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