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 Dissapointed with baby’s sex

Postpartal Maternal  Exhausted
Changes  There is an intense tremor
 Stretch mark still appear redenned.
 Chloasma and linea negra are still detectable.
 UTERUS:
7am: well contracted
2:30pm: soft, relaxed
 Vagina: 1pm: severe vulvar pain
 Lochia: 2:30 pm severe lochia rubra, odor is
similar to marigold

VS Progressive Changes Retro progressive changes

CHANGES
October 5,2021 6:55am October 5,2021 (8am)
October 5,2021 (8am)
 Lactogensis I  patient looks pale, tired,
 BP 100/60  Latching was and sleepy
 pulse-105 bpm done  fatigue from sleep
 CR-105 bpm deprivation
 temperature 37.9 October 5,2021 10:55am  exhausted includes
 RR 20 . (emotional letdown that
 Primary follows the excitement
October 5, 2021 engoregement and fears during
(12noon) occurs (full and pregnancy and delivery)
feel tense or
 BP 90/60  anxiety over the ability
tender breast)
 pulse-95 bpm to provide appropriate
verbalized as
 CR-96 bpm newborn care and body
“nadagdag pa
 T-37.6 degrees image concerns.
itong dede ko na
celcius
 RR 19. parang
 Present namamaga at October 5, 2021, 10:55 am
weight:135 lbs. tumitigas”
 Pre pregnant  Patient is sad
weight  Unmet expectations
 :100 lbs  No weight loss noted
 UTERUS:
7am: well contracted
2:30pm: soft, relaxed
 Vagina: 1pm: severe
vulvar pain
 Lochia: 2:30 pm severe
lochia rubra, odor is
similar to marigold
 11:40 PM: lochia rubra
in moderate amount
 1pm: overdistended
bladder
 bowel sounds are active
 Lungs have normal
breath sounds without
dyspnea.
 Clear to auscultation in
all lobes. no crackles,
wheezing or stridor.
 Patient is tachycardic.
 Breast is tender
 Afterpains are felt
 If with postpartum complications

 The delivery was complicated by

a prolonged 2nd stage of
 labor due to exhaustion and 3nd
degree laceration.
 mildly diaphoretic and pain scale
Normal Puerperium
of 9/10
 2:30 pm: severe bleeding
 Pronounced edema with
ecchymosis patches from
ruptured capillaries and
generalized tenderness, there’s
 an intact median episiorraphy.