A.B. is a 26 year old mother who has been pregnant five times with five living children. She has recently delivered a new baby girl via natural spontaneous vaginal delivery. Her other children are a 5-year old boy, a 4-year girl, a 3-year old girl, and 23 month old girl. While not married, she is in a steady relationship with the father of the newborn. A.B.'s postpartum physical exam is within normal limits; however she appears to have a depressed mood. She states that she is feeling fine, but very tired. In fact she asks to be left alone for most of the morning, so that she can sleep. Her infant stays in the room with her because she is breastfeeding.
When discussing postpartum contraception, AB stated that she wanted to get her 'tubes tied'. However, for unclear reasons the procedure was not done. She was given an alternative contraception choice of a medroxyprogesterone (Depo-Provera) injection prior to discharge and then having an intrauterine device (IUD) placed within six weeks. There is some controversy that progestin only methods of contraception may interfere with the initiation and/or production of breast milk. Exclusive breastfeeding can offer contraceptive protection.
As her nurse why would you advocate for this mom to breastfeed without additional contraceptive protection?
This is a start since you can expand on the benefits and how it can affect the diagnosis given using your books or any other material.
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This is a 26 year old woman who has been a single mom of 4 children for the past 6 years. She recently engaged in a steady relationship with the father of the new born, her fifth child. She is tired (expected as she recently delivered the baby) and appears to be in a depressed mood. Some assumptions were made in able to discuss this case.
Since there is no mention of a previous steady relationship(s) or religious background and due to her age and number of children, it could be assumed that the patient has been engaging in a risk-prone sexual health behavior. There was no mention of a social support system that added to the previous assumptions increased the risk for impaired parenting. The age of the children seems to indicate possible yearly pregnancies reflecting a lack of knowledge or lack of commitment to use contraception. This last assumption can be backed up with her request for tubal ligation. Although her mood could be explain by the failure to perform the tubal ligation, it could also be an early indicator of a risk to develop ...
The solution involves a case study regarding breast feeding use as contraception during the 6 weeks postpartum period. It includes a discussion of medroxyprogesterone use during this period, possible nursing diagnosis associated with the case, and states the benefits of using breast feeding during this period. Information provided can also be use to argue against. References are included.