Please enable JavaScript.
Coggle requires JavaScript to display documents.
9.5 Prevention of maternal health problems after childbirth. - Coggle…
9.5 Prevention of maternal health problems after childbirth.
Nursing to prevent postpartum hemorrhage.
Taking care of the uterus to contract well.
Take care and recommend the rolling of the uterus at the top of the womb. Along with pushing down to stimulate the uterus muscles to periodically contract Blood loss will decrease. And reduce obstruction, contraction of the uterus.
Stimulate lactation Because it stimulates the pituitary gland to secrete the hormone oxytocin. Stimulate the uterus to contract better.
Recommend and take care to urinate every 3-4 hours to reduce obstruction of the contractions of the uterine muscles.
Hold your head high. To reduce the accumulation of blood And prevents the formation of large blood clots.
Observe and check the characteristics, quantity, color, smell of the amniotic fluid, which in the first 2 hours after birth If the blood soak more than 1 piece of sanitary napkin in 1 hour, must find the cause.
Caring for the perineal wound And vaginal wall.
Regularly assess perineal incisions and vaginal wall lesions, including swelling, palpation under the skin, etc.
Perineal cleaning with gentle care Prevent increased bleeding.
Suggest that the mother shoulders the muscles around the vagina 50-100 times a day for good circulation.
Recommend eating protein foods, fruits and vegetables that are high in vitamin C.
Assessing vital signs.
Is an indication of complications such as infection, hemorrhage, within 24 hours after birth, the temperature may rise to 28 degrees, but not more than this And will return to normal levels within 24 hours.
2.Nursing for the relief of postpartum pain.
Nursing to alleviate uterine pain.
Have the mother rest on the bed with a head height of 30-40 degrees to reduce the symptoms of tense muscles. Helps to relax the abdominal muscles.
Place the cold water bag on the stomach for about 10 minutes, reducing the speed of the nerve endings. The pain therefore subsides.
Place a hot water bag to help the abdominal muscles relax. Causing the pain to subside.
Give the mother an opportunity to vent the pain.
If uterine pain is given 2 paracetamol pills.
Provide a relaxing environment such as turning off lights, providing fans, etc.
Nursing for the relief of perineal pain.
Arranged for the mother to rest on his side on the opposite side that had perineal.
Avoid perineal friction. Perineal incision For good blood flow.
Suggest that the mother should give the goiter, perineum and perineum 50-100 times a day for good circulation.
Teach relaxation techniques by rhythmic breathing to relax muscles.
If the blood clot found under the perineal wound has grown Give a doctor report.
Breast care.
Relief of cracked nipples.
Maintain cleanliness of the breast.
Stop breast-feeding the broken side. If the nipples are broken on both sides, the child will suck on the less painful side. To prevent more cracked nipples.
Apply milk to the surrounding nipples and let dry Helps heal faster.
In case of severe cracked nipples Must use fake nipple covers to reduce pain and more cracked nipples.
If there is pain in the cracked area after lactation Consider giving pain medication according to the treatment plan.
Relieving breast engorgement.
Explain to the mother that it is normal and will heal within 24-48 hours. It is recommended that the lactation be switched on both sides.
Breast compress with alternating cold heat to reduce pain.
Wear bras suitable for breast size.
If the pain is severe, take care of pain medication according to the treatment plan.
4.Caring for perineal wounds and amniotic fluid.
Recommend keeping the perineal clean And reproductive organs Sanitary pads should be worn to absorb blood. And change the sanitary napkin every 3-4 hours.
Clean the reproductive organs every time. After defecation and urination By washing with soap Follow with clean water. Then pat dry.
Teach the mother during the postpartum period. Hemisphere 50 -100 times the vulva muscles will help the wound heal faster.
Recommend that mothers postpartum period eat protein foods, vegetables and fruits that are high in vitamin C.