Page 279 - ترم ثاني كتاب تمريض صحة الام الكتروني
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o Daily cleansing in shower.
o Regular and frequent examination for early detection of complications
such as engorged breast, cracked nipples, mastitis, and breast abscess.
• Care of the perineum:
o Inspect and observe for presence of episiotomy, lacerations, edema,
pain, or ulceration.
o Keep the area clean and dry by employing perineal care
o Teach the mother principals of self-care:-
– Pouring a stream of water over the vulva and perineum after voiding or
defecation.
– Wiping from front to back after voiding or defecation.
– Change peri-pad with each voiding or defecation.
– Cold therapy for 24 to 48 hours (Ice packs & Cold packs).
– Heat therapy
• Ambulation
o Early ambulation is successful in reducing the incidence of
thromboembolism and in promoting the woman’s more rapid
recovery of strength
• Prevention of excessive bleeding by maintenance of uterine tone:
o Fundal massage.
o Teaching patient to do fundal self- massage.
o IV oxytocin, such as Pitocin.
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