Postpartum SBAR Example: L&D Nursing Handoff

Postpartum nursing is one of the few specialties where you are responsible for two patients at once. A strong L&D SBAR handoff covers the mother's surgical or vaginal recovery, her emotional state, feeding progress, and newborn status — all organized so the incoming nurse can prioritize what needs attention first.

The example below covers a G2P2 on postpartum day 1 after a C-section. Notice how the mother's recovery and the newborn's status are both addressed, with breastfeeding documented in specific, actionable detail rather than vague terms.

SBAR Example: G2P2 Day 1 Post C-Section

Situation

Mrs. Adeyemi, room 508, 31-year-old G2P2, POD 1 from repeat C-section under spinal anesthesia. Baby girl, 3.4kg, rooming in, born at 0814 yesterday. Mom and baby are both stable. Main focus today has been pain management and establishing breastfeeding — she breastfed her first child for 14 months and is motivated, but this baby is a sleepy feeder. Husband Marcus is at bedside, has been helpful. Their 3-year-old is with grandparents.

Background

Mother: PMH: gestational diabetes (diet-controlled this pregnancy, resolved), mild preeclampsia with first pregnancy (no issues this time — BPs have been normal throughout). Home meds: prenatal vitamin. Allergies: codeine (nausea). Surgical hx: primary C-section 3 years ago for failure to progress, repeat C-section this admission (elective, uncomplicated, EBL 700mL). Blood type: O positive, antibody screen negative. GBS negative. Rubella immune, HIV/RPR negative. IV: 20g L forearm, LR at 125mL/hr (will D/C when tolerating PO well). Foley removed at 0600 today, voided x2 since (350mL, 275mL). Incision: low transverse, staples in place, steri- strips over, dressing removed this AM — clean, dry, well-approximated, no erythema.
Baby: Born 39+2, Apgars 8 and 9. Birth weight 3.4kg. Vitamin K and erythromycin given. Hepatitis B vaccine given with maternal consent. Newborn screen collected at 24 hours of life. Circumcision NOT planned. Pediatrician Dr. Reeves rounded this AM — exam normal, no concerns. Car seat at bedside.

Assessment

Mother: VS: BP 118/72, HR 78, RR 16, T 98.6, SpO2 99% RA. Pain 4/10 at rest, 6/10 with movement. Current pain regimen: ibuprofen 600mg q6h ATC (last dose 1400), oxycodone 5mg q4h PRN (took 2 doses today — at 0800 and 1600, good relief). Fundus firm, midline, 1 fingerbreadth below umbilicus. Lochia moderate rubra, no clots, normal odor. Incision intact as described. Abdomen soft, +BS. Tolerating regular diet, ate 80% of meals today. Ambulated x3 with assistance, steady gait, mild dizziness first time (resolved). Legs: no edema, no calf tenderness, SCDs on when in bed. Emotionally: tearful briefly this afternoon (normal day 1 hormone shift), responded well to reassurance, bonding well with baby, good eye contact and responsive to cues. Edinburgh Postnatal Depression screen: 4 (low risk).
Baby: VS: HR 142, RR 38, T 97.8 axillary (skin-to- skin helped bring up from 97.4 this AM). SpO2 not indicated. Weight today: 3.28kg (3.5% loss from birth weight — within normal). Color pink, mild physiologic jaundice to face only (transcutaneous bili not indicated yet). Active when awake, good tone. Feeding: breastfed x5 today, latch is shallow on right breast (mom is right-handed, less comfortable positioning on that side). Left breast: good deep latch in cross-cradle. Longest feed: 18 minutes left breast. Shortest: 5 minutes right breast (baby fell asleep). Tried football hold on right side — slightly better. No supplementation given. Output: 3 wet diapers, 2 meconium stools today. Lactation consultant Megan visited at 1100 — worked on right-side positioning, recommended nipple shield trial if latch does not improve by tomorrow.

Recommendation

Mother: Continue ibuprofen ATC (next dose 2000) and oxycodone PRN — she prefers to take it before attempting breastfeeding so she can position comfortably. Encourage ambulation at least x2 overnight. Monitor fundus and lochia — call if fundus boggy or lochia heavy/clots. Staple removal planned for POD 3 (tomorrow AM) by OB team during rounds. D/C IV when she has tolerated 1L PO (currently at approximately 750mL). Stool softener scheduled — has not had BM yet, which is expected POD 1.
Baby: Watch for feeding cues overnight — this baby gives subtle cues (rooting, hand-to-mouth) before crying, and feeds better when caught early. Encourage mom to try football hold on right side for overnight feeds. If baby goes longer than 3 hours without feeding, wake and attempt. If unable to latch for 2 consecutive attempts, offer 10mL expressed colostrum via syringe (mom hand- expressed successfully this afternoon, small amount in labeled syringe in milk fridge). Lactation returning tomorrow AM. Monitor weight — if loss exceeds 7% by tomorrow, discuss supplementation plan with pediatrician. Jaundice: visual check with each feed, transcutaneous bili if jaundice extends below nipple line. Hearing screen not yet done — scheduled for tomorrow before discharge. Estimated discharge POD 2 (tomorrow) if both mom and baby meet criteria.

The Couplet Care Approach

This example demonstrates effective couplet care documentation — the mother and baby are reported together because their care is interdependent. The breastfeeding details bridge both patients: the mother's pain affects her positioning ability, which affects the baby's latch, which affects the baby's weight, which determines the discharge timeline. A good postpartum SBAR makes these connections explicit.

The detail about the baby's subtle feeding cues is the kind of observation that only comes from spending 12 hours with a patient. Passing it along in the SBAR prevents the night nurse from missing feeding windows and potentially triggering supplementation that could have been avoided.

Record Your L&D Handoff Quickly

Postpartum handoffs are long because you are covering two patients. ShiftSBAR's voice recorder lets you speak your notes about mom and baby together and automatically organizes everything — fundal checks, feeding logs, baby output, pain management — into a clean SBAR format.

More Unit-Specific Examples

Frequently Asked Questions

What is unique about a Postpartum SBAR compared to other surgical patients?

Postpartum SBARs cover two patients simultaneously — the mother and the newborn. You need to address surgical recovery (if C-section), fundal assessment, lochia, breastfeeding or feeding status, bonding, pain management, and emotional state for the mother, plus the baby's feeding, voiding, stooling, jaundice risk, and any NICU concerns. The family dynamics — partner involvement, support system, prior children — are also clinically relevant.

Should the newborn be included in the mother's SBAR or documented separately?

In most postpartum units, the mother and baby are handed off together since the same nurse cares for the couplet. Include the newborn status as a subsection within the Assessment, covering feeding method, latch quality, voiding/stooling pattern, bilirubin risk factors, and any concerns. If the baby has been separated (NICU admission), note the baby's location, current status, and mother's access plan.

How do I document breastfeeding challenges in an SBAR handoff?

Be specific and clinical. Rather than 'breastfeeding going okay,' document latch quality, which positions have been tried, how long the baby fed at each breast, whether mom is using a nipple shield, and if lactation has been consulted. Include the baby's feeding cues, output (wet and dirty diapers), and any supplementation given. This level of detail prevents the incoming nurse from starting over with assessment and lets them build on what you've already tried.

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