Main Changes and Care of Woman during Postpartum

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1 Main Changes and Care of Woman during Postpartum
Ren jianhua West China second university hospital

2 vocabulary Postpartum 产后的 Placenta 胎盘 Post- 之后的 pre- 之前的
partum 起源于 parity（产次） Postpartum period=puerperium Placenta 胎盘 盘子 plate

3 vocabulary Involution 子宫复旧 Fundus 宫底
A shrinking or return to a former size Volution是发展 a rolling or revolving motion in-往里 Revolution 进化（再一次运动发展？） Fundus 宫底 Foundation 基础

4 vocabulary Bladder 膀胱 / 软袋（如足球里的橡胶袋） Unbilicus 脐，中心 Unbilical 脐带的

5 vocabulary Atony 张力缺乏 Endometrial 子宫内膜的 a- 无，没有 anormaly 异常的
tone 音调 tension 张力 Endometrial 子宫内膜的 Endo- 内部的 exo- 外部的 Menses 月经

6 vocabulary Neonate 新生儿 Ambulation 移动，步行 Thrombophlebitis 血栓静脉炎
Neo- 新的 new? Ambulation 移动，步行 Ambulative 移动的 Ambulance 救护车 Thrombophlebitis 血栓静脉炎 Thrombus 血栓 Phlebitis 静脉炎

7 Definition of postpartum
Placenta delivering—all organs return to pre-pregnant state 6-week period following childbirth Physiologic changes Psychological changes Social changes

8 Definition of postpartum
Quiz Puerperium refers to period following childbirth A 4-week B 6-week C 8-week D 10-week

9 The uterine involution
The process through which the reproductive organs return to their non-pregnant state. 子宫复旧是指生殖器官恢复至未孕状态的过程 Placental site—6 to 7 weeks to heal Other site—3-4 weeks to heal Weight of uterus: 1000g—500g—50g

10 Signs for uterine involution
The uterine involution Signs for uterine involution The fundus assessment 子宫底 Lochia 恶露

11 The fundus assessment The uterine involution
Preparation: empty bladder Method: press in and downward on the umbilicus Feeling: firm, globular

12 Signs for fundus assessment
The uterine involution Signs for fundus assessment The height of fundus 子宫底高度 The consistency of fundus 子宫底质地 firm, round, smooth

13 The uterine involution
Lochia 恶露 Amount Color odor 3 types of lochia

14 the first days after delivery moderate
The uterine involution Lochia rubra 血性恶露 dark red the first days after delivery moderate

15 Lochia serosa 浆性恶露 serous and pink the fourth day decrease in amount
The uterine involution Lochia serosa 浆性恶露 serous and pink the fourth day decrease in amount

16 alba—albicans candida 白色念珠菌
The uterine involution Lochia alba 白色恶露 yellow-white a week to 10 days scant alba—albicans candida 白色念珠菌

17 Psychological changes
Psychological adaptation 1960s, Rubin 3 phases of psychological changes Taking-in 依赖期 Taking-hold 依赖-独立期 Letting-go 独立期

18 Psychological changes
taking-in phase days focus primarily on her own basic needs 集中于自己基本需要 take in every detail of the neonate 关注新生儿的细节 allow other to make decisions for her 愿意别人替她做决定

19 Psychological changes
Taking-hold phase 4 days~2weeks more independent 更独立 manage her own body-function 管理自己的健康 express strong interest in caring the neonate 更有兴趣照顾小孩

20 Psychological changes
Letting-go phase redefine her role 重新定位自己的角色 accept all traits of her baby 接受孩子所有的特征

21 Enough time for health education Family-centered
Care plan Enough time for health education Family-centered Increase the woman’s self-esteem

22 Diet Balanced nutrition with enough calories 有足够热量并有均衡营养的饮食 Provide between-meal snack 每餐之间提供小吃 Increase intake of fluid 摄入更多的汤饮

23 Rest and activity Sleep as much as possible Early ambulation according to the mother’s strength

24 Hygiene

25 Thanks for your attention