change involving new responsibilities
  • Affects the mother, father/partner, baby, and extended family
  • Requires adaptation to changes in identity, lifestyle, roles, and relationships

🔄 PHASES OF TRANSITION:

PhaseDescription
1️⃣ Anticipatory StageDuring pregnancy – mental preparation for parenthood
2️⃣ Formal StageBegins after birth – learning baby care through external guidance
3️⃣ Informal StageParents develop their own methods of care through experience
4️⃣ Personal StageParents gain confidence and internal satisfaction in their role

👩‍👧‍👦 COMPONENTS OF TRANSITION:

1. Physical Changes

  • Recovery from childbirth (mother)
  • Sleep deprivation
  • Breastfeeding demands
  • Fatigue for both parents

2. Emotional Changes

  • Joy and bonding
  • Anxiety or fear of incompetence
  • Mood swings or baby blues
  • Stress over new responsibilities

3. Psychological Adjustments

  • Formation of parental identity
  • Change in self-image
  • Shift in priorities and roles

4. Relationship Dynamics

  • Changes in couple intimacy and communication
  • Division of responsibilities
  • Partner support becomes critical

5. Social Adjustments

  • Shift in social life and independence
  • Balancing work, home, and caregiving
  • Cultural expectations of parenting

⚖️ CHALLENGES DURING TRANSITION:

ChallengesExamples
Emotional stressFear of harming baby, self-doubt
Physical exhaustionInterrupted sleep, breastfeeding issues
Relationship strainLess time for partner, tension
Financial concernsIncreased expenses, job leave
Lack of supportIsolation, lack of guidance or help

🩺 NURSE’S ROLE IN SUPPORTING PARENTHOOD TRANSITION:

👂 1. Emotional Support

  • Reassure that mixed emotions are normal
  • Listen actively and validate concerns
  • Encourage open discussion between partners

👩‍🏫 2. Education and Preparation

  • Teach newborn care, feeding, hygiene
  • Explain normal physical and emotional changes
  • Prepare both parents during antenatal classes

🤝 3. Involve Partner

  • Promote shared responsibilities
  • Encourage skin-to-skin, involvement in care
  • Teach partner how to support the mother

📞 4. Identify Red Flags

  • Watch for postpartum depression signs
  • Refer to counselors or social workers if needed
  • Monitor parent–infant bonding

👪 5. Promote Bonding and Confidence

  • Encourage early contact, rooming-in
  • Celebrate small successes (“You’re doing great!”)
  • Help build a support network (family, groups)

📚 QUICK TIPS FOR PARENTING TRANSITION:

TipBenefit
Take rest when baby sleepsReduces exhaustion
Communicate openly with partnerStrengthens relationship
Ask for help when neededPrevents burnout
Join parenting groupsEmotional and social support
Avoid comparing with othersBuilds confidence

📌 SUMMARY FOR MIDWIFERY NOTES:

Key AreaNurse’s Role
Physical recoverySupport, educate, monitor
Emotional changesCounsel, reassure, screen
Parenting skillsTeach and guide
Partner roleInvolve and empower
BondingPromote skin-to-skin, closeness

🌸 CARE FOR THE MOTHER FROM 72 HOURS TO 6 WEEKS AFTER DELIVERY.


🧠 INTRODUCTION:

The postnatal period (puerperium) begins after the delivery of the placenta and lasts for about 6 weeks. The care provided during this period is crucial for the physical recovery, emotional well-being, and adjustment to motherhood.

Special focus: From 72 hours (3rd day) to 6 weeks postpartum, as the mother returns home and continues recovery.


🗓️ POSTNATAL PERIOD OVERVIEW:

PhaseTimeframe
ImmediateFirst 24 hours
EarlyDay 2 to 7
Late1 week to 6 weeks

We are focusing on Early & Late Postnatal Phase.


🩺 ROUTINE POSTNATAL CHECKUPS:

✔️ Usually scheduled at:

  • 1 week
  • 6 weeks (mandatory)
    Also done during home visits by midwives/community health nurses.

