DISCHARGE PLAN

CRITERIA HEALTH TEACHING

 Instruct mother to change her maternity
pads at least every 3 or 4 hours.
OTHERS  Reiterate on proper personal hygiene.
 Sexual intercourse should be avoided for
4 to 6 weeks. Starting another pregnancy
should be delayed several months and use
birth control methods.
 Elevate the legs to decrease pressure
thus, allowing venous blood circulation.
 Report for signs and symptoms of seizure
such as numbness, headache,
dizziness/lightheadedness and nausea
immediately.
 Always keep bed in the lowest position,
have a watcher at bedside, put side rails
up for safety.

 Eat foods high in vitamin C and iron.

Vitamin C plays an important role in
healing and fighting infection. Iron helps
the immune system and is needed for
hemoglobin.
 Limit food intake high in fat and salty to
Diet and Nutrition prevent water retention.
 Fluid restriction is advisable to reduce the
risk of fluid overload in the intrapartum
and postpartum periods. Pulmonary edema
has been a significant cause of maternal
death in eclampsia/pre-eclampsia, often
associated with excess fluid administration.
Total fluids should usually be limited to 80
ml/hour or 1 ml/kg/hour.
 Instruct on the drugs’ actions and side
effects and appropriate interventions to
manage the side effects.
Medication  Report untoward signs and symptoms.
 Always read the medicine label and follow
directions.
 Emphasize the benefits on complying to
medications.
  Rest. Do not do heavy housework or heavy
exercise for two weeks.
 Do Kegel exercises. Squeeze the perineal
muscles as if you were trying to stop the
flow of urine. Hold for 5 to 10 seconds and
then relax. Do this exercise 10 times a day
in sets of 10 repetitions. Do at least 10
Exercise Kegel exercises every time you urinate and
at least 100 Kegels each day. Kegel
exercises prevents weakening of the pelvic
floor muscle ( uterine prolapse).
 Do uterine massage to prevent uterine
atony and preventing post-partum
hemorrhage and gradual ambulation or
exercise within tolerance.

 Talk about your experience: It may help

you to talk to someone about your feelings.
Talk to your primary healthcare provider.
He may be able to help you understand
what happened. Talk with a family
member, friend, or someone you trust. You
Coping Behavior may also want to join a support group. This
is a group of people who have also had a
stillbirth.
 Give yourself time to grieve: Allow
yourself and others time to mourn the loss
of your baby. Deep sadness is common
after a stillbirth. Talk to your primary
healthcare provider if you or those around
you are having trouble coping. Counseling
(talk therapy) may be helpful.

 Advise patient and relative to continue

Spiritual believing and seek help from God.
 Remind to continue participating religious
activities.
  Consult your physician on the scheduled
date for follow up check-up.

 Seek immediate medical care if you have

fever and chills, foul-smelling or
Post-Partum Visit irritating vaginal discharge, excessive
vaginal bleeding, recurrence of bright
red vaginal bleeding after it has changed
to a rust color, swollen area, burning
sensation during urination or an inability
to urinate, pain in the vaginal or rectal
area and following the death of a fetus,
you or a family member need help or
emotional support in coping with the
grief process.

**** REFERENCE:

Healthpages.org (2014). Perineal Care after Vaginal Birth. Retrieved from

http://www.healthpages.org/care-after-vaginal-birth/perineal-care-after-vaginal-birth/

Kent Hospital. Post-Partum Discharge Instructions. Retrieved on May 4, 2016 from

http://www.kentri.org/womenscarecenter/postpartum-discharge-instructions.cfm

ExitCare, LLC.( 11 March 2013). Intrauterine Fetal Demise. Retrieved from

http://www.sw.org/HealthLibrary?page=Intrauterine%20Fetal%20Demise

Truven Health Analytics Inc. (2013). Intrauterine Fetal Demise. Retrieved from
http://www.drugs.com/cg/intrauterine-fetal-demise-aftercare-instructions.html