Normal Puerperium in Midwifery (Grade A)

Summary:

The course “Normal Puerperium in Midwifery” covers various aspects of the postpartum period. It focuses on understanding the physiological and psychological changes after childbirth and managing normal puerperium. The objectives include defining puerperium and lochia, explaining the physiological changes involving hormones like oxytocin and prolactin, detailing the involution of the uterus, and describing the stages of lochia discharge. The course also emphasizes principles of caring for both the mother and baby, including promoting physical well-being, supporting breastfeeding, and nurturing maternal-child relationships. The psychological aspect of postpartum adjustment, parental bonding, and the evolving mother-child relationship are also highlighted. The session concludes with a summary and mentions upcoming group assignments related to midwifery ethics and various developmental theories.

Excerpt:

Normal Puerperium in Midwifery

CLASS OBJECTIVES
1) Describe the normal physiology of puerperium, psychology, and management of normal puerperium:
 Definitions of pueperium, lochia
 Physiology of puerperium
 Psychology of puerperium
 Management during normal puerperium

Introduction:
 During normal puerperium, the female reproductive organs return to a normal anatomical state.
 Also, all physiological changes that occur during pregnancy are reversed to their normal state.
 Lactation is initiated, building the bond between the baby and the parents.

Cont: Introduction:
 The mother recovers from the stresses of the pregnancy and delivery and resumes the care and nurturing of her infant.

Principles of caring for baby and mother during normal puerperium:
There are three principles:
1) Promoting the physical well-being of the mother and baby.
2) Encourage sound infant feeding methods and promote good maternal–child relationships.
3) Supporting and strengthening the mother’s confidence in herself and enabling her to fulfil her mothering role within her particular personal family and cultural situation.

Definitions:
PUERPERIUM:
• Is 6 -8 weeks begins when the placenta and membranes are completely expelled.
LOCHIA:
• Is the term used to describe the discharges from the uterus during the puerperium, and the term is pleural.