Page 193 - كتاب تمريض نسا الاكتروني

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 Easy manipulation of shoulders.
 Preparations:
o Preparation of the delivery room:
 Delivery room should always be ready for the conduct of labor. Delivery

trolley and emergency drug tray should be ready.
 The delivery room should be warm enough for the infant.

 All equipment needed for infant's care is present and the resuscitation trolley
should be ready for use at all times.
 Safety of woman should be ensured. She should be transferred between
contractions and supported adequately.

 Enough privacy should be provided.
 Strict aseptic technique should be maintained.
o :Preparation of the woman

 Place the woman on the delivery table and put her legs in the leg holders.
 The legs and 'thighs should be dressed with sterile leggings. Sterile towels
should be laid over the abdomen and under buttocks leaving only the vulva and

perineum exposed.
 Empty the bladder. Swab external genitalia and. apply a sterile pad.

o Preparation of the attendant:
 The attendant should put on cap and mask, wash and scrub hands and put on a
sterile gown and gloves.
 The attendant starts to scrub up for primigravida when the head is seen in the

vulva during contractions and for multi para towards the end of the
first stage.

o Promotion of comfort:
 Encourage the woman to rest and to let all muscles relax between contractions,
e.g., breathing exercises.
 Give a few sips of water to provide moisture, and relieve dryness of the mouth.

 Sponge the face and hands with cool water.
o Bearing down:
 Prop up the woman with additional pillows to assume a semi-recumbent position.

 Encourage her to push during contractions, and to relax between contractions.

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