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Chapter-47 Normal Puerperium

BOOK TITLE: Essentials of Obstetrics

Author
1. Shetty Jyothi
ISBN
9788184489095
DOI
10.5005/jp/books/11242_47
Edition
2/e
Publishing Year
2011
Pages
7
Author Affiliations
Chapter keywords

Abstract

The patient is observed for a minimum of two hours in the labor ward, during which her vitals are monitored closely and it is ensured that there is no PPH. During the patient’s stay in hospital, she will be asked if she has any complaints and regular checks are made of her pulse, temperature, blood pressure, fundal height and lochia. The baby is put to the breast as soon as possible after delivery. The woman is encouraged to void soon after delivery preferably before shifting from the labor ward. Constipation is a common problem in the puerperium. The episiotomy wound or perineal lacerations should be cleansed with antiseptic solution at least twice daily while in hospital. A normal diet can be started immediately after delivery. The mother is in need of rest. She can get out of bed a few hours after vaginal delivery or the next day following a cesarean section. After vaginal delivery, there are many causes of discomfort like episiotomy pain, and afterpains due to uterine contractions. The rhesus-negative woman who is not isoimmunized and whose baby is rhesus-positive is given anti-D globulin within 72 hours of delivery. It is fairly common for women to exhibit a mild degree of depression a few days following delivery. Mothers who have completed their family can be offered postpartum sterilization within the first 48 to 72 hours after vaginal delivery. Initially, patients are asked to move their limbs at short intervals and do deep breathing exercises. Following vaginal delivery, provided there are no complications the woman can go home after 48 hours.

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