🧍‍♀️ PHYSICAL CARE FOR THE MOTHER

1. Uterine Involution

  • Uterus returns to non-pregnant size in 6 weeks
  • Fundal height reduces by 1 finger/day
  • Nurse’s Role: Palpate fundus, teach abdominal tightening exercises

2. Lochia Monitoring

  • Lochia rubra (1–3 days): red
  • Lochia serosa (4–10 days): pink/brown
  • Lochia alba (10 days–6 weeks): yellow/white
  • Watch for: Foul smell, heavy bleeding, clots → may indicate infection or retained placenta

3. Perineal & Vaginal Care

  • Care after episiotomy/laceration
  • Sitz baths, antiseptic cleaning, proper hygiene
  • Teach wiping front to back
  • Observe for swelling, pain, or pus

4. Breast Care

  • Assess for engorgement, sore nipples, mastitis
  • Teach proper breastfeeding techniques and hygiene
  • Express milk if needed

5. Bowel & Bladder Function

  • Encourage hydration, high-fiber diet
  • Check for constipation, urinary incontinence or retention
  • Treat hemorrhoids if present

6. Cesarean Wound Care (if applicable)

  • Daily inspection, dry dressing
  • Monitor for redness, discharge, fever

💉 IMMUNIZATIONS & MEDICATION

  • TT booster (if missed in pregnancy)
  • Iron and calcium supplements for at least 3 months
  • Vitamin A dose may be given postnatally (as per local policy)

🧘‍♀️ REST, NUTRITION, AND EXERCISE

🍱 Nutrition:

  • High-protein, iron-rich diet
  • Fluids: 3–3.5 liters/day (especially for breastfeeding)
  • Small frequent meals

😴 Rest:

  • Encourage rest when baby sleeps
  • Avoid overexertion

🧘‍♀️ Exercise:

  • Pelvic floor (Kegel) exercises
  • Postnatal stretches and abdominal tightening
  • No heavy lifting for 6 weeks

🧠 PSYCHOLOGICAL SUPPORT

  • Watch for signs of postnatal depression or anxiety
  • Support with baby care, emotional expression
  • Counsel and refer if symptoms persist beyond 2 weeks
  • Reassure and normalize emotional ups and downs

👪 SOCIAL & FAMILY SUPPORT

  • Involve partner and family in care and bonding
  • Educate family on mother’s needs and rest
  • Community health workers can support home visits

🧑‍⚕️ SEXUAL & REPRODUCTIVE HEALTH COUNSELING

  • Resumption of sexual activity: advised after 6 weeks or once healed
  • Discuss contraceptive options:
    • Lactational amenorrhea method (LAM)
    • Condoms, IUCD, POPs, etc.
  • Spacing pregnancies: ideally 2–3 years

📞 WHEN TO SEEK MEDICAL ATTENTION:

  • Excessive bleeding (soaking >1 pad/hour)
  • Foul-smelling lochia
  • High fever >100.4°F (38°C)
  • Severe abdominal pain
  • Breast redness, pain, or pus
  • Signs of postpartum depression (persistent sadness, suicidal thoughts)

📋 NURSE’S CHECKLIST FOR POSTNATAL VISITS (3 DAYS TO 6 WEEKS):

AreaAction
General healthVitals, pallor, hydration
UterusFundal height, involution
LochiaAmount, color, odor
PerineumHealing, pain, infection
BreastsEngorgement, nipple care, latch
Bowel/bladderRegularity, issues
PsychologicalMood, bonding, depression signs
Baby careFeeding, hygiene, immunization
EducationSelf-care, family planning, warning signs

📚 SUMMARY FOR STUDENTS:

TimeframeKey Focus
72 hrs – 7 daysRecovery monitoring, lochia, bonding
2–6 weeksInvolution, return to normal life, contraception, emotional health
Nurse’s RolePhysical care, education, emotional support, early detection of danger signs

🌍 CULTURAL COMPETENCE

(With Focus on Taboos Related to Postnatal Diet and Practices)


🌸 WHAT IS CULTURAL COMPETENCE?

Cultural Competence in nursing means the ability to understand, respect, and appropriately respond to the unique cultural needs, beliefs, and values of clients — especially in sensitive periods like postnatal care.

It involves nonjudgmental care, respecting traditions, and balancing scientific knowledge with cultural beliefs.


🧠 WHY IS IT IMPORTANT IN POSTNATAL CARE?

  • Postnatal period is influenced by deep-rooted cultural beliefs and taboos
  • Helps build trust, ensure compliance, and improve health outcomes
  • Prevents miscommunication and cultural conflicts

🥣 COMMON CULTURAL POSTNATAL Taboos & PRACTICES

These vary across regions, religions, and communities. Below are examples observed in India and South Asia, but similar concepts may exist globally.


