Postpartum wound care measures, postpartum wounds are mainly divided into two types. The first one is caused by natural delivery, and the other is caused by caesarean section. No matter what kind of wound it is, it is necessary to take good care of it, which will help the recovery of the maternal body. The following are postpartum wound care measures.
Postpartum wound care measures 1 1, keep the vulva clean and dry.
If lochia is not over, clean the vulva with clear water every day, once in the morning and once in the evening, and clean the vulva after defecation. Remember to wash from behind when washing, so as to prevent pollutants such as feces from entering the body through genitals and causing infection. When you need a towel, you must use a clean special towel. In our daily life, we should always change our underwear. When menstruation comes, sanitary napkins should be changed frequently.
2. Pay attention to sitting position and sleeping position
Whether sitting or sleeping, postpartum new mothers should pay attention to the other side of the wound, which can effectively prevent the wound from breaking due to extrusion. In addition, please remember, don't lie down all the time after giving birth, move around more, keep the stool unobstructed and prevent constipation. It is best to close the perineum and buttocks when defecating to avoid excessive tearing of the wound.
Step 3 pay close attention to the wound
In daily life, if you feel pain in the wound, you should immediately check whether the wound is red and swollen. If you find these phenomena, you should go to the hospital immediately. The wound may have been treated. Infection or suture absorption problems, you must go to the hospital to take out the suture immediately.
Wound nursing of caesarean section
Due to the wide range of caesarean section wounds, it takes about 4-6 weeks for the wounds to fully recover.
(1) Check the abdominal incision every day and disinfect the wound. Within one week after delivery, take temperature twice a day. If the mother feels unwell, the number of temperature tests should be increased appropriately.
(2) Be sure to take a walk after giving birth to the baby. Walking is very helpful for mother to restore the function of gastrointestinal system as soon as possible.
(3) Within two weeks after delivery, the wound should not be moist. Mom can wipe her body with a wet towel. You can't take a bath until the lochia is discharged.
Nursing care of wounds during delivery.
(1) Keep defecation unobstructed, and clean vulva and anus after defecation. In addition, underwear and sanitary napkins should be changed frequently.
(2) When sleeping or resting in bed, you should choose the direction without wound and choose the corresponding lateral position to avoid lochia flowing to perineal wound and causing irritation.
(3) pay attention to the cleanliness of the vulva. From the second day after the baby is born, wash or scrub the vulva with 10% Jieeryin solution. Wash it twice a day until the wound is closed. If you feel pain and swelling in the wound, you should go to the hospital in time. Generally, you can use 50% magnesium sulfate hot compress or 95% alcohol gauze wet compress.
Postpartum wound care measures 2 It is very important to care for the lateral incision wound during delivery, and the key is to ensure the local cleanliness and freshness of the wound. The following nursing measures should be taken for lateral incision wound during natural delivery:
1. It is very important for the new mother to keep the wound dry when giving birth naturally. In this way, the wound can be further healed. Within 3 days after episiotomy, the hospital will have perfect cleaning measures, and use disinfectant lotion to clean the private parts of the new mother. Three days after lateral episiotomy, or after discharge, new mothers should wash their private parts with water or lotion every day, preferably twice a day. 1, if possible.
2. New mothers with lateral perineum incision can usually sit up and eat soon after delivery. After delivery 1 day, accompanied by the prospective father, the new mother can get out of bed for slight exercise, 1 ~ 3 times a day.
3. Some new mothers worry that the perineum lateral incision will damage the nerves in the vagina, and the suture knot will remain in the vagina, which will relax the vagina and affect the postpartum sexual life. In fact, lateral episiotomy does not hinder postpartum sexual behavior. In order to heal the wound earlier, I suggest that the new mother avoid postpartum sex for 6 weeks after delivery. Because within 6 weeks after delivery, the torn wound during delivery will affect the pain of postpartum AA, because the scar after suture is harder fibrous tissue than the soft private parts of the new mother. Therefore, it is easy to cause pain after childbirth.
Generally, at the time of 42 days postpartum examination, obstetricians and gynecologists will check the healing of lateral incision wounds. If, within 42 days, the wound of the lateral incision is red, swollen, suppurated and cracked, you need to go to the hospital for treatment immediately.
Under normal circumstances, after the new mother's perineum is cut laterally, the wound can basically heal within one week after delivery, and then it can completely return to normal after a period of time, and the private parts still maintain good elasticity, which has no effect on future sexual life.
Postpartum wound care measures 3 Natural delivery wound
The care of natural wounds is more important to keep the wounds clean. Dr. Chen Hengru specially reminded the parturient that because the natural wound is very close to the anus, if the cleaning of the wound is neglected, it is easy to be infected by bacteria and cause wound inflammation. Therefore, after each defecation, the wound should be cleaned with washing water to reduce the chance of wound infection.
"Washing method" and "soaking method" are common nursing methods for natural wounds. The washing method is to wash the wound with a shower head, which not only achieves the cleaning effect, but also helps to reduce swelling; The rule of soaking in water is to soak the buttocks in a basin filled with warm water, or use a semi-squatting method to promote perineal blood circulation through steam and help the perineum to reduce swelling. But because the water in the bathtub will not flow, the cleaning effect is poor.
Cesarean section wound
If there is no inflammation in cesarean section wound, it can be recovered in about 1 week. Generally speaking, it is recommended to use breathable adhesive tape and stick it directly on the wound, which will help the wound to heal and the scar will be smaller.
Some pregnant women will feel itchy skin if they stick breathable tape for too long, and even have skin damage or allergies. At this time, they should stop using it immediately and go to the hospital for treatment.
Women who give birth naturally are prone to perineal laceration, which leads to postpartum perineal pain. The degree of pain varies with the size and scope of the laceration and personal feelings. It usually hurts within a few hours to 1 day after delivery, and it will stop after the wound recovers.
After cesarean section, the pain of parturient's wound is often more serious than that of natural delivery, and most of them need to be injected with painkillers. Therefore, doctors sometimes advise pregnant women to use corsets to fix wounds, so as to reduce the pain caused by involvement in activities. Generally speaking, the pain of cesarean section can be recovered within a few days to weeks.
Mitigation countermeasures
For general wound pain, Chen Hengru, an attending physician in obstetrics and gynecology, said that as long as the wound is not directly compressed, such as using a hollow air cushion when lying on the side or sitting, the pain can be alleviated, and analgesic drugs can be supplemented if necessary to achieve the purpose of relieving pain. If the perineum is swollen and painful, it can be compressed by ice in the early postpartum period, and it can be compressed by heat after 1~2 days.
Such as wound swelling, suture cracking, etc. Infection may occur 3~7 days after delivery, so antibiotics should be used at this time.