General Objectives

The Bachelor of Science in Nursing, 12B, group 6 are allocated to plan, facilitate,
and implement the appropriate nursing care and interventions that will help in improving
the patient’s health conditions while also paying close attention to their medical and
emotional aspects. We will be able to formulate analysis on the scenario given about
learning the overall health development plan of the subject. We aim to provide relevant,
practical, and evidence-based knowledge and interventions in this scope which will help
in skill development in order to provide relevant information and proper care for
Postpartum patients.

Specific Objectives
Within 6 days of constructing a nursing care and interventions to the given
scenario, our group aims to achieve our goals by following definite objectives:

 Identify and select a patient who will be the subject for the study. 
 Create an introduction that includes a summary of the case study
 Create specific, measurable, attainable, realistic, and time-bound objectives.
 Gather relevant personal and clinical information that will be used as baseline
data
 Present a genogram that contains the patient’s maternal and paternal lineage
along with the heredo-familial diseases.
 Present the client’s past health history up to her current health status and
conditions.
 Discuss detailed physical assessment in a cephalocaudal manner.
 Collect the client’s diagnosis with the use of different sources.
 Review of the Anatomy and Physiology of the affected system in the patient’s
condition.
 Enumerating the different postpartum maternal changes by utilizing the concept
map.
 Discuss the different drugs under the client’s treatment regimen.
 Provide significance and rationale of the medical management to be undergone
by the client.
 Formulate nursing care plans with appropriate and relevant interventions derived
from the gathered data in addressing and identifying the needs of the patient
 Render appropriate health teachings to the client through discharge planning.
 List down the references used for the completion of the study

Introduction

The postpartum period is the period after delivery of conceptus when maternal
physiological and anatomical changes return to the nonpregnant state. The postpartum
period, also known as puerperium, starts following the expulsion of the placenta until
complete physiological recovery of various organ systems. (Chauhan,G. & Tadi P,
2020). Providing adequate physical care and emotional support affects your future
health and the emotional health of your child and family (SilbertFlagg & Pillitteri, 2018).
Furthermore, this period is divided the puerperium into three separated phases, acute
phase - the first 24 hours after birth; early phase, up to first seven days after delivery;
and late phase – up to 6 weeks to 6 months. Each phase has its unique clinical
considerations and challenges. (Chauhan,G. & Tadi P, 2020)

According to the World Health Organization (2019), approximately 810 women

died from preventable causes related to pregnancy and childbirth every day in the year
2017. Between 2000 to 2017, the maternal mortality ratio (MMR number of maternal
deaths per 100,000 live births) dropped by about 38% worldwide. Each year,
approximately 50 million women living in malaria endemic countries throughout the
world become pregnant. In 2003, over 4 million live babies were born, and about 84.1%
of the mothers of these babies received prenatal care starting in their first trimester
(Hamilton, Martin, & Sutton, 2004). Like prenatal care, the postpartum health care that
typically occurs during the 6 weeks after childbirth is considered important to new
mothers' health. Unlike the tracking of prenatal visits, however, few national statistics
exist on postpartum health-care utilization or postpartum health problems encountered
by new mothers (Albers, 2000). Not surprisingly, the extent and content of postpartum
health care have been critiqued as too limited to meet the health needs of women
(Albers, 2000). Postpartum care also ends as new mothers are still striving to adapt to
role changes and a new family environment (Mercer, 1985). Nurses are in a pivotal
position to contribute to health-care policies and practices that may improve care for
postpartum women. Therefore, the purpose of this analysis is to highlight the
importance of postpartum maternal health, identify inadequacies in the current practices
of postpartum care, and provide recommendations on policy and practice for a
comprehensive approach to care of women after childbirth.

In 2017, WHO estimated the Philippines’ maternal mortality ratio at 121 deaths per
100,000 live births. On the other hand, the Philippine Statistics Authority (PSA)
estimated the MMR for that same year at 87.3 deaths per 100,000 live births. According
to Dr. Nelson and Gonzales Marie (2014), shows that the more participants are
generally happy with their new roles as mothers and mostly rely on their families and
partners for financial and emotional support. It is also worth noting that none of them
have considered having an abortion, committing suicide, and suffering from domestic
violence. This includes that we as future nurses must include a focus on a better data
collection, improve quality measures, an education provided to mother prior to and after
delivery, interventions and improve obstetrical and maternal care services. It is
particularly important that all births are attended by skilled health professionals, as
timely management and treatment can make the difference between life and death for
the mother as well as for the child.
 From baseline figures in 2014, maternal deaths have decreased by 53 percent
and infant deaths have decreased by 32 percent in the whole Davao Region in 2017.
Meanwhile, the maternal deaths reduced by 41 percent and infant deaths reduced by 12
percent in the 10 project sites from 2014 to 2017. Every pregnant woman needs to
know that birth is intended to happen simply and easily and that six key birth practices
make birth safer for mothers and babies. Every pregnant woman also needs to know
that the standard maternity care is not evidence-based and, therefore, the health-care
provider and place of birth will influence the care that she receives in powerful ways.
Childbirth education can help women simplify pregnancy and birth and be a resource for
understanding how decisions about maternity care influence the health and safety of
mothers and babies. This indicates how important the postpartum period is along with
the other periods a mother will go through. As future nurses, it is important to value the
data and learnings about the postpartum period in order to give the right interventions.

Patient F, is a 29-year-old married woman who was admitted with a chief

complaint of postpartum pain (after pain), and with an admitting diagnosis of G1P0
pregnancy uterine 40 weeks AOG/ 39 weeks by ultrasound presents at the labor and
delivery unit, cephalic in presentation, cephalic in labor. We choose this case scenario
to provide the possible interventions and nursing management to responds to the needs
of the mothers during postpartum period to avoid and prevent complications and provide
an effective care.

References
Chauhan,G. & Tadi P, 2020. Physiology, Postpartum Changes. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK555904/.

Pillitteri, A., & Silbert-Flagg, J. (2017). Maternal and Child Health Nursing: Care of the
Childbearing and Childrearing Family (8th ed.). LWW.

Tanggol, F. (2018). Maternal and newborn health improves in the Davao Region.
Retrieved from

WHO. (2019). Maternal mortality. Retrieved from https://www.who.int/news-room/fact-

sheets/detail/maternal-mortality

Gavira, B., Albis M., Bersales, L., Romasoc S. (2020). Measuring Maternal Mortality
Using Civil Registration Data. Retrieved from
https://www.unescap.org/sites/default/files/11_Measuring_Maternal_Mortality_Using_Ci
vil_Registration_Philippines.pdf

Cheng Y. MSN, RN., Fowles E. PhD, RNC., & Walker L. Edb, RN, FAAN. (2006).
Postpartum Maternal Health Care in the United States: A Critical Review. Retrieved
from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1595301/
Lothian, J, PhD, RN, LCCE, FACCE. (2009). Safe, Healthy Birth: What Every Pregnant
Woman Needs to Know. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2730905/