Page 296 - Critical Maternity & Newborn Health Nursing
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5. Prophylactic antibiotics in PROM and prolonged or instrumental
delivery.
C. Postnatal:
1. maintenance of aseptic precautions.
2. Care of the perineal or abdominal wounds.
3. Minimize visitors and keep whom are infected away.
4. Early isolation of cases of puerperal sepsis.
Treatment of puerperal sepsis:
A. General treatment:
1. Isolation in a separate room or fever hospital.
2. Bed rest: Semi sitting position to help drainage.
3. Correction of anemia and blood loss.
4. High nutrient diet: Proteins, Vitamins, Minerals, and liberal fluid.
5. Analgesic: For pain.
6. Antipyretic: For fever.
B. Antibiotic therapy:
1. Broad spectrum antibiotic (ampicillin or cephalosporin)+ gentamycin +
metronidazole or
2. clindamycin + gentamycin.
One of these regimens is started till the result of culture and sensitivity.
Antitoxin serum is given in Cl. Welchii infection.
C. Promotion of Drainage:
1. Infected tears: Remove sutures to help drainage.
2. Pelvic abscess: Drain through posterior vaginal fornix(posterior colpotomy)
3. Uterus:
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