S.
NO
SPECIFIC
OBJECTIVES
1.)
Establish
1 min.
rapport with
the group
members.
Discuss
the 1 min.
definition of
puerperium
2.)
3.)
Describe the
physiological
changes
in
puerperium
TIME
CONTENT MATTER
A.V
AIDS
EVALUATION
LECTURE
DEFINITION
Puerperium is the period following childbirth during CUM
which the body tissues, specially the pelvic organs revert DISCUSSION
back approximately to the pre-pregnant state both
anatomically and physiologically.
Black
board
Can you define
puerperium
5 min. Physiological changes in puerperium:LECTURE
CUM
1. Uterus:- After delivery weight of uterus is about
1000 gm after 6 weeks it become 60-100 gm. Size DISCUSSION
become 151210 cm. following delivery fundus
height lies about 13.5 cm after 24 hours it steadily
decreases by 1.25 cm/day.
Black
board
and
ppts
Can you explain
the types of
osteoarthritis
TEACHING
LEARNING
ACTIVITIES
Self introduction
Roll call
Assess previous knowledge
2. Cervix:- it takes 6 weeks to regain contour one
finger can be admitted even after one week of
delivery. External os never revert back to prepregnant state.
3. Lochia:- its vaginal discharge for 15 days to 21
days maximum.
Lochia rubra (3-4 days):- it is red in
colour and blood, decidual and
trophoblastic debris are content mainly
1
present.
Lochia serosa (5-9days):- it is brown in
colour and old blood, serum leukocytes
and tissue debris content are present.
Lochia alba (10-15 days):- it is white in
colour and leukocytes, decidual, epithelial
cells mucus, serum and bacteria content are
present.
4. Breast:- lactation start immediately after delivery
on sucking by the baby as the hormone name
prolactin stimulate milk production. During 3-4
days of puerperium breast become heavy and
engorged which can be reduced by baby
continues suckling.
5. Cardiovascular system:- blood pressure reduces
immediately after delivery due to blood loos and
dehydration. within 2 weeks blood volume
become normal resulting normal blood pressure.
Pulse increases after delivery and after 3rd day of
delivery it become normal. Temperature falls
after delivery, increases due to breast
engorgement and after that it become normal.
6. Urinary system:- urinary retention/overflow may
occur within one month after that it become
normal.
7. Gastrointestinal system:- bowel evacuation may
be delayed until 2-3 days after delivery.
2
8. Neurological system:- postpartum headache may
be caused by PIH, stress, or leakage of CSF into
the extradural space during placement of needle
for spinal anesthesia in case of C.S
9. Musculoskeletal system :- stabilization of joint
takes 6-8 weeks, following delivery
10. Integumentary system :- cholasma usually
disappears after delivery
4.)
Explain
the
nursing
5 min.
management of
postnatal
mothers
LECTURE
CUM
Rest and sleep :- 8 hours night and 2 hours DISCUSSION
day time rest is required
Early ambulation :- within first 48 hours of
delivery it must be done
Hygiene :- perineal care, vulvar pad changes,
breast care while taking bath and before and
after feed
Care of bladder and bowel :- sufficient
roughage and fluid, pass urine 2-3 hourly, in
case of constipation administer mild laxatives
Diet :- additional 400-500 kcal to meet
lactation needs, plenty of proteins, fish, meat,
fruits and green leafy vegetables
Rooming in :- it build up mother child
relationship by cuddling, fondling, kissing and
Nursing care for postnatal mothers :1.
2.
3.
4.
5.
6.
Flash
cards
and
chalk
board
Can you explain
nursing
management of
postnatal
mothers
gazing
7. Postnatal exercises :- it starts after 24 of
normal delivery and 48 hours after C.S
8. Contraception :- explain various method of
contraception
9. Education: - guide mothers about self-care
and baby care. It involves :- breast feed baby
bath, immunization, weight gain of baby,
physiological jaundice
10. Emotional needs :- encourage them, observe
for need of counselling, show confidence in
mothers ability
11. Immunization of mother :- anti-D gamma
globuline to rh negative mother
12. Breast feeding and breast care :- wear well
fitted bra, keep breast nipples clean and dry,
allow demand feeding on crying of baby,
maintaine exclusive breast feeding for first 6
months
5.)
Summarize the 1 min.
topic
puerperium
SUMMARIZATION
Definition of puerperium
Physiological changes in puerperium
Nursing management of postnatal mothers
6.)
Recatualize the 2 min.
topic.
RECAPTUALIZATION
Ask questions
Clarify doubts
7.)
BIBLIOGRAPHY
Dutta D.C, Textbook of obstetrics7th edition,
published by hiralal konar
Jacob annamma, A comprehensive textbook
of midwifery 2nd edition, published by jaypee
brothers
Identification data
Name of teacher
Mandeep Kaur
Class
M.sc nursing 1st year
Subject
obstetrical and gynecological nursing
Venue
M.sc 1st year (obstetric and gynecological nursing-1)
Duration
15 min
Teaching & learning activities
lecture cum discussion
A.v aids
PPTs, chalk board, flashcards
General objectives: - At the completion of the class students will be able to explain about puerperium, physiological changes during
puerperium and nursing management of postnatal mothers.
Specific objectives: - The student will be able to:
Discuss the definition of puerperium
Describe the physiological changes in puerperium
Explain the nursing management of postnatal mothers
