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9.5 Prevention of maternal health problems after childbirth., image, image…
9.5 Prevention of maternal health problems after childbirth.
Purpose
To observe the physical and mental changes of the mother during the postpartum period.
To promote the functions of various body systems to return to their original state and prevent insertion that may occur.
Helps reduce the discomfort that occurs during the postpartum period.
To promote effective care for oneself and babies.
Helps reduce anxiety and build confidence.
Promoting the relationship between mother-father and infants and family relationships.
Nursing to prevent postpartum hemorrhage.
1.1 Taking care of the uterus to contract
Take care and recommend gently rolling the uterus at the top of the womb. In order to stimulate the uterus muscles to contract, periodically contracting.
Observe the position of the uterus and measure the height of the uterus.
Stimulate the baby to suck milk.
Advise and take care to urinate every 3-4 hours.
Raise your head high or lie face down using a pillow under the stomach.
Observe and check the characteristics, quantity, color, smell of lochia.
1.2 Caring for the perineal wound and the vaginal wall
Assess the condition of perineal incisions and vaginal wall incisions regularly.
Caring for the perine with softness.
Recommend that mothers take 50-100 times more vaginal muscles per day.
Recommend eating protein foods, vegetables and fruits that are high in vitamin C. To promote the disappearance of perineal.
1.3 Assessing vital signs
Changes in vital signs are an indication of complications. Measure vital signs every 4 hours.
Nursing for the relief of postpartum pain.
2.1 Nursing to relieve uterine pain.
Arranged for the mother to rest on the bed with a head height of 30-40 degrees.
Recommend methods to relax the diaphragm muscles. With methods take a deep breath and slowly exhale.
Place the cold-water bag on the stomach for about 10 minutes.
Apply the compress to dry heat or put in a hot water bag to help the abdominal muscles relax.
Give the mother an opportunity to vent the pain.
Explain to the mother to understand the contractions of the uterus 24 hours after birth.
Gently massage the uterus to remove blood clots in the uterus.
Suggesting methods for pain diversion.
2.2 Nursing for the relief of perineal pain
Nursing for the relief of perineal pain
Gives the mother an opportunity to vent perineal pain and the vaginal wall.
Arrange for the mother to lie on the side opposite the perineal incision.
Teaches relaxation techniques by breathing in rhythm to relax muscles and divert
care from the pain.
Caring for perineal wounds and lochia.
Recommend keeping the area clean, perineal wound. And reproductive organs.
pubococcygeal muscle give turmeric 50 - 100 times a day.
Breast care
3.1 Relieving breast engorgement.
Recommend breastfeeding alternate on both sides.
Wear bras that are suitable for breast size.
3.2 Relief of cracked nipples
Maintain cleanliness of the breast.
Stop sucking on the broken side.
Diagnosis of postpartum nursing mothers
Risk of postpartum hemorrhage due to poor uterine contractions.
Nursing activities
Observe the contraction of the uterus and measure the level of the uterus.
Observe the amount of blood coming out of the vagina and take notes to assess the amount of blood that lost.
Measure and record vital signs. Measure vital signs every 4 hours.
Abnormal education in managing the fault of people who have had a history of easy bleeding and difficult stops.
