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Postnatal Care - Coggle Diagram

- - - - Prostaglandin
      - Artificial rupture of membranes
      - Oxytocin
    - - Spontaneous vaginal delivery SVD
      - Assisted vaginal birth AVB
      - Caesarean Section CS
    - - Controlled cord traction (CCT)
      - Manual removal of placenta (MROP)
    - - Cord pH
      - Rh- mother
    - - Tears
      - Episotomy
      - Suturing
    - - Up to 500ml normal
      - Over 500ml Post Partum Haemorrhage
- - - - HTN / PET
      - Risk of infx
      - Post surgery
      - PPH
  - - - Return to normal within 24hr
    - - Risk of PET
      - Closer observation
    - - Urine
        
        Protein
      - Bloods
      - Assess PET
  - - - Assess for
        Anaemia
        Inx
        PPH
  - - - Infection
    - - Pontenial causes / sites
      - Perineum
      - Uters
      - Lochia
      - Breasts
      - UTI
- - - - Boggy uterus may indicate retain products / post partum infx
      - Deviation may be due to full bladder
- - - - 1-4 days
    - - 5-9 days
    - - 10-15 days
- - - - Prophylactic heparin + stockings until mobiloity retuns
- - - - Help woman adapt, fulfil roles and responsibilities of motherhood
      - Promote and monitor wlelbeing of mother and infant
      - Promote and monitior mothers pychological well being
      - Recognise deviations from normal and manage
      - Educate
      - Assist in establishment of infant feeding
      - Facilitate bonding
- - - - Wound may be dressed for 7 days with PICO pressure dressing
    - - Signs of infx
      - Haematoma
      - Abcess
      - Redness
      - Swelling
      - HEat
      - Pain
      - Discharge
    - - Swab
      - Consider ABx
      - Record IMEWS
      - Remove clips / sutures when appropriate
      - Advise for wound care
  - - - Healing
      - Pain
      - Haematoma
      - Oedema
      - Infection
    - - Analgesia
    - - Should be pain free / resume intercourse 6 Weeks with little discomfort
    - - Hygiene advise
      - Encourage discussion of probelms with healthcare provider
- - - - Urine output increased due to redictino of blood volume and elimination of waste products of autolysis
      - Period of poor bladder control - should resolve within a week
    - - May suffer acute renal retention
    - - Measured following birth to monitor for retention
      - Signs of UTI
        
        Abdo tenderness
        
        Poor output
        
        Dysuria
        
        Malodourous urine
        
        Pyrexia
        
        Flu like symptoms
    - - Education
        
        Education and encouragement for pelvic floor exercises and bladder training
        
        May be embarrassed - encourage discussion
      - Refer to physio if concerned
      - Follow-up care
  - - - Haemorrhoids
      - Constipation
      - Faecal incontinence
    - - SHould return to normal within a few days
    - - Fibre + fluid
      - Prophylactic laxatives for constipation
      - Haemorrhoids - topical cream for oedema and pain
      - Discussion
        
        Fears and anxiety
        
        Diet
      - Faecal incontinence
        
        Determine nature
        
        Explore diet