9 21-11 discharge presentation
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Transcript of 9 21-11 discharge presentation
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Taking baby home
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▲Mommy danger signs ▲ Baby danger signs Baby safety Questions Period of PURPLE Crying Resources
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▲ Temperature: Greater than 100.4 F ▲ Urination
Difficulty, pain, burning or frequency
▲ LegsSwollen, red, painful area on leg (especially calf) that is warm/hot to touch
▲ BreastsSore, reddened, hot, painful area with fever and/or flu like symptoms
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▲ Vaginal flowHeavy bleeding, soaking more than one large pad per
hourMultiple golf ball sized clots or larger
▲ Vaginal odorFoul odor to discharge, soreness or itching
▲ Severe painVaginal, pelvic or abdominal pain unrelieved by medicationPersistent, severe headaches
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▲ Incision site-episiotomy
Increased pain and may be accompanied by bleeding or foul discharge
▲ Incision site-cesarean
Redness, increased pain, drainage or foul odor
Incision opens ▲ Chest pain and cough ▲ Nausea and vomiting
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▲ Postpartum depression or anxietyFeeling depressed, uncontrolled crying, inability to eat
or sleep, anxiety or agitation, feeling trapped
Thoughts of harming self or baby
Interferes with ability to care for child or self Can occur any time within one year of giving
birth Help is available
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▲ TemperatureAxillary (under arm) temperature above 100.4 F or less
than 97.4 ▲ Jaundice
Eyes yellow, yellowing of skin ▲ Breathing difficulty, blue or very pale ▲ Poops and pees
Less than 1 wet diaper per each day oldup to day 6-10 per day.
Frequent watery stools or no bowel movement for 48 hrs
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▲ FeedingFeeds poorly or skipping two to three feedings
Vomiting: more than spitting up
▲ CircumcisionRedness, swelling, pus or bleeding
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▲ CordIncrease redness at base
Foul odor or discharge
More than a little blood when cord falls off ▲ Extreme sleepiness or irritability ▲ Cold symptoms: Coughing, difficulty breathing or
noisy breathing. ▲Exposure to disease like measles or chicken pox.
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Place baby on his/her back to sleep to prevent SIDS
Do not co-bed with baby Discuss with provider
Avoid toys with small removable parts Keep hot objects and fluids away from baby Crib mattress should fit crib properly Childproof your home before bringing baby
home
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Smoke alarm in working order Correctly place baby in car seat when
traveling, rear facing Never leave baby unattended on a high
surface
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Infant crying is part of baby’s normal development
Crying can range from 20 min to 5 or 6 hours per day
Purple is based on over 25 years of research
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P peak pattern
U unexpected
R resistant to soothing
P pain-like face
L long-lasting
E evening crying
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Make sure baby’s needs are met: fed, burped, clean diaper, comfortable temperature
Try holding, walking, gently rocking, swaddling or singing in order to calm baby
Sometimes nothing works–it does not mean you’re a bad parent or you have a bad baby
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Research tells us that crying is the #1 trigger for shaking a baby
Have a plan Put baby in a safe spot and take a 5 to 10
minute break Do something you enjoy: call a friend, watch
TV, take a shower Have a good support system
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Remember This period of crying is part of normal infant
development and will end Show everyone who cares for your baby the DVD
and booklet Don’t leave your baby with someone who is easily
frustrated Have a support system for yourself
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Refer to Samaritan Maternity Notebook and/or discharge materials provided
Purple triangle in Maternity Notebook and discharge materials for danger signs
Who to callProvider or midwife