1️⃣ Dietary Taboos

Belief/TabooCultural ExplanationScientific View
❌ Avoid cold foods (curd, citrus, cold water)Believed to cause colds or affect milkNo scientific basis; focus should be on balanced nutrition
❌ Avoid spicy foodFear it may pass to breast milk or harm babySpices are fine in moderation
✅ Prefer hot, oily, or sweet foods (e.g., panjiri, laddoos, ajwain water)Believed to boost strength and milk supplySome may have actual benefits (ajwain aids digestion)
❌ Avoid green leafy vegetables or fruitsConsidered “cooling” or gas-formingThese are essential for vitamins and fiber
❌ Avoid drinking too much waterThought to reduce uterine contraction or cause water retentionAdequate hydration is essential for recovery and lactation

2️⃣ Hygiene and Bathing Practices

BeliefPracticeNursing View
❌ Mother shouldn’t bathe for 7–15 daysTo avoid “wind” entering the body or illnessEarly bathing is safe and improves hygiene
❌ Avoid hair washing for weeksFear of catching coldNot harmful if done with care
✅ Use of herbal or medicated bathsBelieved to promote healingCan be encouraged if safe and clean

3️⃣ Physical Activity and Movement

BeliefCultural ViewEvidence
❌ Strict confinement to bed or room (20–40 days)Called “confinement period” (e.g., Sutak, Jaappa) to rest and protect from evil eye or infectionRest is important, but gradual mobilization prevents complications
✅ Belly bindingBelieved to help uterus shrink and improve body shapeSafe if not too tight; promotes comfort
❌ Avoid going outdoorsFear of evil eye or contaminationEarly sunlight and walking is healthy in moderation

4️⃣ Traditional Medicines and Remedies

ItemBeliefView
Herbal teas (jeera, ajwain, methi)Aid digestion, increase milkMostly safe, some are proven galactagogues
Ghee-rich foodsBelieved to rebuild strengthBeneficial in moderation
Home-made concoctions (e.g., kadha)Immunity boosterSafe if ingredients are known and clean

🧑‍⚕️ NURSE’S ROLE IN HANDLING CULTURAL TABOOS

✅ DO:

  • Assess cultural beliefs respectfully during antenatal visits
  • Listen and validate without judgment
  • Educate with empathy — offer scientific facts gently
  • Encourage safe traditional practices that don’t harm health
  • Involve elders/family in discussions to gain trust

❌ AVOID:

  • Dismissing or mocking beliefs
  • Forcing western practices without consent
  • Imposing own values over the family’s culture

💡 HOW TO RESPOND TO COMMON SITUATIONS

ScenarioNurse’s Response
“We don’t give the mother fruits for 40 days.”“Fruits help her heal and prevent constipation. Can we start with warm fruits like stewed apples or bananas?”
“She should not drink much water.”“Water helps produce breast milk. Let’s try warm water with ajwain if that feels comfortable.”
“We don’t let her bathe until the 10th day.”“Bathing helps prevent infections. We can try with warm water and support her gently.”

📚 SUMMARY:

AreaCulturally Sensitive Nursing Approach
DietRespect customs, promote balanced meals
HygieneEncourage safe practices, respect timing
ActivityGradual movement, avoid forced confinement
Emotional supportValue family roles and rituals
CommunicationListen, educate, and negotiate respectfully

🍼 DIET DURING LACTATION.


🌸 WHY IS DIET IMPORTANT DURING LACTATION?

  • A lactating mother needs extra nutrients to support breast milk production and her own recovery after childbirth.
  • Good nutrition improves:
    • Quantity and quality of breast milk
    • Mother’s immunity and energy
    • Baby’s growth and development

🔢 CALORIC & NUTRITIONAL REQUIREMENTS

NutrientRequirement
Calories+500 kcal/day (above pre-pregnancy needs)
Protein75–90 g/day
Calcium1000–1200 mg/day
Iron15–30 mg/day
Fluid3–3.5 liters/day
Vitamin A, C, B-complex, DIncreased needs (may require supplements)

🍛 BALANCED DIET PLAN FOR LACTATING MOTHERS

A lactating mother’s meal should include all five food groups.

