Prevention of maternal health problems after childbirth - Coggle Diagram
Prevention of maternal health problems after childbirth
Nursing to prevent postpartum hemorrhage
1.1 Taking care of the uterus to contract
-Take care and recommend gently rolling the uterus The area of the uterus.
-Observe the position of the uterus and measure the height of the uterus.
-Recommend and take care to urinate every 3–4 hours.
Position your head high or lie down, use a pillow under the stomach.
1.2 Caring for the perineal wound And the vaginal wall
-Perineal care paid by softness.
-Recommend that mothers take 50-100 times more vaginal muscles per day.
-Assess the condition of perineal incisions and vaginal wall incisions regularly.
-Recommend eating protein foods, vegetables and fruits that are high in vitamin C.
1.3 Assessing vital signs
Changes in vital signs are an indication of complications, such as bleeding or infection. In the first 24 hours after birth, vital signs should be measured every 4 hours thereafter. If the symptoms and vital signs of the mother after birth are stable, the measure may be measured. Every 12 hours is possible. Within 24 hours after birth, the temperature may rise to 38 degrees Celsius, but not more than this and should return to normal levels within 24 hours.
Nursing for the relief of postpartum pain
2.2 Nursing for the relief of perineal pain
-Teach relaxation techniques by rhythmic breathing to relax muscles and divert attention from pain.
-Avoid perineal friction. Suppressing perineal incisions and surrounding tissues Gentle cleaning of the perineum If necessary to sit Arranged to sit on a soft cushion instead of using a rubber ring.
-Arrange for the mother to rest on his side on the opposite side with perineal wound Or lie prone in a well ventilated place Avoid sitting or standing for a long time.
-Perineal compress with cold
-Take care for the mother to take a warm shower.
-Suggest that mothers with anal and perineal tubes 50-100 times a day.
2.1 Nursing to alleviate uterine pain
-Place the cold water bag on the stomach for about 10 minutes.
-Apply a paste to dry heat Or place a hot water bag.
-Recommend methods to relax the diaphragm muscles. And the muscles of the respiratory system with deep breathing Then relax your breath slowly.
-Support the stomach muscles with a pillow or hand or a cloth for the tummy.
-Arranged for the mother to rest on the bed with a head height of 30-40 degrees.
-Roll in the uterus with softness.
Caring for perineal wounds and amniotic fluid
Women undergoing perineal transplantation will receive sutures. Most will use silk to dissolve the stitches, do not need to cut the silk. Should provide care as follows
-Recommend keeping the area clean, perineal wound. And reproductive organs
-Teach the mother during the postpartum period to trim the muscles around the vagina.
Diagnosis of postpartum nursing mothers
-Risk of perineal and uterine infection in the postpartum period
Because postpartum mothers have poor personal hygiene.
-Has decreased resistance to activities Due to blood loss, eating
Food and fluid intake during labor.
-Risk of postpartum hemorrhage due to (Uterine contraction is poor, there is a condition Bladder Full, Vaginal tearing, etc.)
3.2 Relief of cracked nipples
-Stop breast-feeding the broken side. If the nipples are broken on both sides, let the child suck the less painful side first.
-Apply milk to the surrounding nipples and let it dry, which will help heal faster.
-Maintain cleanliness of the breast.
-If in the case of severe cracked nipples, it is necessary to cover fake nipples.
-If there is pain in the cracked area after lactation Consider giving pain medication according to the treatment plan.
3.1 Relieving breast engorgement
-Apply the breast to hot and cold compresses or place ice bags for about 20 minutes.
-Wear bras suitable for breast support.
-Explain to the mother that normal symptoms will disappear within 24-48 hours. It is recommended that the lactation be switched on both sides.
-If the pain is heavy, take care to give pain medication according to the treatment plan.