Pemeriksaan Post Partum : BUBBLE HE

Summary

This video script outlines a postpartum examination demonstration, starting with hand hygiene and patient consent. It covers breast inspection for symmetry and signs of infection, nipple condition, and breastfeeding guidance. The script proceeds with an abdominal check for uterine involution, bowel function assessment, and emotional support for the new mother. It also includes episiotomy care, homan's sign for thrombophlebitis, and an overview of postpartum emotional changes, emphasizing the importance of proper care and support for both physical and psychological well-being.

Takeaways

• 🧼 The importance of hand hygiene is emphasized before beginning any postpartum examination.
• 🔍 A thorough check of the breasts for symmetry, swelling, and nipple condition is conducted to ensure proper breastfeeding.
• 👶 The process includes explaining the procedure to the patient to ensure privacy and consent.
• 🌡 Monitoring the uterus for involution, checking its size and contractions to prevent postpartum bleeding.
• 🚽 Inquiry about the patient's bowel movements and urination, which are crucial for assessing the recovery process.
• 🩸 Examination of the episiotomy or perineal area for signs of redness, swelling, and proper healing.
• 🔎 The script mentions checking for signs of infection such as discharge and the color of lochia (vaginal discharge after childbirth).
• 🦿 Homan's sign test is performed to check for deep vein thrombosis by dorsiflexing the foot and observing for pain.
• 🤔 Emotional well-being is assessed to identify any signs of postpartum depression or difficulties in maternal acceptance of the baby.
• 📝 The demonstration is meant for educational purposes, highlighting the steps for students to learn and repeat in their practice.
• 🙏 The session concludes with a thank you and well-wishes in the form of traditional greetings.

Q & A

What is the purpose of the demonstration in the script?

The purpose of the demonstration is to show the procedure for a postpartum examination, specifically a Babel high check after childbirth.

What are the initial steps taken before starting the postpartum examination?

The initial steps include washing hands, preparing the tools, ensuring privacy, and explaining the procedure to the patient.

What areas of the body are checked during the breast examination in the script?

The symmetry of both breasts, any swelling, the shape of the nipple, whether the nipple is protruding or inverted, and signs of cracks or fissures on the nipple are checked.

How is the breast examination related to breastfeeding?

The breast examination assesses the condition of the nipples to ensure proper latch for breastfeeding and to identify any issues that may affect the breastfeeding process.

What is the significance of checking the uterus after childbirth?

Checking the uterus is important to monitor its involution, which is the process of the uterus returning to its pre-pregnancy size and shape, and to check for proper contractions to prevent bleeding.

How is the involution of the uterus assessed during the examination?

The involution of the uterus is assessed by checking the height of the uterine fundus and its daily descent, as well as the quality of its contractions.

What is the 'B bowl' mentioned in the script, and why is it checked?

The 'B bowl' likely refers to the bladder. It is checked to ensure the patient is urinating properly, which is important after childbirth and surgery to prevent complications.

What does the script mention about the episiotomy examination?

The episiotomy examination checks for signs of redness, swelling, ecchymosis, and the discharge from the stitches, ensuring proper healing and identifying any complications.

What is the Homan's sign, and why is it checked in the script?

Homan's sign is a clinical test for deep vein thrombosis, indicated by pain when the calf muscles are squeezed or dorsiflexed. It is checked to identify any risk of blood clots in the legs after childbirth.

How is the emotional well-being of the mother assessed postpartum according to the script?

The emotional well-being is assessed by observing the mother's acceptance of the baby, her adaptation, and any psychosocial changes, with a focus on identifying potential signs of postpartum depression.

What is the expected color of lochia during the first few days postpartum as mentioned in the script?

The expected color of lochia during the first few days postpartum is rubra, which is bright red, indicating normal postpartum bleeding.