Saturday , June 23 2018
Post Natal Care Puerperium Care

How to Give Post Natal Care

Purpose

Post natal care covers the core care that every healthy woman and healthy baby should be offered during the first 6-8 weeks after the birth.

Scope

All Delivery Patients.

Definition-Post Natal Care

The care provided to woman and newborns for the first few months following birth. A postpartum period or postnatal period is the period beginning immediately after the birth of a child and extending for about six weeks. Less frequently used are the terms puerperium or puerperal period. The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period.

Applicable Areas

Gyneac & Obstetric Department.

Responsibility

Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife, Head Nurse and Physiotherapist.

Procedure

  • Check vital signs immediately after delivery and then after every 4 hours or as required.
  • Watch for bleeding, presence of any clots in vagina.
  • Ensure that the patient voids within 1-2 hours after delivery.
  • In case of any problem, perform nursing measures like pouring hot[warm] and cold water on urethra, giving hot water bag, etc. If unsuccessful inform doctor and then do the needful.
  • Put baby to mother’s breast within half an hour.
  • Assist mother in breast-feeding the child.
  • Check patient’s vulval pad after every one hour strictly for first four hours, then after every 2 hours for the next 8 hours and then after every 4 hours till the patient is discharged.
  • Watch for any breast engorgement, at least twice a day.
  • Give perineal care thrice a day or as required using Betadine lotion and then apply calendula ointment on episiotomy stitches.
  • Assess the episiotomy sutures for any signs of infection.
  • Watch the lochia for any foul smelling discharge and record as well as inform the consultant accordingly.
  • Ensure that the mothers take adequate diet.
  • Ensure that the mother is taught to perform postnatal exercises by physiotherapist.
  • Give health education regarding various topics like breast-feeding, episiotomy care, baby care, etc.
  • Ensure that the mother takes adequate rest.
  • Instruct mother to maintain hygiene during this period.
  • In case of mother having still birth babies :
  • Instruct the mother not to express the breast milk.
  • Administer medications to suppress lactation.
  • Provide spiritual counseling as necessary.
  • In case of still birth / Intra Uterine Fetal Death (IUFD) :
  • In case of more than 20 weeks of pregnancy and baby’s weight are more than 500 gms, then handover to patient’s relative. Death certificate is given.
  • In case of less than 20 weeks of pregnancy and baby’s weight is less than 500 gms, then fetus is discarded after showing and permission of mother and relatives.

Documentation

Nurse’s Observation Sheet.