Downloaded 19 times
More Related Content
Minor discomfort
- 1.
- 2. After pains Pain in the perineum Breast engorgement Postnatal Diuresis Constipation Lactation suppression
- 3. AFTER PAINS : It is the spasmodic, intermittent pain felt in the back and lower abdomen after delivery for a variable period of 2-4 days. It is often felt more frequently while breast-feeding. Presence of blood clots or bits of the after the birth leads to spasmodic hypertonic contractions of the uterus in an attempt to expel them out.
- 4. MANGEMENT: Massage theuterus with expulsion of the clot. Administer analgesics (ibuprofen) and antispasmodics.
- 5. PAIN IN PERINEUM: Somedegree of pain is felt in the stitches. Abnormal pain should be investigated to diagnose vulvo-vaginal hematoma or infection is developing.
- 6. RELIEVING MEASURES; Afterusing the bathroom, spray or pour warm water over the entire vaginal area. Encourage mother to pat the area dry, making sure to start at the front and end at the back to avoid spreading germs from the rectum to the vagina. To reduce the swelling Apply Ice packs Wrap the ice pack in a washcloth or other soft or absorbent material. Do not directly apply the ice.
- 7. Sitz bath Encourage the mother to sit in a tub with 2-3 inches of warm water for about 15 minutes. Care of perineal stitches Clean and dress the perineal area daily and cover with sterile pad. Swabbing should be done from above downwards .Advice the mother to use topical anaesthetic spray or ointment according to the prescription
- 8.
- 9. May occurabout the third day postpartum and is often regarded by mothers as the result of the milk coming in. It is due to exaggerated normal venous and lymphatic engorgement of the breasts which precedes lactation. The mother approaches with pain and tense feeling of the breasts, generalized malaise and painful breast feeding.
- 10. MANAGEMENT: Encourage themother to consume lots of fluids Support the breasts with a binder or brassiere. Apply hot bags on breast before nursing and ice bags after. Express the milk manually. The baby should be put to breast regularly after the expression of milk. Analgesics may also be prescribed to relieve pain
- 11.
- 12. Within 12hrsof the birth the women begins to lose excess tissue fluid accumulated during pregnancy. The profuse diaphoresis occurs especially at night for the first 2-3 days after childbirth.
- 13. CAUSES Decreased estrogenlevels Removal of increased venous pressure in the lower extremities Loss of the remaining pregnancy induced increase in blood volume. By the above mechanisms the body rids itself of excess fluid in the body
- 14. MANAGEMENT Keep themother clean and dry Change her dress frequently Change the bed sheets frequently Care must be taken to ensure that the mother is well hydrated.
- 15.
- 16. The problemis much less because of early ambulation and liberalization of dietary intake. Encourage the mother to take a diet containing sufficient amount of roughage and fluids is enough to move the bowel. If necessary mild laxative such as Igol 2 tea spoons may be adviced at bed time.
- 17. LACTATION SUPRESSION Thisis necessary when the women has decided not to breast feed or incase of neonatal death.
- 18. MANAGEMENT Advice themother to wear well fitted supportive brassier or breast binder continuously at least the first 72 hrs. After giving birth. Avoid breast stimulation. Eg: Running warm water over the breasts, newborn sucking or pumping of the breasts Bromocriptine was often prescribed in olden days. But recent days it is not practiced much as it causes the seizures, strokes and MI.
- 19.