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Postpartum Changes

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Postpartum Changes
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  • Alright, I'll check on your sanitary pad we gave you earlier if that's ok with you?
  • Yes that's fine with me
  • I feel something wet "down there".
  • Yes those are normal since you are going to breastfeed your baby. But if you are feeling discomfort try applying cold compress on your breasts or use a breast pump to relieve discomfort on your breasts. I'll come check up on you later.
  • My breasts feel warm and heavy. And there's some liquid leaking near my nipples. Are these normal?
  • Few minutes later...
  • Patient (Christine) felt something wet on her perineum. Lochia present.
  • That's normal for those who gave birth recently but tell me if it becomes painful to pee.
  • Hi nurse Jackie, I'm fine but when I pee I feel discomfort.
  • Hi Christine, how are you doing?
  • Breast engorgement and discharge is normal for those who are breastfeeding since the mother's body develops prolactin
  • *checks napkin* You still have some discharges from your vagina, it is normal. But I'll have to flush your perineum so that it won't be irritated and I have to change your napkin.
  • I'll be checking on your sanitary napkin, if that's ok with you Christine?
  • Yes that's fine
  • Uterine contractions are normal since your uterus is slowly returning to it's normal size. I'll fetch a warm compress for you in the meantime try lying on your stomach with a pillow under your lower abdomen.
  • Are feeling ok Christine?
  • I am having a cramp
  • 
  • Perineum care is important since it prevents infection and gives comfort to the patient.
  • Uterine contractions are normal because the fundus returns to its normal (prenatal) position.
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