Nursing Practice on Midwifery III NSOB 554492

1. Nursing Practice on Midwifery III NSOB 554492 by Assoc. Prof. Dr. Susanha Yimyam Faculty of Nursing, CMU

2. 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

3. General Objectives • 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 careas well as family planning services

4. 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

5. 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.

6. 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

7. Breast care & Breastfeeding advice as well as problem-solving ่ 2. Clinical practices • Infra red for perineum • Fundal height measurement

8. Postpartum exercise • Perineum care • Newborn care 2. Clinical practices (cont.) 3. Self study & weekly conference

9. 5. Assignments Individual • Nursing care plans 2 cases • Breastfeeding & lactation report 1 case • Mind Map for study visits 4 setting • Topic conference 1 time

10. Group work • Teaching plan & practice for mother class 1 time • Participating Learning on pregnancy with medical complication 4 times

11. 4. Study visits • ER of OB-GYN • OR & RR of OB-GYN • ICU of OB-GYN • U/S, OPD 4 • Family Planning, OPD 5

12. Skill 50% • Practice40% • Mother class5% • Teaching plan 3% • Mind map 2% ทัศนคติ 20% • Knowledge30 % • Pre-test 2% • Nsg. care plan 5% • Lactation clinic 1% • PL 4 issues 4% • Post-test • - normal 8% • - abnormal 10% Evaluation

13. 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 caras 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 inpre-conference before practice

14. 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

15. 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.

16. Nursing activities in take care postpartum motherorpregnant 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

17. 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

18. Thank You