Page 298 - Critical Maternity & Newborn Health Nursing

• Continue antibiotics.

• X-ray chest for septic pulmonary emboli.

• Pelvic ultrasound abdomen DV thrombosis of pelvic veins.

Preventive Measures

Antepartum:

• Eliminate septic focus located in teeth, gums, tonsils, middle ear or skin.

• Correct anemia and prevent pregnancy-induced hypertension.

• Avoid contact with persons having communicable diseases.

• Maintain good personal hygiene.

Intrapartum:

• Follow strict asepsis during conduct of labor.

• Isolate women with infection.

• Minimize vaginal examinations.

• Preserve membranes as long as possible.

• Repair lacerations of genital tract promptly. Replace excess blood loss

to improve general body resistance.

• Prophylactic antibiotics in premature rupture of membranes, prolonged

labor and operative delivery.

Postpartum:

• Follow strict asepsis while caring for the perineal wound.

• Avoid too many visitors.

• Frequent changing of sanitary pads.

• Swab vulva and perineum using antiseptic solution after each voiding or

defecation.

• Maintain proper environmental sanitation.

Nursing assessment:

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