Page 353 - ترم ثاني كتاب تمريض صحة الام الكتروني
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               Contraindications of Sponges

                 1.  Inability of women to insert or remove device.


                 2.  Inability to remember to use the sponge.

                 3.  Allergy to spermicide of polyurethane.

                 4.  History of toxic shock syndrome.

                 5.  Vaginal colonization of staphylococcus aureus.


                 6.  Abnormalities of pelvic structure that would interfere with its placement,

                     retention, or removal.



               Side Effects & Complications of Sponges


                 1.  Redness, irritation and itching of the vulva.

                 2.  Tearing of the device during insertion or removal or during intercourse.

                 3.  Dryness of the vagina, resulting from absorption of vaginal secretion by the

                     sponge.



                Nursing Instructions


               For Insertion: Teach women about:

                  1.  Hand washing

                  2.  Perineal care

                  3.  Sponge is used only one time


                  4.  Wet it and then squeeze it

                  5.  Insert it into the vagina.

                  6.  Effective for 24 hours and should be left into vagina about 6 hours after

                      intercourse.







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