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

Fundus - involuted

Lochia - minimal

Perineum -healed;refer if woman is having painful sexual intercourse

Bladder/bowels returned to normal pattern

BP - normalised

Evidence of post natal depression lack of sleep, poor appetite, unsettled or depressed state of mind

3.

6 week baby check

Head to toe

Heart and lungs

Length and head circumference

Hip check

Feeding

http://www.flickr.com/photos/spamily/296925400/ 4. Associated information

Cervical smear at 3 months if required

Sexual intercourse recommence when comfortable

Contraception

?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

Immunisation

Post natal support groups

Financial help

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/