1️⃣ Energy-Giving Foods (Carbohydrates & Fats)

  • Sources: Whole grains (wheat, rice, oats, ragi), ghee/oil (in moderation), nuts
  • Purpose: Provide energy for milk production and body repair

2️⃣ Body-Building Foods (Proteins)

  • Sources: Milk, curd, paneer, dal, pulses, eggs, fish, chicken, soya, nuts
  • Purpose: Help in tissue repair and milk protein synthesis

3️⃣ Protective Foods (Vitamins & Minerals)

  • Sources: Fruits (papaya, banana, citrus, guava), green leafy vegetables (spinach, methi, drumstick), colored vegetables
  • Purpose: Boost immunity, improve healing, support baby’s development

4️⃣ Calcium-Rich Foods

  • Sources: Milk, curd, sesame seeds, ragi, almonds, green leafy vegetables
  • Purpose: Prevents maternal bone loss and supports baby’s bone growth

5️⃣ Iron-Rich Foods

  • Sources: Jaggery, dates, green leafy vegetables, meat, eggs, fortified cereals
  • Tip: Take Vitamin C (e.g., lemon juice) to improve iron absorption

💧 FLUID INTAKE

  • Drink 3 to 3.5 liters of fluids/day: water, milk, soups, coconut water, herbal teas
  • Fluids help prevent dehydration and maintain milk supply

🧄 TRADITIONAL FOODS THAT MAY HELP (SAFE WHEN USED IN MODERATION)

ItemBenefit
Ajwain waterAids digestion, relieves gas
Fenugreek (methi)Believed to enhance milk production
Dill seeds (suwa)Improves lactation
Gondh laddoos, panjiriEnergy-rich; promote strength & recovery
Jeera, gingerAnti-inflammatory, aid digestion

🚫 FOODS TO AVOID OR LIMIT

FoodReason
Excess caffeine (tea/coffee)May cause irritability or sleep issues in baby
Excess sugar and fried foodsCan cause weight gain, low energy
Spicy or gas-forming foods (in excess)May cause discomfort in some babies
Alcohol & smokingStrictly avoided during lactation
Fish high in mercury (e.g., shark, swordfish)Can affect baby’s brain development

🧠 TIPS FOR PRACTICAL COUNSELING TO MOTHERS:

  • Eat every 2–3 hours: 3 main meals + 2–3 healthy snacks
  • Take supplements (Iron, Calcium, Vitamin D) if prescribed
  • Avoid skipping meals — especially breakfast
  • Use local, seasonal, and affordable foods
  • Ensure rest and reduce physical stress to aid digestion and milk flow

👶 SIGNS THAT MOTHER’S DIET IS SUPPORTING BREASTFEEDING:

  • Baby is gaining weight normally
  • Baby passes urine 6–8 times/day
  • Mother feels healthy, energetic, and alert
  • Breast milk flows well during feeds

🧑‍⚕️ NURSE’S ROLE IN LACTATION NUTRITION COUNSELING:

TaskAction
AssessDiet history, food taboos, supplement use
EducateExplain food groups, local options, hydration
Correct MythsE.g., “fruits are cold” → Explain their benefits
SupportEncourage traditional foods if safe
ReferTo dietitian if mother is undernourished, diabetic, etc.

📋 SAMPLE DAILY MENU PLAN (Indian Context)

Meal TimeFoods
MorningWarm ajwain water, dry fruits
BreakfastWhole grain roti/paratha + curd + fruit
Mid-morningCoconut water / milkshake / fruit
LunchRice + dal + sabzi + salad + curd
EveningRoasted chana / milk / herbal tea
DinnerChapati + vegetable curry + dal / paneer
BedtimeWarm milk with a pinch of turmeric

📚 QUICK SUMMARY FOR STUDENTS

Focus AreaKey Point
Calories+500/day for lactation
Fluids3–3.5 liters/day
Proteins75–90 g/day
Calcium, Iron, VitaminsIncrease intake or supplement
AvoidAlcohol, excess caffeine, processed foods
Nurse’s roleEducate, assess, support, refer

👪 POSTPARTUM FAMILY PLANNING (PPFP).


🌸 DEFINITION:

Postpartum Family Planning refers to the prevention of unintended and closely spaced pregnancies during the first 12 months after childbirth.
It includes a range of contraceptive methods that can be safely used by breastfeeding and non-breastfeeding women during this time.


