2. Newborn Infants need
â˘
â˘
â˘
â˘
â˘
â˘
Easy access to mother
Appropriate feeding
Adequate environment
Parental care
Cleanliness
Observation of body signs by someone who
cares and can take action if necessary
⢠Access to health care for suspected of
manifested complications
⢠Nurturing, cuddling, stimulation
6. In the Postpartum Period
Women Need:
⢠Information/counseling
on
â Care of the baby and
breastfeeding
â What happens with and
in their bodies including
signs of possible
problems
7. In the Postpartum Period
Women Need:
⢠Information/counseling
on
â Self care/hygiene and
healing
â Sexual Life
8. In the Postpartum Period
Women Need:
⢠Information/counseling
on
â Contraception
â Nutrition
9. In the Postpartum Period
Women Need:
⢠Support from
â Health care providers
â Partner and familyemotional and
psychological
10. In the Postpartum Period
Women Need:
⢠Health care for suspected or manifested
complications
⢠Time to care for the baby
⢠Help with domestic tasks
⢠Maternity leave
⢠Social reintegration into her family
⢠Protection from abuse/violence
11. In the Postpartum Period
Women Need:
⢠Women may fear
â Inadequacy
â Loss of marital intimacy
â Isolation
â Constant responsibility for care of the baby
and others
13. Respiratory
Mechanical
â˘Immediate reduction in intraabdominal pressure
â˘Chest wall compliance returns to
normal with the relief of
diaphragmatic pressure
â˘All diameters and angles return
to normal 1 â 3 weeks postpartum
Biochemical
â˘Feelings of dyspnea disappear
shortly after delivery
Lung Volumes
â˘Tidal volume and residual
volume return to normal
â˘Expiratory reserve volume may
remain low for several months
14. Respiratory
Ventilation
â˘Rate returns to normal in First few
hours
Diffusing Capacity
â˘May remain decreased up to 12
months
Acid Base Changes
â˘Maternal antepartum alkalosis
and intrapartum respiratory
acidosis resolve in first few hours
16. Cardiovascular
Anatomic
â˘Heart returns to normal
placement
â˘PMI returns to normal placement
â˘Diaphragm returns to normal
placement
â˘Decrease in venous and arterial
pulsation
Cardiac Output =HR x
Stroke Volume
â˘Increase significantly for 1-2
hours postpartum(60-80% pre
labor) then stabilizes
â˘Returns to normal although may
stay elevated for up to 1 year
Heart Rate
â˘Decreases immediately PP
â˘Returns to normal 6-8 weeks
17. Cardiovascular
Stroke Volume
â˘Increases immediately PP
â˘Returns to normal 6-8 weeks
Blood pressure
â˘Transient rise in first 4 days
â˘Returns to normal 6-8 weeks
Regional blood flow
â˘Blood returns to maternal
circulation form heart, uterus,
renal, lungs, extremities, skin
â˘Returns to normal 6-8 weeks
Heart Sounds
â˘Split in first heart sound resolves
by 2-4 weeks
â˘SEM â 80% resolve by 4 weeks
EKG and Echo-cardiogram
â˘Returns to normal 6-8 weeks
19. Hematological
Total blood volume
â˘Decreases immediately PP due
to blood loss at delivery
Plasma volume
â˘Decreases immediately PP due
to blood loss and delivery
â˘Increases 3 days PP due to shift
of extra cellular fluid into vessels
RBCs
â˘RBC production returns to
normal levels
â˘RBC count returns to normal by
8 weeks PP
20. Hematological
Hgb & Hct
â˘Immediate decrease in Hgb
immediately PP due to blood loss
at delivery
â˘Hgb levels stabilize by 2-3 days
â˘HCT remains relatively stable
immediately after delivery
â˘Hct returns to non-pregnant
levels 4-6 weeks
WBCs
â˘Decrease to 6- 10,000 after high
of 25-30,000 during intrapartum
and immediate postpartum
â˘Returns to normal 4-7 days
Platelets
â˘Increases at 3-4 days
â˘Gradually returns to nonpregnant levels
21. Hematological
ESR
â˘Gradually returns to nonpregnant levels after antepartum
increase
Serum Fe
â˘Increases as Hgb is catabolized
â˘Gradually returns to nonpregnant levels
Coagulation factors
â˘Increase in fibrolytic activity in
first hours
â˘Slow decrease to non-pregnant
levels by 1-4 weeks
â˘Slow decrease in coagulation
factors by 1-4 weeks