You are on page 1of 3

NORMAL PUERPERIUM

DEFINITION
PHYSIOLOGICAL CHANGES DURING PUERPERIUM
Involution of Uterus , changes in cervix ,ovaries, vagina- lochia, and
perineum
Functions of various organs and organ systems
Menstruation and ovulation
Physiology of lactation
Exclusive breast feeding
Baby friendly hospital initiative
ASSESSMENT OF POST NATAL WOMEN
MANAGEMENT OF NORMAL PUERPERIUM
Immediate attention
Rest and ambulation
Care of vulva and episiotomy wound
Care of breast and proper techniques of breatfeeding
Diet
care of bowel
Asepsis and antiseptics
Immunization
Postnatal exercises
Sleep
Psychosocial adaptations
MANAGEMENT OF MINOR DISCOMFORTS
After birth pains
Excessive perspiration
Perinael stitch pain
constipation
NURSING MANAGEMENT OF NORMAL PUERPERIUM
POSTNATAL CARE AND ADVICE
COMPLICATIONS OF PUERPERIUM
Immediate ;postpartum haemorrhage and shock ,pulmonary embolism due
to air or amniotic fluid, inversion, postpartum eclampsia.
Early; within 1 week urinary tract infections ,breast complications
,postpartum blues
Delayed ;secondary post partum haemorrhage ,thromboembolic
manifestations-pulmonary embolism, venous thrombosis ,psychosis

REFERENCES
1) D.c Dutta Textbook of obstetrics 6
th
edition new central
publishers145-153,433-444
2) Kamini ra Textbook Of Midwifery And Obstetrics for nurses first
edition Elsevier publications pg :177-191
3) Sabaratnam arulkumaran, sivanesaratnam, alokendu chatterjee
Essentials Of Obstetrics jaypee publishers pg373-378