As the postpartum period sets in, the greatest change that the woman would notice in her is the change in her role; she is now a certified mother! With this modification, other changes will start to set in slowly and gradually, and the woman must be armed with information so she would be able to deal with these life changes. Show
Psychological ChangesThe changes that the woman undergoes are crucial within the first 24 hours of postpartum, especially the psychological changes. These changes might affect the woman permanently if not given the appropriate attention and care. Taking-In Phase
Taking Hold Phase
Letting Go Phase
Physiological ChangesSeveral body systems are also affected after the birth of the newborn, and these changes may or may not be noticed by the mother early during postpartum. Reproductive System
Hormonal System
Urinary System
Circulatory System
Gastrointestinal System
Practice Quiz: Postpartum ChangesQuiz time! 1. When does postpartum depression usually happens? A. During the birth of the baby 2. What happens during the taking in phase? A. The woman easily adjusts to her new role as a mother. 3. What is the most important player during involution? A. Medications 4. How could a woman regain the strength and tone of her vagina post birth? A. Through pelvic rocking
exercises. 5. What would you advise a woman who has a urinary output of 3000 mL per day postpartum? A. It is a normal occurrence after birth. Answers and Rationale 1. Answer: D. During the letting go phase Postpartum depression is common during the letting go phase after birth. 2. Answer: B. The woman is passive and relies mostly on the people around her. During the taking in phase, the woman is dependent on her healthcare providers or support persons with simple tasks and making decisions. 3. Answer: C. Contractions Contractions aid the return of the reproductive system to its nonpregnant state and also prevent hemorrhage postpartum. 4. Answer: B. Do Kegel’s exercises. Kegel’s exercise strengthens the muscle tone of the vagina. 5. Answer: A. It is a normal occurrence after birth. The diuresis after birth gets rid of the excess fluid that has accumulated in the woman’s body during pregnancy. These changes are what make a woman a full-fledged mother. It only takes gradual adjustment and she would easily slip into her new role as a mother without much difficulty, especially if she has a strong support system and reinforced with all the information she needs for the postpartum period. Which behavior indicates to a nurse that a new mother is in the taking hold phase?Taking Hold Phase
The woman starts to initiate actions on her own and making decisions without relying on others. Women who underwent anesthesia reach this phase only hours after her delivery. She starts to focus on the newborn instead of herself and begins to actively participate in newborn care.
Which behavior would the postpartum woman demonstrates during the takinga. Taking-In Phase.
During this phase the mother is oriented primarily to her own needs. She primary focuses on sleeping and eating. She may be quite passive and dependent. The mother is reacting to the intense, physical effort expended during delivery and the intense, emotional effort required of her during labor.
What is the takingTAKING-IN PHASE: FIRST 3 DAYS
Mother focuses on her own primary needs, such as sleep and food. 2. For the nurse to listen and help the mother interpret the events of delivery to make them more meaningful is important. 3. This phase is not an optimum time to teach the mother about baby care.
What are the maternal behaviors during the takingDuring the taking-in phase, the mother is focused primarily on her own need for fluid, food, and sleep. She may be passive and dependent. This is normal and lasts about 2 days.
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