Table of Contents
REQUIREMENTS #
- Blood Pressure apparatus
- Thermometer
- Pulse oximeter
- Timer with second hand
- Sanitary pad
- Sterile gloves
STEPS #
- Inspect client perineum for tears and suture if any
- Ensure uterus is well contracted by massaging, expel clot to maintain firmness
- Give uterotonic drug and call Obstetrician if bleeding persist
- Clean the perineal area, thighs and apply clean perineal pad
- Remove the drapes, soiled linen, clean and change client clothing
- Inform client about successful completion of labour
- Inform client she will be transferred to a clean and warm bed
- Let client assume a desired position in bed
- Observe client for chills and provide warmth
- Check temperature, pulse, respiration, blood pressure and record (every 15 minutes for the first 1 hour, 30 minutes for the second hour and hourly for the remaining 4 hours)
- Palpate and measure the symphysio-fundal height (every 15 minutes for the first 1 hour, 30 minutes for the second hour and hourly for the remaining 4 hours)
- Educate and encourage client to massage uterus intermittently
- Inspect the perineum for bleeding, swelling and manage as such
- Encourage client to past urine intermittently or pass urethral catheter if necessary
- Encourage client to change perineal pad often and maintain hand hygiene before and after
- Offer a bowl of water, soap and encourage client to perform hand hygiene
- Enquire client desired meal and serve as such
- Help fix baby to breast
- Encourage mobility after an hour rest if indicated
- Assess the degree, location and intensity of pain and manage appropriate
- Assess client interaction with her baby
- Document all findings in Maternal and Child Health Record Book (Manual or Electronic)