🧠 WHY IS POSTPARTUM FAMILY PLANNING IMPORTANT?

  • Prevents unplanned pregnancies
  • Reduces maternal and infant mortality
  • Helps in birth spacing (ideal gap: 2–3 years)
  • Supports maternal recovery
  • Enhances emotional and physical readiness for the next child

📅 IDEAL TIME TO START FAMILY PLANNING:

MethodWhen to Start
Lactational Amenorrhea Method (LAM)Immediately postpartum
Postpartum IUCD (PPIUCD)Within 10 minutes of placenta delivery or within 48 hours
CondomsAny time after delivery
Injectables (DMPA)6 weeks postpartum (if breastfeeding)
Progestin-only pills (POP)6 weeks postpartum (if breastfeeding)
Combined oral contraceptives (COC)6 months postpartum (if not breastfeeding)
Sterilization (Tubectomy)After delivery or at 6 weeks postpartum
ImplantsAfter 6 weeks (if breastfeeding); anytime (if not breastfeeding)

🍼 SAFE METHODS FOR BREASTFEEDING MOTHERS

MethodSafe for Lactation?Notes
LAM✅ YesNatural method; effective if exclusive BF, amenorrhea, <6 months postpartum
Condoms✅ YesBarrier method; also prevents STIs
POP✅ YesStart after 6 weeks if breastfeeding
IUCD (Copper T)✅ YesLong-term method; non-hormonal
Implants✅ YesStart after 6 weeks; long-acting

Combined hormonal pills (COCs) are not recommended before 6 months in breastfeeding mothers due to risk of affecting milk supply.


🧘‍♀️ NON-BREASTFEEDING MOTHERS

  • Can use most contraceptive methods after 3–6 weeks postpartum
  • COCs may be started after 3 weeks if no risk of thrombosis

⚠️ CONTRAINDICATIONS TO SOME METHODS

  • IUCD: Active pelvic infection, uterine abnormalities
  • Sterilization: Requires informed consent and counseling
  • LAM: Not reliable after 6 months or if baby is formula-fed

📊 EFFECTIVENESS OF METHODS

MethodEffectiveness
LAM98% (only if all criteria met)
IUCD>99%
POP/Implants>99%
Condoms85–95%
Sterilization>99%
Injectables (DMPA)94–99%

📋 NURSE’S ROLE IN POSTPARTUM FAMILY PLANNING

🧠 1. Education & Counseling

  • Explain importance of spacing and rest
  • Discuss options during antenatal period, postpartum visits, and immunization visits
  • Use visual aids and simple language

🩺 2. Assess

  • Mother’s health, breastfeeding status, desire for more children, and cultural preferences

🤝 3. Support Informed Choice

  • Respect the woman’s decision
  • Involve partner or family (with woman’s consent)

📞 4. Refer & Follow-Up

  • Refer to family planning clinics if needed
  • Schedule follow-ups to manage side effects or change methods

🧠 COUNSELING TIPS:

  • Use GATHER approach:
    • Greet the woman
    • Ask about her reproductive goals
    • Tell about available options
    • Help her choose
    • Explain method use and side effects
    • Refer or return for follow-up
  • Emphasize that fertility can return before menstruation resumes, especially if not breastfeeding

🧾 DOCUMENTATION:

Nurses should record:

  • Counseling done and method chosen
  • Client’s understanding and consent
  • Any complications or follow-ups

📚 SUMMARY TABLE FOR NURSING NOTES:

TimeframeMethod Options
Immediate (<48 hrs)IUCD, LAM, condoms, sterilization
6 weeks postpartumPOP, injectables, implants
After 6 monthsCOCs (if not breastfeeding), all methods

👩‍⚕️ FOLLOW-UP OF POSTNATAL MOTHERS.


🌸 INTRODUCTION:

Postnatal follow-up refers to the ongoing care and assessment provided to a mother after delivery, from the time of hospital discharge up to 6 weeks postpartum (puerperium). This care may occur through home visits, clinic visits, or community health outreach.

Goal: Ensure physical recovery, emotional adjustment, safe infant care, and family planning support.


📅 TIMELINE OF POSTNATAL FOLLOW-UP:

TimeMode of VisitKey Focus
Within 48–72 hours after dischargeHome or phoneEarly complications
7–10 days postpartumClinic/homeUterus, lochia, perineum, infant care
4–6 weeks postpartumClinic visit (final checkup)Complete recovery, contraception, mental health

More frequent visits may be needed for high-risk mothers (e.g., C-section, PPH, infection, hypertension, depression).


