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Postpartum Education
Opportunities for
Active Clinical Intervention
Kathy Mahoney, APN, RNC-OB
Perinatal Clinical Nurse Specialist
Robert Wood Johnson University Hospital
W
hether it regards care of the new mother or the newborn,
postpartum education offers a crucial opportunity to put
both talking and listening into action as part of active clinical
interventions with patients and their families. The ultimate goal of
this education is avoiding major complications and ensuring a
smooth transition home for the new mother and her baby.
Individualizing and personalizing the message is a key part of
postpartum education, Mahoney says. To personalize the message
effectively, the patient and her family must be understood from their
cultural and social backgrounds, as well as from the community to
which they belong.
This step is critical, because each team member who educates the
mother and her significant others needs to develop and share the in-
formation in a way that is accessible to all the members who need to
be reached--the patient, and the persons in her family who may play
a role in caring for the new baby or the mom when she returns
home. All of this information, says Mahoney, needs to be delivered in
a way that is meaningful and useful to the patient and is altered by
the feedback the patient and her family give the educator.
A one-size-fits-all message, therefore, will not be effective at ensur-
ing the health of the mother and baby. Information must be able to
be updated as new evidence in best practices requires. It must also
change with the health care needs of the medical center's regional
population and be culturally appropriate for that population.
In addition, Mahoney explains, postpartum education ideally should
be delivered one-on-one, carefully following several steps:
·
Review the printed word with the patient and her family.
Have the information in the language the patient understands.
·
Fill out any necessary forms with the patient.
·
Sign all documents with the patient.
·
Return the educational and reference forms to the patients so that
they can review them at home.
·
Get copies of the signed documents for the patient's medical record.
Carefully following each of the above steps will help ensure that the
goal of complication avoidance is met, since families not only will
receive the information vital to maternal and newborn care, but they
will be able to share that information effectively with the others who
need it, she says.
It is important to explain the following to new parents and their family:
·
Where to go for information
·
What to do with the information
·
Whom to contact with questions
·
Whom to contact for problems
·
When to be concerned
·
Why the information is important
·
How to access and share the information
Throughout this process, clinicians, nurses and other health care
providers delivering educational messages need to be able to
evaluate patient responses to discharge instructions, Mahoney says:
Is the patient understanding the important messages and information
you are trying to relate? It is critical to help provide guidance to the
new parents in teaching them how to take care of this new person.
Health care providers need to give new mothers the tools that will
make it easier to identify what is wrong--or may be wrong--with
her baby or herself, as well as to empower the women to always tell
the provider about problems or concerns they may have. Patients and
family members should clearly understand when to call the doctor's
office and what to call about, as well the language they need to use
when they call (e.g., "I'm very concerned..."). Health care providers,
in turn, have the responsibility to be welcoming when patients or
family call, and respond to those concerns.
Personalizing postpartum education
and ensuring that this education
is reaching patients and their family is
vital in preventing readmissions and
helping ensure maternal child safety.
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