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
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