🩺 OBJECTIVES OF FOLLOW-UP CARE:

  • Monitor recovery and identify complications
  • Support breastfeeding and nutrition
  • Promote maternal mental well-being
  • Ensure proper infant care and bonding
  • Provide family planning counseling
  • Reinforce self-care and hygiene

📝 POSTNATAL FOLLOW-UP CHECKLIST (Mother)

✅ 1. General Health Assessment:

  • Temperature, pulse, BP
  • Fatigue, sleep, appetite, hydration
  • Any complaints (headache, vision changes, pain)

✅ 2. Uterine Involution:

  • Fundal height: Should decrease by 1 finger/day
  • Abdomen: Soft, non-tender
  • Abnormal: Boggy uterus, tenderness → refer immediately

✅ 3. Lochia (Vaginal Discharge):

TypeTimeframeAppearance
Lochia rubraDay 1–3Bright red
Lochia serosaDay 4–10Pinkish brown
Lochia albaDay 10–6 weeksYellowish white

🔴 Warning signs: Foul smell, heavy bleeding, clots

✅ 4. Perineal/Wound Assessment:

  • Look for swelling, redness, discharge (especially after episiotomy or C-section)
  • Assess pain, healing, hygiene practices

✅ 5. Breast Examination:

  • Check for fullness, cracks, pain, signs of mastitis
  • Observe latch, feeding position, milk flow
  • Counsel on breastfeeding difficulties

✅ 6. Bowel and Bladder Function:

  • Ask about constipation, incontinence, or burning micturition
  • Encourage fluids and fiber

✅ 7. Menstrual and Sexual Health:

  • Inform that ovulation can return before menstruation
  • Ask about readiness to resume intercourse
  • Provide family planning options

✅ 8. Emotional & Psychological Assessment:

  • Screen for postpartum depression using EPDS (if available)
  • Ask: Mood, sleep, crying, bonding with baby
  • Listen actively; refer if signs of depression, anxiety, or psychosis are present

👶 INFANT-RELATED CHECKS DURING POSTNATAL FOLLOW-UP:

  • Feeding: frequency, latch, weight gain
  • Immunization schedule
  • Skin, umbilical cord, urination and stool
  • Monitor signs of jaundice, infection

🗣️ EDUCATION & COUNSELING DURING FOLLOW-UP

TopicKey Points
BreastfeedingExclusive up to 6 months, proper technique
NutritionHigh-protein, iron-rich, fluid intake
HygienePerineal and breast care, hand hygiene
ExerciseLight activity, pelvic floor (Kegel) exercises
Mental healthCoping tips, support system, self-care
ContraceptionSafe options depending on lactation
Danger signsExcessive bleeding, fever, pain, foul discharge

⚠️ RED FLAGS REQUIRING IMMEDIATE ATTENTION:

  • Fever >100.4°F (38°C)
  • Heavy vaginal bleeding (soaking >1 pad/hour)
  • Foul-smelling lochia
  • Painful, red, swollen breasts (possible mastitis)
  • Severe abdominal pain
  • Headache with vision changes (possible postpartum preeclampsia)
  • Suicidal thoughts or refusal to care for baby

📋 DOCUMENTATION FOR NURSES:

  • Date of visit
  • Physical findings (uterus, lochia, breasts, wound)
  • Counseling provided
  • Referrals (if any)
  • Next follow-up date

🧑‍⚕️ NURSE’S ROLE IN POSTNATAL FOLLOW-UP:

RoleResponsibility
EducatorTeach self-care, baby care, danger signs
AssessorMonitor physical and mental health
CounselorProvide emotional support and contraceptive advice
AdvocateInvolve family and refer to higher center if needed

📚 SUMMARY FOR MIDWIFERY STUDENTS:

ComponentFocus
Timeline48 hrs, 7–10 days, 6 weeks
AssessmentsUterus, lochia, perineum, breast, mood
CounselingNutrition, hygiene, FP, danger signs
DocumentationAll findings and education provided
Nurse’s GoalPromote safe recovery and well-being

💊 DRUGS USED IN THE POSTNATAL PERIOD.


