00:01
So, in a nutshell, the uterus
typically decreases by 1 cm per day.
00:08
And it's nonpalpable
by 2 weeks postpartum.
00:12
Postpartum contractions
or after birth pains
get more intense
with each pregnancy.
00:17
So a grand multip
and a primer grabit
are going to have slightly
different experiences postpartum.
00:24
Lochia rubra is
noted on days 1-3;
serosa days 4-10; and alba,
days 11-6 weeks postpartum.
00:35
The cervix remember
has been really beat up
and it remains edematous and soft
until about day 3 postpartum.
00:43
The multiparous os or the opening in the
cervix has a slit rather than a circle.
00:49
Colostrum is going to be usually
present the first 3 days postpartum,
and mature milk production is going
to be enhanced by more feeding.
00:58
So the more frequent the baby feeds,
the quicker the mature milk will come in.
01:03
Postpartum bradycardia may be
noted down to 40 beats per minute.
01:09
The white blood cell count may increase
up to 25,000 and still be normal.
01:15
But don't forget,
always check for other signs of infection.
01:19
The hematocrit will drop depending on
the amount of blood loss during delivery.
01:23
So if it starts to drop
more than is normal,
then we want to go back
and double check that.
01:29
Prolactin levels are going to remain
elevated in breastfeeding clients.
01:34
And ovulation may be delayed by
breastfeeding up to 6 months,
provided that the mother is not going
longer than 6 hours between feeds.
01:43
Diuresis is normal after the
first 12 hours postpartum.
01:48
A bowel movement may be
delayed 2-3 days postpartum
because of decreased peristalsis or
emptying during labor or medication.
01:58
The rectus abdominis muscle
returns to normal by about 6 weeks.
02:03
And 80% of clients experienced transient
moments of feeling anxious or overwhelmed.
02:09
And remember, this should go
away by 2 weeks postpartum.
02:14
Taking in is passive and the client or the
client is passive and they're self focused.
02:20
Taking hold,
the client is more independent
and is starting to care
for the baby independently.
02:26
And letting go,
the client is usually hopeful
and is fully embrace the baby and is
ready for their new role in the family.
02:34
You did it.
02:36
All done.