Puerperium Management – 8 Bs

  • The 8 Bs (Think head down):
    • Blues – some depressive symptoms normal at 1st
    • Breast – engorgement, latching, pain
    • Belly – uterus firm, below umbilicus
    • Bladder – avoid overdistension
    • Bleeding – menses-like for 2-3 days
    • Bowel – stool softener, fiber, fluid
    • Bottom – check perineum
    • Baby – ask about BB well-being
  • Extended Bs for post-discharge follow-up:
    • Battery: screen for violence, poor parenting skills
    • “Boinking”: dyspareunia, supplement with estrogen cream nursing women

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