🌸 INTRODUCTION:

The postnatal period (first 6 weeks after childbirth) is a time of physiological recovery and adaptation for the mother. Medications may be prescribed for:

  • Pain relief
  • Prevention and treatment of infections
  • Uterine involution
  • Lactation support
  • Nutritional supplementation
  • Family planning
  • Mental health (if required)

📋 CATEGORIES OF DRUGS COMMONLY USED POSTNATALLY


1️⃣ Analgesics (Pain Relievers)

Used for perineal pain, episiotomy, cesarean pain, uterine cramping.

DrugTypeUse
ParacetamolNon-opioidMild to moderate pain, safe in breastfeeding
IbuprofenNSAIDUterine cramps, afterpains, inflammation
DiclofenacNSAIDPain after C-section or episiotomy
TramadolOpioid (used cautiously)Moderate pain, limited use if breastfeeding

2️⃣ Uterotonics

Promote uterine contraction and involution, prevent postpartum hemorrhage (PPH).

DrugUse
OxytocinTo stimulate uterine contractions (IM/IV)
Methylergometrine (Methergine)For uterine atony; contraindicated in hypertension
MisoprostolTablet or rectal use to control PPH

3️⃣ Antibiotics

Given for infection prevention or treatment (e.g., C-section, perineal wound, mastitis).

DrugIndication
Amoxicillin-Clavulanic AcidWound infection, UTI
Cefixime / CeftriaxoneBroad-spectrum use post-cesarean
MetronidazoleAnaerobic infection, perineal wound
ClindamycinAlternate in penicillin allergy

🔔 All antibiotics should be prescribed only as needed, and compatibility with breastfeeding must be checked.


4️⃣ Iron and Folic Acid Supplements

Given to correct or prevent postpartum anemia.

DrugUse
Ferrous sulfate/gluconateIron deficiency anemia
Folic acidCell repair, RBC formation

5️⃣ Calcium & Vitamin D Supplements

Promote bone health and replenish maternal calcium loss due to breastfeeding.

DrugUse
Calcium carbonate/citrateBone health, muscle function
Vitamin D3 (Cholecalciferol)Enhances calcium absorption

6️⃣ Lactation Support Drugs (Galactagogues)

Used if milk production is low (only after assessing proper feeding techniques first).

DrugAction
DomperidoneIncreases prolactin secretion
MetoclopramideAlso promotes milk let-down (used short term)

🔔 Natural galactagogues: Fenugreek, fennel, garlic, Shatavari (used with guidance)


7️⃣ Antidepressants / Anti-anxiety Drugs

Used cautiously for postpartum depression or anxiety (after assessment).

DrugClassNotes
SertralineSSRIPreferred in breastfeeding
FluoxetineSSRIMay be used but monitor baby for fussiness
DiazepamBenzodiazepineShort-term use, monitor sedation

💡 Always consult a psychiatrist for mental health meds during lactation.


8️⃣ Drugs for Family Planning

Given during postnatal follow-up based on the woman’s lactation status and choice.

DrugMethodNotes
POP (Progestin-only pills)OralSafe in breastfeeding (start after 6 weeks)
DMPA injectionInjectable3-month protection, safe in lactating women
IUCD (Copper T)DeviceInserted within 48 hrs or after 6 weeks
Levonorgestrel (Plan B)EmergencyIf unprotected intercourse occurs postpartum
Combined pills (COCs)OralStart after 6 months in non-lactating women

🚫 DRUGS TO AVOID OR USE WITH CAUTION DURING LACTATION

DrugRisk
TetracyclinesAffects baby’s teeth development
ChloramphenicolBone marrow suppression in infant
AspirinRisk of Reye’s syndrome
Sulfa drugsAvoid in jaundiced or premature infants
High-dose diureticsSuppresses milk production

👩‍⚕️ NURSE’S ROLE IN DRUG MANAGEMENT POSTNATALLY:

RoleResponsibility
AssessmentMonitor for pain, infection, anemia, lactation issues
EducationTeach mothers about dosage, side effects, drug safety in breastfeeding
AdministrationEnsure timely and correct dose
ObservationWatch for adverse drug reactions
ReferralTo physician for dosage adjustment or psychiatric support if needed

📚 SUMMARY TABLE FOR STUDENTS:

Drug TypeCommon DrugsUse
Pain reliefParacetamol, IbuprofenEpisiotomy, C-section pain
UterotonicsOxytocin, MisoprostolPPH, uterine involution
AntibioticsAmoxicillin, CefiximeInfection control
SupplementsIron, Calcium, Folic acidAnemia, bone health
GalactagoguesDomperidoneImprove milk supply
Family planningPOP, IUCD, DMPAContraception
Mental healthSertralinePostpartum depression

📑 RECORDS AND REPORTS RELATED TO THE POSTPARTUM PERIOD.


