Management of the Puerperium
An important aspect of the midwife/nurse works whether in hospital or at
home is her educational role. Advice the mother to care for her self and for
her baby covering a wide range of subjects like hygiene nutrition,
immunization, family planning, etc.
The mother and baby are usually transferred to the post natal word with
in an hour or 2 after delivery. The midwife/nurse should well come the mother
and help her to settle in the ward. She will observe her general condition,
palpate the uterus to note whether it is contracted or not and observe the
lochia.
The mother should have sufficient sleep and rest. Keep a quiet
comfortable atmosphere with out disturbance. Inability to sleep must be
regarded with concern and Doctor should be consulted. Hypnotics may be needed
and it is given with out hesitation. Undue anxiety, sleepless ness and loss of
appetite should be rewarded as serious. Rest is usually encouraged during the
day preferably in prone position as this aids drainage from the uterus and
vagina.
Ambulation: - mothers benefit a feeling of
well being fromthis early activity and this reduces the incidence of thrombi
embolic disorders.
Diet: - a good balanced diet should be
taken as advised inpregnancy the woman’s appetite usually returns very quickly
after labour is ended & has had some sleep. Protein foods are important
particularly if she is breast feeding.
Excess fruit should be avoided as substances from this will pass to the
baby in the milk & may cause diarrhea. The daily fluid intake should be
from 2.5-3 liters of which at least 600ml should be milk.
postnatal exercises – Advantages
·
Gives the women a sense of wellbeing ness
·
Maintains good circulation, lessens possibility of venous thrombosis.
·
Restores muscle tone of the abdominal wall & pelvic floor.
·
Promotes for normal drainage of lochia
·
Prevents hypostatic pneumonia
·
Helps in emptying the bladder, bowels and uterus
·
Permits her to enjoy a daily bath
·
Enables her to take early care of her baby.
·
Restores her body figure
The role of the nurse:- during this period now a days is largely for
advice and educate the mother in the care of her baby and herself, to listen
patiently to her fears and expression, to answer her questions and through out
to given her encouragement and reassurance. This is an exchanging & highly
responsible task for a competent and thoughtful midwife/nurse.
Related Topics
Privacy Policy, Terms and Conditions, DMCA Policy and Compliant
Copyright © 2018-2024 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.