Nursing Practice on Midwifery Nursing Practice on Midwifery IIIIII

NSOB 554492NSOB 554492

byby

Assoc. Prof. Dr. Susanha YimyamAssoc. Prof. Dr. Susanha Yimyam

Faculty of Nursing, CMUFaculty of Nursing, CMU

Staff at Postpartum Nursing Staff at Postpartum Nursing Unit Unit

Assoc. Prof. Lawan Somboon

Instructor Piyaporn Prasitwattanaseree

Assoc. Prof. Dr. Kannikar Kuntarak

sa

Assoc. Prof. Dr. Panpilai Sriarporn

Assoc. Prof. Dr. Susanha Yimya

m

Assist. Prof. Piyanuch Xuto

General ObjectivesGeneral Objectives

1. Apply the nursing process in providing care for ้ postpartum wom

en both normal and abnormal cases

2. Provide care for newborn who stays with the mother after birth

3. Provide instruction for the mothers about postpartum self-care and infant care as well as family planning services

1. Assess mothers’ problems and needs, plan and provide care as well as evaluate the outcome of nursing care.

2. Provide instruction for mothers about correct postpartum self-care and infant care, family planning, and postpartum medical check-up

3. Prepare postpartum mothers and medical equipment for appropriate obstetric examination and treatments

4. Prepare and provide care for the mother with cesarean birth and the mother with abdominal tubal resection

5. Provide advice for breastfeeding initiation and breastfeeding problem solving

Specific Specific ObjectivesObjectives

6. Assess and identify Nursing diagnoses of the women with complications during pregnancy, intrapartum, and postpartum periods, as well as provide nursing care and evaluate outcomes.7. Gain experience from study visits to various obstetric and gynecological care facilities.

Specific Objectives (cont. Specific Objectives (cont.))

Details of Practice activitiesDetails of Practice activities

1. Practice at postpartum wards OB 2 &OB 3 atUniversity (Maharaj NakornChi angMai )Hospi tal

Postpartum Ward & Lactation Cli nic at Health Promotion Hospital

at Family planning (OPD 5 ) & U/ S (OPD 4 ) , Uni. Hospital

- - at OB ER, ICU, OR, RR of OB GYN nursing department, Uni. Hospital

2. Clinical practices2. Clinical practices

Breast care & Breastfeedin g advice

-as well as problem solving ่

Fundal heightmeasurement

Infra red for perineum

Perineum care

Newborn care

Postpartum exercise

2. Clinical practices (co 2. Clinical practices (cont.)nt.)

3. Self study & weekly conference 3. Self study & weekly conference

5. 5. AssignmentsAssignments

IndividualIndividual

2Nursing care plans cases

& & lactation report 1 &&&&

& && &&& &&&&& &&&&&& & &&&&&&& 4 &&&&&&&&&& & &&& &1

Group workGroup work

Teaching plan & practice for mother class 1 time

Participating Learni ng on pregnancy with

medical complication 4ti mes

4. Study visits -ERof OBGYN

-OR & RR of OB GYN

-I CUof OBGYN

U/S, OPD 4

Family Planning, OPD 5

Evaluationทั�ศนคติ� 20%

Knowl edge 30%

Pre-test 2%

Nsg. care plan 5%

Lactation clinic 1%

PL 4 issues4 %

Post-test - normal 8%

- abnormal 10%

Skill 50%

Practice 40 %

Mother class 5%

Teaching plan3%

Mind map2%

1. Signature in the time-in time-out logbook kept in front of the delivery room.

2. Read the assignment board one more time to ensure your understanding of responsibilities

3. Visit the mother and infant assigned for your care

4. Study reports on mother and infant assigned for your car

as well as Kardex to assure the various nursing cares given to the patient are in line with the physician’s order

6. Plan additional nursing interventions or improve nursing plan when the woman has further problems

7. Attend and participate in pre-conference before practice

Guideline for Postpartum Guideline for Postpartum practice practice

8. Provide nursing care General hygi ene care Stimulatebreastfeedi ngi ni ti ati on&prob l - em solving Uni t care Recordvital signs, fundal height & PP exercise

- advicepostpartumsel f care &newborncare

9. &&&&& &&&&& 10. Visit the mother and infant for any changes

11. Provide nursing care: Newborn bath & Recordvital signs

12. Evaluate nursing care & complete nursing records

13. Post-conference

Guideline for Postpartum practice (c Guideline for Postpartum practice (c ont.) ont.)

Assignment Day shift : Total patient care for 1-2

patients : Planned the nursing process

before 1 day and send the paper to the instructor in that morning.

Nursing activities in take care postpartum mother

or pregnant woman

New case admission Transfer the case : Transfer case from Labour

: Transfer case from OR : Transfer case to OR/ labour

Discharge case and her baby

Reference • Judith, L ., Debbie, S. & Sandra, B. (2000). Counselling

the Nursing Mother: The Lactation consultant’s Guide. London: Jones and Bartlett Publishers.

•Lauwer, J., Shinskie, D.&Brech, S. (2000). Counseling the Nursing Mother the Lactation consultant’s reference. (3rd ed). Boston: Jones and Bartlett.

•Lawrence, R.A., & Lawrence, R.M. (1999). Breastfeeding a Guide for the Medical Professional. (5th ed). St Louis: Mosby, Inc.

•Lowermilk, D. L., Perry, S.E. & Bobak, I.M (1999). Maternity nursing .

• (5th ed.) St. Louis: Mosby.•Melson, K.A., Jaffe, M.S., Kenner, C.A. & Amlung, S.

(1999). Maternal-Infant Care Planning. (3rd ed.). Pennsylvania: Spinghouse.

•Pilliteri, A. (2003). Maternal & Child Health nursing. (4rd ed.).

• Philadelphia: J.B. Lippincott company.•Olds, S.B., London, M.L. & Ladewig, P.A. (2000).

Maternal-Newborn Nursing: A Family and Community-Base Approach. (6th ed.) New Jersey: Prentice Hall Health