Why is the nursing assessment vital to caring for the postpartum woman?
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. 2017 Dec;26(23-24):4654-4663. Show
doi: 10.1111/jocn.13812. Epub 2017 May 30. Affiliations
Understanding maternal postpartum needs: A descriptive survey of current maternal health servicesMona Ma Almalik. J Clin Nurs. 2017 Dec. AbstractAim and objective: To assess mothers' learning needs and concerns after giving birth and to examine whether these needs were met at 6-8 weeks postpartum. Background: Women experience many physiologic and psychological changes during postpartum period, which is considered a vital transitional time. Exploring and meeting women's needs help woman to pass this period with little complications and enhance healthcare provider's ability to provide appropriate care following childbirth. Design: A prospective cohort design was employed in this study. Methods: A prospective cohort design was employed. A convenience sample of 150 postpartum women have completed perceived leaning needs scale prior to hospital discharge, at southern region of Jordan, and have completed perceived met learning needs scale at 6-8 weeks after giving birth. Results: Women reported a high level of concern across all eight learning needs subscales. The most common concerns were related to new baby care, episiotomy care and breastfeeding. At 6-8 weeks postpartum, the primary unmet learning needs postpartum were danger signs post-Caesarean section, physical changes, breastfeeding and new baby care. Attending postpartum check-up clinic was found as a significant predictor for postpartum meeting women's needs, particularly emotional changes and family planning-related information. Conclusions: The current maternal health services are not at the optimum level to meet women's individual needs and concerns, which could increase the risk for postpartum complications. Some women's characteristics, such as employment status and educational level, have increased women's concerns and unmet needs in some of the learning needs. Relevance to clinical practice: Healthcare providers and policymakers should consider women's concerns and needs at early postpartum period to establish patient-centred postpartum care that is based on women's needs and concerns during this transitional period, with a focus on newborn baby care, episiotomy care and breastfeeding. Keywords: Jordan; meeting postpartum needs/concerns; postpartum; women's perceived learning needs. © 2017 John Wiley & Sons Ltd. Similar articles
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What assessments are vital on a postpartum patient?BREASTS. The breasts are assessed for: ... . UTERUS. The fundus is assessed for: ... . BOWEL. Assessment of the bowel is important in all postpartum patients. ... . BLADDER. Assessment of urination and bladder function includes: ... . LOCHIA. ... . EPISIOTOMY/PERINEUM. ... . LOWER EXTREMITIES. ... . CESAREAN SECTION ISSUES.. What are nursing responsibilities in postpartum?Postpartum nurses provide important physical and emotional care and recovery for both the new mom and the newborn baby following a delivery. They are trained to educate the new mother and watch for signs of postpartum depression, and may work in tandem with a lactation consultant to assist with breastfeeding.
Why is assessing the fundus postpartum important?Palpation of the uterine fundus postpartum helps to determine uterine size, degree of firmness, and rate of descent, which is measured in fingerbreadths above or below the umbilicus.
What are your nursing responsibility during the first hour of postpartum period?Care within the First 24 Hours
Assess the labor and birth history such as the length of labor and if any analgesia or anesthesia was used to determine any necessary procedures to be done. Determine the infant's data and profile to help with planning the care of the newborn and promote bonding between the parents.
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