The Fourth Trimester
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Description
Trimester 1,2,3,4,5- Pregnancy and Beyond, You can Survive INTRODUCTION The fourth trimester is a period coined by Dr. Harvey Karp as the first 3 months of a baby’s life after birth. Dr. Karp explains that babies are born too soon! This is a period of major transitions. LABOR AND DELIVERY Labor and delivery spaces NICU Level I Level ii Level iii Level iv Nursery Infant poop   VAGINAL DELIVERY Vaginal soreness Bleeding Cramping C-SECTION Incision drainage BOTH Breast milk leaking Engorgement Perineal discomfort Uterine contractions Urination contraction Mood changes- postpartum depression. Constipation Perspiration EMERGENCY SYMPTOMS Call your healthcare provider if you have: A fever over 100.4 degrees Fahrenheit or severe chills. Foul-smelling vaginal discharge. Bright red bleeding that continues beyond the third day. Passing of large blood clots (larger than a plum). Pain, burning or trouble urinating. Severe cramping or abdominal pain that is not relieved by pain medication. Increased redness, swelling, bruising or pain on your perineum, or separation of your stitches. Increase in the amount of vaginal discharge or bleeding in which you need to use more than one sanitary pad per hour. Blurred vision. Severe headaches or fainting. Increased pain, redness, drainage or separation of abdominal incision (cesarean delivery) Severe pain, swelling, or redness, of one extremity more than the other. Warm, red painful areas on your breast. Difficulty breathing. Any signs of postpartum depression such as: being unable to cope with everyday situations, thoughts of harming yourself or your baby, feeling anxious, panicked or scared most of the day. TO-DO Infant security Birth registration Couplet care and bonding BREASTFEEDING POSITIONS Breastfeeding- for C-SECTION Football hold. Side-lying hold. OB visit 6-8 Weeks postpartum   PEDIATRICIAN VISIT Time the appointments to avoid nap times Make a checklist Write down questions Dress baby for success FIRST VISIT Physical checkup- infant growth chart, check umbilical stump, check for jaundice Developmental milestones Immunizations- Hep B Make one-month appt   ONE MONTH APPOINTMENT Physical checkup- check newborn reflexes, check umbilical site, check baby's tongue movements, Milestones- Immunizations- Second Hep B PPD Screening-   TWO MONTH VISIT Physical checkup Developmental milestones Immunizations• DTaP (diphtheria, tetanus and pertussis) Hib (haemophilus influenzae type b) IPV (inactivated poliovirus) PCV (pneumococcal) RV (rotavirus), which is an oral vaccine and not a needle prick HepB (hepatitis B), if baby didn’t receive it at one-month visit Schedule 4 month appointment   BABY’S SLEEP- MOMS ON CALL https://momsoncall.com   THE WONDER WEEKS https://www.thewonderweeks.com   You're doing a great job.  
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