Tuesday, April 16, 2024

PRE AND POST OPERATIVE MANAGEMENT OF THE MOTHER (CAESAEREAN SECTION): SUBSEQUENT 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. Monitor temperature, pulse, respiration and blood pressure 4 hourly
  2. Inspect breast for lactation and abnormalities
  3. Inspect upper limbs for oedema and pallor
  4. Inspect lochia for amount, colour and consistency
  5. Monitor input, output fluids and bowel movements
  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 breastfeeding10. Encourage warm sitz baths
  10. Counsel on personal hygiene (Bed bath, vulval toileting, perineal care, frequent hand hygiene, rest and sleep, bowel and bladder movement)
  11. Observe infection prevention measures according to IPC guidelines
  12. Administer medications as per chart
  13. Counsel mother before discharge
  14. Record all observations, procedures and progress in Maternal and Child Health Record Book (Manual/Electronic)