Question

1. Discuss and Outline a discharge teaching plan for postpartum women and their families that emphasizes topics essential for the well-being of the new mother and her newborn.

2. Discuss and Compare recommendations for postpartum teaching with the teaching protocols used in the health care agencies in your community.

3. Describe how the approach should be adjusted based on the timing of discharge, including methodologies that could be used to adapt to a shortened period of time.

Answer 1

1.The discharge teaching plan for postpartum women and their families are

• Breastfeeding
  • Teach about the techniques of holding ,frequency and length of feed shoukd be 10 to 15 minutes on each side every second hourly and not exceeding three hours
  • Burp the baby after each feed to relieve any gas and prevent colicky abdomen
  • No pacifiers ,it is good to avoid it
  • Cleanse the breast nipple area with wet clean cloth to remove any dirt and hard discharge stuck to ensure free flow of milk
  • Wear supportive bra
• Perineal hygiene ,dressing
  • The mother should have a good perineal hygiene and apply antimicrobial ointment in case of normal delivery suture like episiotomy
  • Dressing has to be kept dry in case of cesarean
• Diet
  • Adequate fluids
  • Balanced and nutritional diet
  • Eating before feeling hungry
  • Do not skip meals
  • Calcium ,multivitamin supplements to be taken as per order
• Exercise
  • Rest for atleast 6 weeks then can start mild exercise as per order under post natal exercise for ceasarean cases
• Umblical cord care
  • It will dry and fall off in 5 to 7 days
  • Monitor for discharge, swelling and report to healthcare professionals for help
• Bowel and bladder pattern
  • May pass urine and stool as per the intake ,there can be 1 or even 8 pr more bowel movements all are normal.Similarly they may pass urine more than 6 to 8 times a day
  • The first stool will be greenish black
  • As the baby grows old by days and with good feed the color of stool turns pale yellow or in normal color
• Baby bath
  • Can be bathed at any time of day time
  • Use Luke warm water to bath
  • Can use baby lotions and oils
  • Avoid dusting powder
• Vaccination
  • The baby will be vaccinated with BCG,Hepatitis B, BCG and the follow up vaccination as to be taken as prr schedule
• General
  • Keeping environment clean and tidy
  • Clean hands before preparing any feeds,touching the baby
  • Do not take newborn to extreme crowded placed
  • Daily sunlight exposure in the ,morning is needed to enhance the vitamin D secretion