Postpartum A
The process of the uterus moving back in to the true pelvis
Involution
Amount of time for milk to come in
3-5 Days
Rubra, serosa, alba
Lochia
frequent changing of peri pads, use of peri bottles, assessment of urination frequency
Ways to prevent infections
Medication for PPH but cannot be given to hypertensive patients
Methergine
Natural process that stimulates release of oxytocin to contract uterus
Breastfeeding
Encouraging frequent breastfeeding or pumping is a treatment for
Clogged ducts or engorgement
Normal blood loss of vaginal delivery
500cc
Signs and symptoms include crying, insomnia, decreased appetite, headache, feelings of inadequacies
postpartum baby blues
Medication used for cervical ripening and treatment of gastric ulcers; patients at risk for vomiting and diarrhea
Cytotec or misoprostol
Diuresis
Infection of the breast
Mastitis
Normal blood loss of C-section delivery
1000cc
Where should the fundus be 12 hours after delivery?
firm, midline, and app. at the level of the umbilicus
Medication used immediately after delivery to contract uterus
Oxytocin
Clear, yellow fluid from breasts
Colostrum
Tender, warm, firm and swollen breasts
Engorgement
Displaced uterus treatment
Have your patient urinate
Uterine atony, over distended uterus, retained placenta, high parity, trauma during labor
Reasons/causes for PPH
Intervention before giving Methergine
Check BP
Lochia that contains bright red bleeding and some small clots
Rubra
Mild pain relievers, breast binders, supportive bra, ice packs, frozen cabbage leaves
Treatment for engorgement or suppression of lactation
Frequent urination and fundal massage
Ways to prevent hemorrhage
What does the postpartum acronym BUBBLE stand for?
Breasts
Uterus
Bowel/GI
Bladder
Lochia
Episiotomy
Vaccine given due to low titers and must prevent pregnancy for 3 months
Rubella