|
End of the week-bed when the body changes have been completed Lasts about 6 to 8 weeks Regression of all changes in the pregnancy and birth are Lactation is in motion (milk production -/ausschuttung) Normalization of the psyche.
Amount of blood loss Type of pain elimination (PDA?, Pudendusblock (pain elimination in the outer soft birth canal and dam vulva region)) Administration of drugs (yes / no? What?) Implementation of a Episiotomie
First meal (when the woman should eat?) Bladder emptying (yes / no, either spontaneously or after catheterization?, When?, How much?) Health status of the child (it had an external Children's Hospital or to the intensive care unit
Sex of the child Relationship between mother and child (Wunschkind?, Release for adoption?) Planned measures for the mother or the child (such as sterilization of the mother, orthopaedic Konsil the child?) Reference person (partner, friend?, Parents?)
Arrival at the station
Congratulations of the mother Presentation of Mitpatientinnen in the room Rest of the birth of birth Is it the birth so well that they can supply their child, the demand for the wishes of the placement of the child (rooming-in, rooming-out or part-time rooming-in)
Monitoring of bladder emptying (1.Miktion 4 hours after birth, often emptying bladder disorder to urinary retention) Urine excretion control (increased urinary excretion) Assessment of the state fund (after the birth in the heel height, he drops every day at about one finger width, on the 10th day in Symphysenhohe) Weight control
Lochia alba) Aroma is sweet fade Lochienmenge total of 400 - 1200ml is increasing, 4-6 weeks after they disappear Monitoring the aftermath (painful uterine contractions) Temperature, pulse,
In the first Defakation least 24 hours pp eighth person. laxative measures (medical ward layout and internal guidelines) 1 x daily After questions (with laxative action if more) For each state Psychic encounter on depressive Verstimmungen or weekly bed eighth psychosis Blood group
Hygiene measures at the maternity ward
Whole station embarrassing clean No infectious health care at the station. Patients with diseases embarrassed Because of the ubiquitous in soil pathogens tetanus
Trash can several times a day empty Visitors not let sit on beds (mothers often put their children there) Children are not in such bodies lay in bed, where they Lochien
For clean bed linen. The beds but not while breast-feeding and directed Abpumpzeit Before any contact with the child or the chest with their hands disinfected
Maintenance of a birth
embarrassing compliance with hygiene measures templates used with disposable gloves away (Lochien are keimbesiedelt, HIV infection!) Monitoring the Lochien
Abspuhlen with water 2 times daily from central to dorsal) all 2 to 4 hours bandages change Maintenance of the dam seam (rinsing, possibly hip baths; ointment conditions, perhaps administration of anti or analgesics)
Stimulating Miktion (two to 3 litres / day beverage) Intestinal regulation (dam in daily violations Parafinol offer, otherwise the 1st stools at 3.postnatalen day) Anti-thrombosis socks attract get up early and activating Wochenbett gymnastics; breathing exercises; Zirkulationsfordernde exercises, training of the pelvic floor and abdominal muscles (beginning on Day 2 after birth and six months should have consistently continued) Administration of blowing and kontraktionsfordernden medicines only in the course Pathologischem Nutrition: balanced, protein-rich, calciumreiche foods; lactating women should eat the same as during the Schwangerschaft.Sprichwort; "everything in the Meuse. psychological care: the birth requires a careful and sympathetic care, it is very mentally unstable, it comes to significant fluctuations mood of euphoria, to more or less severe depression, so-called Heultage-world pain days, it is also a weekly bed develop psychosis ; Symptoms include confusion, disorientation, restlessness, stupor
Body Care
Day 1 at the post partum Ganzkoperwaschung sink or good circulatory conditions can showers Day 2 pp from the woman can shower again full baths are not allowed, because a contamination of the breast with the Lochialsekret because of the risk of a chest infection or infection
Separate washcloth and towels for breast and Genitalregion, Genitalregion last clean Genitalspulung 2 times daily and after each toilet course, for full mobilization of the bidet Patient to carefully washing hands and disinfecting hands
Breast once daily with water without soap to wash. The mother should gutsitzenden baumwollenen a nursing bra, and the nursing pads regularly go to the breasts dry halten.Brustwarzen at least once daily to fresh air. Given birth to prepare, that is probably a few weeks after birth, increased hair loss will come of this is due to the hormonal change and has formed in the following period, almost always back. The woman should during this time with the hair care careful.
Lochialstauung Bleeding Puerperalfieber (Wochenbett infection by the Genitalorganen out) Ulcer puerperale (vaginal infection of the wound or dam) Endometritis puerperalis (infection of the uterine interior space) Adnexitis puerperalis (lymphogener pathogens on their way into the side tissues Beckenbinde Puerperalis peritonitis (diffuse Baufellentzundung) Puerperalis sepsis (generale form of Kindbettfiebers)
Advice before the dismissal
If there are no complications, mother and child after a vaginal birth am2 .- 6th Day post partum, after a caesarea on Section 7 to 10 Day dismissed. In an interview Concluding care (usually before or after the conclusion of gynaecological examination), the following points were raised:
After-care of mother and child
Mother should know that the midwife at the request also visited at home. Nurses should sometimes a first appointment with the midwife Hygiene: The infant may continue with Lochien not come into contact.
Until the full Lochien disappear, the only woman shower and not bathe Menstruation: 1.Menstruation is not breast-feeding after birth 5 -10 weeks expect to nursing is a prediction not possible Sexual intercourse: sexual intercourse is to disappear again permitted the Lochien (previously only with condom), before there is a risk of wound infections and disorders after Episiotomie or bruising. The birth but must necessarily Empfangnisverhutende measures, since no safe breastfeeding full protection against pregnancy. Next gynaecological examination: at any specific complaints in 4 to 6 weeks with a gynaecologist, for complaints (especially fever, Read more http://www.productsherbal.com/health/post-partum-depression.html
|
comments