Postpartum Nursing Diagnosis – It is normal if mothers face mood swings after her first child is born. She requires time and attention as well as this is a critical period for her. This is usually called Postpartum depression (postpartum blues), where she will be feeling depressed but will also be enjoying the pleasures of life. This is important to know and understand because this is a very important time for her emotional adaptation. Rest assured this is a problem that is going to be temporary and only requires a better postpartum nursing diagnosis in order to get best results.
The reason why postpartum blues happen is because of hormonal imbalances. This is expected as there are bodily changes, and some intrapsychic reorganization. You may expect mild depression, tearfulness, irritability and fatigue. Most women are able to recover from this period, and it takes about 5 days to recover from this condition. The recovery phase can be divided in to three phases. The first phase is where the mother is being passive and allowing others to take care for her.
She gains credit and family members do give her attention and due care for bravely facing the birth of her child. This is the time where she is relatively weak and would appreciate if others support her by taking care of the child, offering food and liquids to help her get back to normal routine. The second phase is where she is willing to take to action and take care of her child. There will be growing interest in her child and will take more responsibility of her self-care needs. The third phase is difficult but mothers always pass through this phase. This is when she decides to let go of her previous lifestyle and incorporate the new lifestyle that is going to be drastically different.
The postpartum nursing diagnosis requires more emotional care than technical attention. You need to approach her and welcome her warmly so that she easily adjusts to your job. You must introduce what you are going to do and allow her to ask any questions. It is a good gesture to appreciate her baby while introducing your job. Your first task is to take all vital signs like any medical examination of a patient. Next you have to sanitize your hands and assess her breasts. You need to inspect and see if there is no skin damage and if they are ready for breast-feeding. There should be no cracking under the nipples and around.
Before you do this, bring her to confidence what you are going to do. Next task is to inspect her uterus, but you can explain that you are going to explain under her belly because not everybody understands the medical term for the same. You have to make sure she is comfortable and there is privacy in the room. Use the base of your hand to see a pear shaped mass under her belly by pressing firmly. The position is important to note, and you just need to massage carefully. If you notice any blood discharge from her clitoris then you should notify the doctor. Next you have to inspect her bladder, bowel, lochia and Episiotomy. By the end of the assessment you have to observe her emotional status and let her know of any signs and symptoms of her postpartum assessment according to postpartum nursing diagnosis.