Maternal Newborn #3

• -Involution
• -Lochia
• -Perineum/episiotomy
• -Systemic changes
• -VS
• -Breasts/Lactation

• -A return to non-pregnant state
• -Fundal height decreases by 1 finger width per day
• -Cramping
• -Pains with breastfeeding for multiparas

• -lochia is the vaginal (after birth) discharge, containing blood, mucus, and placental tissue.
• Progresses in 3 stages:
• -Lochia rubra: bright/dark red, 1-3 days
• -Lochia serosa: pink/brown 3-10 days
• -Lochia alba: mucus, clr, or white, 10-21 days

Perineum:a region of the body including the genitals and anus

Episiotomy:a surgical incision on the perineum and the post. vaginal wall during second stage of labor used to to make the baby's birth easier and prevent vaginal tears

• Assessment of perineal tissue
• -Redness
• -Edema
• -Ecchymosis
• -Discharge
• -Approximation

• Breast/nipples
• Uterus/fundus
• Bladder
• Bowel
• Lochia
• Episiotomy

• HE: Homan's sign & Emotion
• VT: VS & Thrombosis

• -Routine PostOp, every 4 hrs, then every 24 hrs
• -report temp of 100.4 or above
• -Bradycardia is normal (48 hrs)
• -Tachycardia may indicate infection of hypovolemia
• -pre-delivery BP or slightly decreased is normal due to progesterone vasodilation

• -2-3 days soft/full
• -3rd day firm/lumpy
• -Engorgement may occur
• -Supportive bra, no soap
• -Non-nursing mom should avoid stimulation
• -Assess: consistency, size, shape, symmetry, and nipples for redness, cracking, bleeding, inversion

• -Ibuprofen
• -Vicodin/Norco
• -Stool softeners (Colace/Senna)
• -Methergine
• -Pre-Natal vitamins
• -Pitocin/Oxytocin

-6 weeks after birth

• -1st hr post delivery
• -hemorrhage most likely
• -post partum chills
• -urinary retention
• -Assess every 15 minutes:
• VS
• Amt of vaginal bleeding/lochia
• Fundus
• Pain

The fundus of the uterus is the top portion, opposite from the cervix