6 Week Postnatal Check |
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| Symptoms of postnatal depression |
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| Bleeding |
- settled/settling
- persisting > seek advice
- period
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| Bowels |
- regular – no problems
- constipation
- PR bleeding – haemorrhoids / fissure > advise
- faecal / flatal incontinence > seek advice
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| Bladder |
- good control
- incontinence > seek advice
|
| Coital Activity |
- resumed – acceptable
- unacceptable > seek advice
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| Breasts |
- feeding – well established
- nipple problems / mastitis
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| Baby |
- maternal concerns re problems of feeding, behaviour, growth,
development (see Blue Book)
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| Feedback re delivery and postpartum care |
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| Wound |
- pain, discharge, bleeding from wound > seek advice
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| Assess |
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| Abdomen |
- palpate
- check caesarean wound
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| Perineum |
- tears / episiotomy healed
- not healed or result unacceptable ? seek advice
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| Pap |
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| PV |
- uterus involuted
- uterus enlarged > seek advice
- pelvic floor muscle tone – encourage pelvic floor exercise
|
| Baby |
- 6 week examination – entry in Blue Book
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| Management: |
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| Contraception advice |
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| Reassurance if no detectible problems |
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| Refer for advice or assessment if you have major concerns |
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