Nursing Practice on Midwifery III
NSOB 554492
by
Assoc. Prof. Dr. Susanha Yimyam
Faculty of Nursing, CMU
Staff at Postpartum Nursing Unit
Assoc. Prof.
Lawan Somboon
Assoc. Prof. Dr.
Kannikar Kuntaraksa
Assoc. Prof. Dr.
Panpilai Sriarporn
Assoc. Prof. Dr.
Susanha Yimyam
Assist. Prof.
Piyanuch Xuto
Instructor Piyaporn
Prasitwattanaseree
General Objectives
1. Apply the nursing process in providing care for ้postpartum
women both normal and abnormal cases
•
Provide care for newborn who stays with the mother after birth
•
Provide instruction for the mothers about postpartum self-care
and infant care as well as family planning services
Specific Objectives
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 Objectives (cont.)
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.
Details of Practice activities
1. Practice at postpartum wards

OB 2 & OB 3 at University (Maharaj Nakorn Chiang Mai)
Hospital

Postpartum Ward & Lactation Clinic 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 practices

Breast care & Breastfeeding advice
as well as problem-solving ่

Infra red for perineum

Fundal height measurement
2. Clinical practices (cont.)

Postpartum exercise


Perineum care
Newborn care
3. Self study & weekly conference
5. Assignments
Individual




Nursing care plans 2 cases
Breastfeeding & lactation report 1 case
Mind Map for study visits 4 setting
Topic conference 1 time
Group work

Teaching plan & practice for
mother class 1 time

Participating Learning on pregnancy
with medical complication 4 times
4. Study visits





ER of OB-GYN
OR & RR of OB-GYN
ICU of OB-GYN
U/S, OPD 4
Family Planning, OPD 5
Evaluation
Knowledge 30 %
Skill 50%
 Pre-test
2%  Practice 40%
 Nsg. care plan 5%  Mother class 5%
 Lactation clinic 1%  Teaching plan 3%
 PL 4 issues 4%  Mind map 2%
 Post-test
- normal
- abnormal
8%
10%
ทัศนคติ 20%
Guideline for Postpartum practice
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 practice (cont.)
8. Provide nursing care





General hygiene care
Stimulate breastfeeding initiation & problem-solving
Unit care
Record vital signs, fundal height & PP exercise
advice postpartum self-care & newborn care
9. Lunch Break
10. Visit the mother and infant for any changes
11. Provide nursing care: Newborn bath & Record vital signs
12. Evaluate nursing care & complete nursing records
13. Post-conference
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