Maternal Assessment
- Tiredness/exhaustion
- Backache
- Pain – perineum/lower uterine caesarean section (LUCS) wound
- Sexual problems
- Haemorrhoids
- Relationship with partner
- Bowel problems
- Urinary incontinence
- Contraception
- More upper respiratory tract infections (URTI) than usual
- Mastitis
- Pain management
- Anaemia
- Endometritis
- Wound infection
- Urinary incontinence
- Thyroid disorders
- Mastitis/breast engorgement
- Postpartum depression – see EPNDS
Infant Assessment
- General Appearance
- Skin colour, integrity, perfusion
- State of alertness
- Activity, range of spontaneous movements
- Growth status
- Head circumference
- Length
- Weight
- Head/Face/Neck
- Head shape, size
- Scalp, fontanelles, sutures
- Eye size, position, structure
- Ear position, structure
- Mouth, palpate, teeth, gums, tongue, frenulum
- Shoulds, arms, hands
- Length, proportions, symmetry
- Structure, number of digits
- Chest
- Size, shape, movement
- Breast tissue, nipples
- Heart sounds, rate, pulses
- Breath sounds, respiratory rate
- Pulse oximetry
- Abdomen
- Size, shape, symmetry
- Liver, spleen, kidneys
- Umbilicus
- Genitourinary
- Male – penis, foreskin, testes
- Female – clitoris, labia, hymen
- Anal position and patency
- Passage of urine and stool
- Hips, legs, feet
- Ortolani and Barlow’s manoeuvers
- Leg length, proportions, symmetry and digits
- Back
- Spinal column, skin
- Symmetry of scapulae, buttocks
- Neurological
- Behaviour, posture
- Muscle tone, spontaneous movements
- Cry
- Reflexes – moro, suck, grasp