Puerperium

Physiological Psychological
Changes Changes

Reproductive Effects of Progressive

System Changes Retrogressive Changes
Changes
Behavioral Adjustment : Phases
Circulatory Integumentary of the Puerperium
System Changes System Changes Lactation
Gastrointestinal The immediate transition of the
Vagina Because of the System Changes Skin is uniform The breasts are engorged;
Cervix Perineum Vital Signs mother from placental delivery
After vaginal extensive in color nipples are flat with
After the delivery, The thru the weeks as a new role fits
After delivery, the birth, the vagina Because of the diuresis that is unblemished, minimal swelling; and for motherhood. Reba Ruvin
cervix is soft and the patient can and no presence temperature of small sore was observed
is soft, with a great amount of evident between (1984) divided the phases of
malleable. By the eat without of foul odor. patient is normal in the right breast.
few rugae, and pressure the 2nd and the difficulty from Puerperium into three phases:
end of the 7th day of experienced 5th days after Good skin turgor within the 24 According to Pillitteri, in
its diameter is nausea or taking - in phase, taking - hold
Breast the postpartum during birth, the birth and as well and within hours range. many women, breast
considerably vomiting. After 24 phase, and letting - go phase.
period, the external perineum feels as the blood loss normal skin Respiratory rate distention becomes sp
Patient B.A.C. is 2 greater than hours the patient
opening has edematous and at birth, there is temperature of is 20 and pulse ,arked it is accompanied Postpartal Blues
days in post-partum. normal. It takes voided. According
Uterus narrowed its sized, tender a reduction of 36.5-37.5 C. rate is 74. . by a feeling of heat or
Breasts are engorged; the entire to Pillitteri, After the
remains slightly immediately extra blood Body According to throbbing pain, or breast
nipples are flat with During the 2nd day postpartal majority of delivery, the
open, and appears after birth. accumulated temperature pilliteri, tissue may appear
minimal swelling; and of postpartum the period for the women do not mother didn't
like a star shaped Ecchymosis from during may increase temperature will reddened as if an acute
small crack was patient's uterus: vagina to have regular experience any
figure. ruptured Urinary System Changes pregnancy. By slightly during increase in the inflammatory or Taking-In Phase
observed in the right involute until it bowel movement postpartal blues
Height: Fundus 2/u the 1st or 2nd first 24hours first 24 hours of infectious process were
breast. gradually capillaries may Patient B.A.C has voided for 2 to 3 days instead she is
below umbilicus. week after birth, after birth delivery. Pulse present. This feeling of
Lochia returns to it show on the twice since 6 am with 500 after delivery so cooperative, The interest of the mother in learning
Fundus descends 1 surface. the blood because of rate is tightly tension in the breasts on
Patient B.A.C. has prepregnancy mL. Urine is yellow with during the first 2 alert, and about her newborn has been her top
fingerbreadth each volume returns dehydration slower than the the third or fourth day
lochia rubia, with state. some blood but patient days of postpartal attentive. priority after delivery. Since she is a
day. to its normal during Labor. normal. After after birth is termed
small amount and verbalized no pain. period, oral Baseline & primi mother, her skills and
prepregnancy delivery, there is primary engorgement.
Position: Fundus is has no blood clots. laxative or stool Lawson (2012) knowledge are insufficient towards
level. The usual an increase in There is an insufficient
midline near softeners may be mentioned that taking care for her newborn. it is
blood loss with a blood volume milk supply from the
umbilicus. administered. only 50% of clearly evident since, the mother
vaginal birth is and stroke mother. According to women only always ask for instructions on how to
Tone: Fundus if firm. 300 to 500mL. volume that will Stuebe (2012), the experience properly breastfeed her baby.
More than this reduce the pulse formation of breastmilk postpartal blues. moreover, the mother is willing to
amount is rate between which is lactation begins The mother on learn and listen very well to the
already 60-70 bpm. in a postpartal woman the other hand student nurse on the health teaching
considered a Patient’s blood whether or not she plans is cheerful and presented to her such as:
hemorrhage. pressure is to breastfeed. pleased in breatfeeding positions (side lying and
Any varicosities 100/80.
connection with craddle positions)
or vascular . her newborn.
blemishes may
recede, they
may not Taking-Hold Phase
completely
Episiotomy disappear This phase of puerperium were not
evident yet to the mother since there
Median were no actual demonstration from
episiotomy, no the patient that can be considered to
edema/swelling be in this phase. According to Pilliterri
and discharge (2018) This phase of puerperium the
observed. Return of Menstrual Flow
woman expresses strong interest in
Homan's Sign caring for her child. It is always best
After the As the woman is for a student nurse to give a woman
delivery, there is breastfeed her child, brief demonstratoins of newborn care
there is an absence of and then allowing her to care for her
no discomfort or
menstruation. The return child herself. Although she may feel
pain behind the
knee on forced of her menstrual flow will insecure for her ability to take care of
dorsiflexion of comeback eventually her child, positive reinforcement will
the foot, which after 3 - 4 months, this help her give confidence. This phase is
postanatal infertility is ideal for health teaching for the
causes the calf
called lactational woman.
muscles to
compress the amenorrhea.
tibial veins.
According to
Letting-Go Phase
Pillitteri that if
there is a Pilliteri (2018) mentioned that this
presence of pain phase for the woman finally giveds up
upon testing., her former role and accepts her new
thrombosis may role, the woman gives up on her
be present fantasized image of her child, and
accepts the real one. This process
requires some grief work and
readjustment of relationship, a
woman who has reached this phase is
well into her new role as a mother for
her child.
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