🩺 Postpartum Maternal Assessment (BUBBLE-HE)🤰

 🩺 Postpartum Maternal Assessment (BUBBLE-HE)

🅱️ Breasts

Assess:

Size, shape, symmetry

Nipple condition (cracked, inverted)

Signs of infection (redness, warmth, pain)

Nursing Tip:

👉 Encourage breastfeeding / proper latch

👉 Check for engorgement or mastitis

🆄 Uterus

Assess:

Fundal height (should descend daily)

Position (midline)

Firmness (should be firm, not boggy)

Abnormal:

⚠️ Boggy uterus → risk of postpartum hemorrhage

🅱️ Bowels

Assess:

Constipation

Hemorrhoids

Bowel sounds

Nursing Care:

👉 High-fiber diet + fluids

👉 Early ambulation

🅱️ Bladder

Assess:

Voiding pattern

Urinary retention

Distension

Important:

⚠️ Full bladder → can displace uterus → bleeding

🅻 Lochia

Assess:

Color

Odor

Amount

Stages:

Rubra (red, 1–3 days)

Serosa (pink/brown, 4–10 days)

Alba (white/yellow, after 10 days)

Warning:

⚠️ Foul smell → infection

🅴 Episiotomy

Assess (REEDA):

Redness

Edema

Ecchymosis

Discharge

Approximation

Care:

👉 Perineal hygiene

👉 Pain relief (ice packs)

🅷 Homan’s Sign (DVT)

Assess:

Calf pain

Redness

Swelling

⚠️ Positive sign → possible deep vein thrombosis

🅴 Emotional Status

Assess:

Mood changes

Bonding with baby

Signs of postpartum depression

Types:

Baby blues (common, mild)

Postpartum depression (needs care)

📌 Quick Mnemonic

👉 BUBBLE-HE = Complete postpartum check

🎯 Exam Tip

👉 “Fundus firm + midline + normal lochia = stable mother”

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