Normal Puerperium: Uterine Involution, Lochia, Lactation, Breastfeeding and Targeted Postnatal Care

A midwifery module on the puerperium: uterine involution and its daily 1.25 cm decrease, the sequential changes in the lochia, the physiological changes in the other organs including the urinary system, and the emotional changes. Lactation runs from its physiology and the control of milk production by the brain to mature and hind milk, good position and attachment, the advantages of early initiation, and breaking the wind. The care sections cover the first hour postpartum, ambulation, diet, catheterisation, postnatal exercises, the daily examination and episiotomy assessment, and the schedule and elements of targeted postnatal care visits including nets, nutrition, warning signs and family planning.