postpartum period

MINOR DISCOMFORTS DURING POSTPARTUM PERIOD

JOUD ABDULMOHSEN LEENA BADER

421204499 421204322
 INTRODUCTION

After the woman gives birth , the child is the most

important thins for her ,so she may ignore some of the
minor discomforts that may happen to her. although
the solve may be simple

We will talk about some of these descomforts and some

of things that overcome the problems
CONTENTS
Cs wound discomfort
Constipation
Breast engorgement
Hemorrhoids
After pain
Episiotomy
Urine retention
Sore nipple

 CS WOUND
DISCOMFORT
Definition
It feel discomfort in caesarean section. After childbirth, most women
need painkillers. the discomfort feel makes it difficult for her to move or
breathe deeply, which can make it easier for her to develop blood clots
or infections

Causes.
•Redness around the incision
•Abnormal swelling around the incision
•Fluid leaking from the wound
•Increasing the pain at the wound site or pain that doesn't get better
•Heavy bleeding at the wound site

 NURSING
CARR
• Explain the importance of getting out of bed and taking care of the baby.

.Pay attention to sterilizing the wound and keeping it clean

• Avoid wearing tight clothes

• Educate the mother about the signs of complications.

• Do not carrying heavy things

.Use cold and warm pack

•Use of painkillers and antibiotics as doctor order

 CONSTIPATION

Definition
A condition in which bowel movements are infrequent and feces
turns hard, dry, and difficult to pass.

Cause.
•Consuming a diet low in fiber.
•dehydration
•Getting very little to no exercise.
•Taking medcation, such as painkillers, some antidepressants, or
hypotention drug’s
•stomach problems
 NURSING
CARR
As tolerated, encourage the patient to increase fluid intake to 1.5–2

L/day.

•advised the mother to consume at least 20 to 30 g of fiber daily, as

recommended.

•Use laxatives ( doctor order )

•If necessary, administer an enema

advised the mother to do exercise

 BREAST
ENGORGEMENT
Definition.
The painful overproduction of milk in the breasts is known as breast
engorgement. This is happens when if there an imbalance between the
supply and demand of milk for infants. Mothers frequently stop
breastfeeding earlier than they had intended due to this problem.

Causes.
•the first several days after giving birth, when milk "comes in" to the breasts.
•When she regularly breastfeed or pump on a regular schedule but are unable to
do so.
•If they both stop breastfeeding.
•When your baby's breast feeding abruptly
Decreases
 NURSING
CARR
•Reduce breast swelling by applying cold packs 20 minutes before to

breastfeeding or pumping

•Breastfeed or pump breasts every 2 to 3 hours during the day , every 3 hours

at night.

•If there is edema, Avoid Using Heat. It might worsen things.

•While pumping or breastfeeding, massage the breasts by stroking in the

direction of your infant's mouth or the pump flange.

•Wear a supportive, properly fitting bra.

HEMORRHOIDS
Definition
•veins within and outside of the anus and rectum that swell and expand.
Degree of hemorrhoids.
1.External hemorrhoids: These form beneath the skin in the vicinity of the anus
2.Internal hemorrhoids: Although not apparent, these form inside the anus and
can bleed.
3.Hemorrhoids that have prolapsed: These develop internally, and eventually
they protrude from the anus.

causes
-Hemorrhoids are a common occurrence during pregnancy, due to the
pressure that the baby and uterus place on the veins in the rectal area. It may
continue until after birth if it is not treated.
-Constipation is also one of its causes because it causes pressure on the
rectum,
-sitting on hot things for a long time
- stress

NURSING
CARR
-cold & warm sits bath alternatively

-High fluid intake to make stool soft

-Laxatives in severe constipation

-Teach the mother Avoid carrying heavy object

-Teach the mother Avoid stress

-Provide patient with antibiotic as doctor order

 AFTER PAIN
Definition:
It is the intermittent discomfort that is in the lower abdomen and back for 2-4
days after delivery. During breastfeeding, it is frequently felt.

Risk factors :
The uterus contracts to shrink back down to its original size.

Management:
-Massage of uterus
-Administer analgesics (ibuprofen).

 EPISIOTOMY
Definition:-
is incision between vaginal opening and anus area during childbirth.

Types :-
• Midline incision: is vertically. is easier to repair and less painful ,But it higher
risk of extended into anal area.
• Mediolateral incision: A is at angle. is difficult to repair and painful ,is less
likely to result in an extended into anal area.

Causes :-
-Normal rupture will cause an increased risk of disease from the mother.
-The child is too big.
-When the perineal muscles are very rigid.
-Stuck baby's shoulders (dystocia)
 EPISIOTOMY
Nursing care:
1. Monitor episiotomy site for redness, edema, warmth, or discharge to
identify infection.
2. Assess vital signs at least every 4 hours to identify changes
suggesting infection.
3. Apply ice pack to episiotomy site to reduce swelling.
4. Encourage frequent perineal care and peripad changes to prevent
infection.

 SORE NIPPLE
Definition:
are brought on by hormonal changes from menstruation or pregnancy,
allergies, or garment friction.

Causes:
1- Positioning your body during breastfeeding
3- How to breastfeed a baby.
4- Incorrect use of a breast pump by the mother.
5- Baby teeth eruption and nipple biting during feeding.

 SORE NIPPLE
Nursing care:
1- Encouraging the mother to wash her hands before
breastfeeding
2- Advice on daily sterilization of all pacifiers, glass nipples
and the pump
3- Encouraging daily care and personal hygiene of the
breast
4- Ask her to change sides every 20 minutes while feeding

 URINE
RETENTION
Definition:
is a disorder where bladder is can not to completely empty of urine.

Risk factors:
• Episiotomy
• Epidural analgesia
• instrumental delivery
• Primiparity
• Long second stage of labor

Nursing
care:
1- Give the patient the usual voiding procedures.
2- Promote and provide proper perineal cleaning
3-Where a catheter is present, give it appropriate attention, as necessary.
4- Keep any fixed catheters in good working order.
5- If the patient is going to be sent home with a catheter, teach him how to take
care of him and how important it is to do so.
 CONCLUSION
In the past, women did not understand the nature of their bodies and
did not know what to do when abnormal things happened to them

But now women understand and know the changes that happen to
them during and after pregnancy, and they can find solutions to these
problems

THANK YOU