Lesson 1Physiologic changes after vaginal birth: normal ranges and timelineThis part explains normal body changes after vaginal birth in the first 24 hours, covering heart, breathing, body heat, urine, and muscle adjustments, with usual ranges and times to tell normal healing from sickness.
Heart changes and blood shiftsBreathing and body heat changesFluid balance and urine patternsMuscle and movement changesExpected healing time in first 24 hoursLesson 2Postpartum urinary and bowel function: retention, bladder care, and constipation preventionThis part looks at urine and stool changes after birth, focusing on checking for holding, safe bladder care, stopping constipation, and nurse actions that guard pelvic muscles and cut risks of infection and blood clots.
Risks for urine holdingChecking bladder swellingTimed passing urine and tube careChecking and stopping constipationTeaching patients on passing waste patternsLesson 3Perineal assessment and wound care: episiotomy/tear inspection, signs of infectionThis part covers checking the perineal area after vaginal birth, including looking at cuts or tears, swelling, bruises, blood lumps, and infection signs, plus proven wound care, comfort ways, and teaching on cleanliness and healing.
Looking at cut and perineal tearsChecking swelling, bruises, and blood lumpsSigns of perineal wound infectionPerineal cleaning and cream treatmentsComfort ways and body positionsLesson 4Uterine assessment: fundal height, uterine tone, involution, and palpation techniqueThis part teaches step-by-step womb checks, including top height, firmness, place, and shrinking, with feeling methods, understanding odd findings, and nurse steps to stop heavy bleeding and loose womb after birth.
Normal top height by hours after birthChecking womb firmnessFeeling steps and hand placesSpotting loose womb and soft wombSteps for poor womb firmnessLesson 5Documentation standards and escalation triggers for urgent maternal deteriorationThis part sets recording rules for early after-birth care, including organized notes, early warning marks, and clear steps to raise alarm, making sure quick talk, fast help, and following law and safety rules.
Key parts of after-birth notesUse of mother early warning marksDanger signs needing raise alarmSBAR talk with doctorsFast help and emergency callsLesson 6Vital signs monitoring: BP, pulse, respiratory rate, temperature, and shock recognitionThis part stresses organized vital signs watching in first 24 hours, including how often, methods, understanding blood pressure, heartbeat, breaths, body heat, and early spotting of shock, blood infection, and high blood pressure emergencies.
Suggested vital sign checks oftenRight BP, heartbeat, breath methodBody heat trends and infection hintsEarly signs of low blood shockHigh blood crisis and pre-eclampsia signsLesson 7Postpartum anemia: identification, implications for recovery, and monitoring hemoglobin trendsThis part deals with anemia after birth, covering risks, body signs, blood trends, effects on healing, and nurse ways for watching, adding iron, blood give, and teaching on reporting signs.
Risks for anemia after birthBody signs and sign checksUnderstanding blood and cell countsMouth and vein iron treatment thoughtsBlood give levels and nurse careLesson 8Pain assessment and multimodal management: pharmacologic and nonpharmacologic optionsThis part covers full pain checks and mixed handling after birth, mixing drug choices with non-drug ways, personal care plans, safety for breastfeeding, and checking if treatment works.
Use of proven after-birth pain scalesPain drug choices and dose timesOpioid safety and breastfeedingNon-drug comfort waysRe-check and record painLesson 9Lochia assessment: quantity, color, odor, and abnormal bleeding patternsThis part details step-by-step lochia checks, including usual amount, color, smell, pad look methods, spotting odd bleeding, and nurse replies to guessed heavy bleed or infection in early after-birth time.
Normal red lochia featuresMeasuring lochia amount and wet padsChecking smell and infection signsSpotting lumps and heavy bleedQuick steps for guessed heavy bleed
