Discharge Plan (Mother) MEDICATIONS

Percocet (or another Tylenol/codeine derivative), 1-2 tablets every 4-6 hours as needed for pain. Ibuprofen 600 mg every 6 hours as needed for pain. For constipation: Colace, Milk of Magnesia. Continue your prenatal vitamins as long as you are breast feeding or for 30 days after delivery. For hemorrhoids, use Tucks pads, Preparation H, Proctofoam as needed. For cracked/sore nipples you may use Lanolin cream.

EXERCISE Instruct client to balance activities with adequate rest periods. Educate client on proper body mechanics to prevent muscle strain and enable client to relax. Encourage client to ambulate and assume normal Encourage deep breathing exercise

TREATMENT Discussing the purpose of treatments to be done and continued at home and continue monitoring blood pressure. Tell patient to continue submitting self to diagnostic examination to make sure that she is not having any complications. Tell patient to follow advice of physician or any other health care provider

HEALTH TEACHING Breast Wash breast daily at bath or shower time wear supportive bra wash hands before and after every feeding Insert clean OS squares or piece of cloth in the brassiere to absorb moisture when there is considerable breast discharge.

Uterus By 10-14 days postpartum, cannot be palpated abdominally Breast feeding hastens involution of the uterus

The fundus must be firm, if it is not firm, lightly massage the abdomen until fundus is firm Empty bladder frequently, it delays involution of the uterus.

Bladder May complain of frequent urination in small amounts: explain this is due to urinary Voiding may be initiated by pouring warm and cool water alternately over the vulva Encourage the client to go to the comfort room for every 4 to 6 hours Lochia Instruct to report any abnormal progression of lochia, excessive bleeding, foulsmelling lochia or large blood clots to their physician immediately. Lochia should never exceed a moderate amount, such as 4 to 8 saturated perineal pads daily with an average of 6. OUT-PATIENT FOLLOW UP Call the doctor if any of the following occurs: Develop a fever. Become dizzy and faint. Experience nausea and vomiting. Become short of breath. Have heavy bleeding. Have leakage from the incision or the incision opens up. Have pain when you urinate. Have swelling, redness, or pain in your leg. Have questions about the procedure or its result. DIET Eat a nutritious, low-fat and well-balanceddiet to provide your body with the energy it needs. Drink fluids (8 glasses/day) Drink a full glass every time you sit down to feed the baby. Dont diet- Your physician can advise you on how many calories you need to stay healthy. You will soon learn to avoid foods which cause baby fussiness and gas (spicy foods, broccoli, etc.). SEXUAL ACTIVITY Abstain from intercourse until episiotomy is healed and lochia ceased