Table of Contents
STEPS #
- Establish rapport (refer steps)
- Provide privacy and ensure client assume desired position
- Explain to client the need to attend antenatal clinic and procedures involved
- Explain the possible cause of haemorrhoids in pregnancy to her
- Apply cold packs to the anal region with cotton wool or gauze
- Educate client to use padded sits to help reduce anal pain
- Encourage client to perform warm sitz bath to help reduce engorgement
- Counsel client to elevate legs and the lower pelvis to facilitate venous return
- Educate client on measures to prevent constipation (high fibre diet, increase intake of fluids, mild exercise etc.)
- Encourage client to apply soothing ointment (e.g. anusol)
- Advice client to report to the clinic in case of severe constipation and bleeding
- Encourage client to ask questions and give appropriate answers
- Emphasize the need for client to adhere to information given
- Express appreciation of client for her cooperation
- Record and report all information in the Maternal and Child Health Book (Manual or Electronic)
