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Physiological, psychosocial and spiritual changes of postpartum mothers.,…

- - - - Autolysis or self digestion
      - Ischemia or localized anemia
      - Endometrium
    - - Lochia rubra : Red like fresh blood
      - Lochia serosa : Faded or darker
      - Lochia alba : Mixed yellow mucus
    - - Soft cervix
      - Star shape
      - cervix will return to normal in 1 week
    - - Milk type
        
        Colostrums
        
        : Found during the first 2-3 days after birth
        
        IgA is antibody prevention enteric infection
        
        Transitional milk
        
        Found approximately 5-7 days after birth
        
        In production for 2 weeks and has run out
        
        True milk or Mature milk
        
        Produced in the 2nd week
      - Let down reflex
  - - - Human chorionic gonadotropin (HCG)
      - Fast reduction in 24 hours after birth
      - Human placental lactogen (HPL)
    - - 3 hours after birth will be reduced
      - The maximum reduction is the 4th day after birth
      - Self-breastfeeding mothers ,hormones will enter the normal level quite slowly
    - - Follicular stimulating hormone (FSH)
        Luteinizing hormone ( LH)
      - Lower in 10-12 days after birth
      - Menstruation to be slow in women who are breast-feeding regularly
    - - Increasing height in lactating mothers ,Reduced as much as before pregnancy in non-lactating mothers
    - - The function of the thyroid gland fluctuates rapidly, causing doubt postpartum hypothyroidism
  - - - Urethra and bladder may be swollen or bruised
        affect difficult to urinate
      - Increased bladder capacity to push the uterus causing obstructive contractions in the uterus
    - - acetonuria
- - - - Awareness and acceptance of the fact that
        separation from children physically
      - Abandoning the original independent role
  - - - sign and symptom
        
        Crying is the most common symptom without cause
        
        Felt a sense of fear, silence, distressed expression
        
        The mother will be sad, lonely, lonely, confused
        
        Exhaustion, insomnia
        
        Don't want to eat, easy to forget, don't concentrate
      - Medical treatment guidelines
        
        Symptoms that can disappear on their own But nurses should give help to support the mind
        
        Explain the mother's changing moods for Husband and relatives understand
        
        Helps to relieve tension