Lesson 1Physiologic changes after vaginal birth: normal ranges and timelineThis part explains usual body changes after vaginal birth in the first 24 hours, covering heart, breathing, body heat, urine, and muscle adjustments, with normal levels and times to tell normal healing from sickness.
Heart changes and blood flow 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 back, safe bladder care, stopping constipation, and nurse actions to guard pelvic muscles and cut infection and blood clot dangers.
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 cleaning 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 careful womb checks, including top height, firmness, place, and shrinking, with step-by-step feeling method, 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 feelSteps for weak womb firmnessLesson 5Documentation standards and escalation triggers for urgent maternal deteriorationThis part sets record-keeping rules for early after-birth care, including planned notes, early alert scores, and clear rise-up signs, making sure quick talking, fast help start, and following law and safety in Zambia.
Key parts of after-birth notesUse of mother early alert scoresDanger signs needing rise-upSBAR talking with doctorsFast help and emergency startLesson 6Vital signs monitoring: BP, pulse, respiratory rate, temperature, and shock recognitionThis part stresses planned vital signs watching in first 24 hours, including how often, methods, understanding blood pressure, heartbeat, breaths, heat, and early spotting of shock, blood infection, and high blood pressure emergencies.
Suggested vital sign timesRight BP, heartbeat, breath methodsHeat changes and infection hintsEarly signs of low blood shockHigh blood pressure crisis and pre-eclampsia signsLesson 7Postpartum anemia: identification, implications for recovery, and monitoring hemoglobin trendsThis part deals with low blood after birth, covering risks, signs, blood levels and pack trends, effects on healing, and nurse ways for watching, adding iron, blood give, and teaching on sign reporting.
Risks for low blood after birthSigns and symptom checksUnderstanding blood and pack levelsMouth 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 well.
Use of proven after-birth pain scalesPain drug choices and dose timesOpioid safety and breastfeedingNon-drug comfort waysRe-check and note painLesson 9Lochia assessment: quantity, color, odor, and abnormal bleeding patternsThis part details careful womb flow checks, including usual amount, colour, smell, pad look methods, spotting odd bleeding ways, and nurse replies to guessed heavy bleed or infection in early after-birth time.
Usual red flow featuresMeasuring flow amount and wet padsChecking smell and infection signsSpotting lumps and heavy bleedQuick steps for guessed heavy bleed
