- 1. Ending the partnership
http://www.flickr.com/photos/reverb/2111203297
2. Physical examination
- Breasts - ensure adequate lactation; talk about breast
exam.
- Abdominal scar (if woman has one) -healed
- Perineum -healed;refer if woman is having painful sexual
intercourse
- Bladder/bowels returned to normal pattern
- Evidence of post natal depression lack of sleep, poor appetite,
unsettled or depressed state of mind
3.
- Length and head circumference
http://www.flickr.com/photos/spamily/296925400/ 4. Associated
information
- Cervical smear at 3 months if required
- Sexual intercourse recommence when comfortable
- ?Rubella immunisation if not immune
- ?Physical check with general practitioner some mothers may
prefer midwife to do it, as opposed to GP
- ?Referral to other health providers eg mental health, child
health nurse
5. Information given to woman
- Child health nurse and clinics
- Post natal support groups
http://www.flickr.com/photos/spudnik06/208131052/in/photostream/
6. Ending the partnership
- Make sure woman is warned of your last visit
- Will you be continuing a relationship?
- Debrief about labour and birth
- How will you evaluate your care and get the womans
feedback?
- Make sure the woman has a copy of her notes
- Pass on discharge information to GP/child health nurse
- How do you bring the partnership to end?
7. http://www.flickr.com/photos/eyeliam/3097749651/