Monday, May 27, 2024

PRE AND POST OPERATIVE MANAGEMENT OF THE MOTHER (CAESAEREAN SECTION): IMMEDIATE CARE

Table of Contents

REQUIREMENTS #

  1. Operation bed
  2. Vital signs tray
  3. Wound dressing tray
  4. Disposable gloves
  5. Sterile gloves
  6. Intravenous cannula
  7. Intravenous fluids
  8. Prescribed Medications
  9. Antiseptic Lotion
  10. Patient’ s Records
  11. Suction apparatus
  12. Drip stand

STEPS #

  1. Assess patient’s condition: Blood pressure, respiration, pulse, colour, level of consciousness, inspect wound for bleeding and check IV infusion
  2. Receive patient in a comfortable bed, nurse in lateral position unto fully conscious and keep airway clear
  3. Monitor pulse, respiration and blood pressure ¼ hourly then ½ hourly then hourly until fully conscious (depending on patient’s condition) and temperature every 4 hours
  4. Inspect wound ½ hourly for bleeding for 24 hours and lochia drainage from vagina ½ hourly for 24 hours
  5. Monitor intake and output and record
  6. Encourage her to eat nutritious diet of her choice
  7. Change dressing and remove stitches according to doctor’s directives
  8. Encourage early ambulation by 1st and 2nd day post operations
  9. Encourage exclusive breastfeeding
  10. 10. Encourage warm sitz baths
  11. Counsel on personal hygiene (Bed bath, vulval toileting, perineal care, frequent hand hygiene, rest and sleep, bowel and bladder movement)
  12. Observe infection prevention measures according to IPC guidelines
  13. Administer medications as per chart
  14. Counsel mother before discharge
  15. Record all observations, procedures and progress in Maternal and Child Health Record Book (Manual/Electronic)