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Postpartum 24 hours
Maternal Labs and Vitals from our Maternal/Child Preclinical Worksheet
| Question | Answer |
|---|---|
| Temp | 36.5-37.5 but may rise to 38 |
| Pulse | 50-70bpm |
| Respiratory Rate | 12-20 but may be decreased due to pain meds |
| BP | Slight elevation (over pre-pregnancy values) for first 4 days. Orthostatic hypotension common first 48 hours. |
| Breasts | Non-tender, filling with milk |
| Fundus (Uterus) | firm, at at the umbilicus or below |
| Lochia (Flow) | scant to moderate rubra |
| Bladder | non-distended, patient able to void > 300 mL per void based on hydration. Urine will be clear but bloody |
| Bowel/Sounds | should be present. Normal to not have a bowel movement for 3-4 days |
| Perineum | may be puffy or swollen. If episiotomy or repair, it should be well approximated. |
| Homan’s Sign | Negative |
| Emotional Status | may be weepy. May be tired. Should be bonding well with the baby – holding, touching, feeding, etc. |
| WBC | 10,000-30,000/ mm3 |
| Platelets | 150,000-400,000/mm3 |
| Hemoglobin | >11g/dl pregnancy. Decreases 1 gm/dl/ 250 ml blood loss |
| Hematocrit | 3 times the hemoglobin |
| Rubella Titer | Immune if titer > 1:8 |
| Rh | Rh negative Moms need RhoGAM/Rhophylac |
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