🌸 INTRODUCTION:

Records and reports in the postpartum period are essential for:

  • Monitoring maternal and newborn health
  • Ensuring continuity of care
  • Legal documentation
  • Health statistics and planning
  • Education and audit purposes

Accurate and timely documentation helps detect complications early and supports evidence-based care.


📋 TYPES OF RECORDS IN POSTNATAL CARE


1️⃣ Postnatal Case Record (Mother)

Includes comprehensive documentation of mother’s recovery from delivery up to 6 weeks postpartum.

Key Components:

  • Patient identification details
  • Date and time of delivery
  • Type of delivery (normal, assisted, cesarean)
  • Condition of mother post-delivery
  • Vital signs (temperature, pulse, BP, respiration)
  • Uterine involution (fundal height)
  • Lochia characteristics (amount, color, odor)
  • Perineal condition (episiotomy/laceration healing)
  • Breast condition (engorgement, nipple cracks, mastitis)
  • Bowel/bladder status
  • Pain assessment
  • Emotional status (screening for depression)
  • Nutrition and rest pattern
  • Family planning counseling
  • Follow-up dates

2️⃣ Postnatal Baby Record

Monitors the newborn’s condition alongside the mother.

Contents:

  • APGAR score and birth weight
  • Feeding pattern and urine/stool output
  • Skin condition (jaundice, rashes)
  • Umbilical cord care
  • Immunization given (e.g., BCG, OPV, Hepatitis B)
  • Danger signs (vomiting, fever, convulsions, poor feeding)
  • Newborn screening tests (if done)

3️⃣ Daily Postnatal Observation Chart (Mother)

Used during hospital stay (usually 48–72 hours).

ParameterFrequency
Vital signsEvery 4–8 hours
Uterine palpationDaily
LochiaEvery shift
Breast and perineum checkDaily
Pain scoreEach shift
Mobility and eliminationDaily
Intake-output (if needed)Daily

4️⃣ Postnatal Home Visit Record (for Community Midwives/ANMs)

Maintained during field visits after discharge.

Includes:

  • Date and time of visit
  • Mother’s and baby’s condition
  • Breastfeeding assessment
  • Hygiene and nutrition practices
  • Family support and environment
  • Health education given
  • Danger signs identified
  • Referral made (if any)

5️⃣ Family Planning Record

If counseling or methods were given postnatally.

Details:

  • Method chosen (PPIUCD, POP, DMPA, sterilization)
  • Date and site of insertion/injection
  • Counseling remarks
  • Consent forms (especially for sterilization)
  • Follow-up scheduled

6️⃣ Discharge Summary (Mother and Baby)

Given at hospital discharge with key instructions.

MotherBaby
Recovery statusImmunizations given
Medications prescribedFeeding pattern
Hygiene and dietary adviceWeight and growth advice
Family planning infoNext visit schedule
Danger signsDanger signs

7️⃣ Reporting Formats for Health Authorities (PHC/CHC/District Level)

  • Number of deliveries conducted
  • Number of postnatal mothers followed up
  • Number of complications reported
  • Maternal deaths (if any)
  • Birth registration and sex of baby
  • Immunization records

🧑‍⚕️ NURSE’S RESPONSIBILITY IN RECORDING & REPORTING:

TaskAction
DocumentationRecord accurate, legible, and timely information
ConfidentialityKeep patient records secure and private
Legal useMaintain records as per institutional and legal norms
CommunicationUse records to communicate with the care team
ReportingSubmit postnatal service data to health supervisors

📚 SUMMARY TABLE FOR NURSING STUDENTS:

Record TypePurpose
Postnatal case recordComprehensive maternal care
Baby recordMonitor newborn health
Observation chartTrack hospital stay recovery
Home visit formCommunity follow-up
FP recordDocument contraceptive care
Discharge summaryHandover to patient/family
ReportsHealth system monitoring