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