Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Why Do We Perform Perineal Care?: Duration

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 5

Why do we perform perineal care?

MONITORING LABOR
 In preparation for child birth.
UTERINE CONTRACTION
Why do we perform breast care?  Tightening and shortening of cervix.
 In preparation for breastfeeding.  Resulting in effacement and dilation of cervix.

PHASES OF UTERINE CONTRACTION


FHB 1. Increment – Intensity increases.
 Fetal heart beat 2. Acme – Contraction is at peak.
 Normal FHB = 120 to 180 bpm 3. Decrement – Intensity decreases.

TERMINOLOGIES

Duration
→ Length of uterine contraction from the beginning of
uterine contraction to the end of the same uterine
contraction.

Frequency
→ Time when contractions begin to the beginning of the
next uterine contraction.

Interval
→ Time from the end of uterine contraction to the
beginning of uterine contraction.
Gravida → Resting period of uterine contraction.
→ Refers to the number of times a woman has
been pregnant.
Para/Parity
→ The number the woman has given birth to a
fetus with gestational age of more than 24
weeks, whether the child was born live or
was stillborn.

FUNDAL HEIGHT MEASUREMENT


WEEKS LANDMARK CM
16 Weeks Above Symphysis Pubis 12 – 16 cm
20 Weeks Below Umbilicus 17 – 20 cm
24 Weeks Level of Umbilicus 21 – 24 cm
28 Weeks Above Umbilicus 25 – 28 cm
Between Umbilicus & Xiphoid
32 Weeks 29 – 32 cm
Process

FIRST MANEUVER
Fundal Group

Why do we support the perineum?


SECOND MANEUVER  To prevent further tears in the perineal area.
Umbilical Grip  We support the perineum using gauze and we
apply pressure at the same time that the mother
is pushing.
THIRD MANEUVER
Pawlick’s Grip Why do we inject oxytocin after delivery?
 Oxytocin prevents excessive postpartum
bleeding/hemorrhage by helping the uterus to
contract.
FOURTH MANEUVER  10 IU Oxytocin
Pelvic Grip
Suctioning after birth  It aids in the initiation of breast-feeding
 According to the EINC Protocols, suctioning with colostrum and facilitates successful
should not be done if the baby has cried and breast-feeding .
has no problems breathing 3. Properly- timed Cord clamping, within 1 to 3
 However, if the baby is choking or the minutes
mouth/nose is blocked by secretions, always  The placenta transfuses blood to the
suction the mouth first before the nose (if both newborn after delivery, providing
areas are needed to be suctioned). oxygen, nutrients and additional blood
volume through the pulsating cord.
Why should the baby be positioned at his/her  Once this transfusion is completed cord
side? pulsations will stop and the Cord will
 To prevent the baby from choking with his flatten.
secretions  Placental transfusion can provide the
 Improved postnatal adaptation of respiratory infant with more blood volume and
function and may be more comfortable for the additional red blood cells resulting in
infant (since it reduces infant's agitation) less anemia in both term and preterm
babies.
Normal neonate weight  In preterm, it reduces the need for blood
 The average birth weight for babies is around transfusion in the first 4 to 6 weeks of
7.5 lb (3.5 kg), although between 5.5 lb (2.5 kg) life and the occurrence of
and 10 lb (4.5 kg) is considered normal. intraventricular hemorrhage and late
onset sepsis.
Why do we check the fundus after birth? 4. Non separation of the newborn from the
 To double check if there is still another baby. mother for early initiation of breast-feeding,
Wait in the first 1- 2 hours after birth
Why do we clean the eyes from inner canthus to  Keeping the newborn and mother
outer canthus? together facilitates the newborn’s early
 To prevent cross-contamination initiation to the breastfeeding in the
 Cleanest to dirtiest principle transfer of colostrum.
 Early initiation of breastfeeding reduces
Why should we maintain the DR at 25-to-28- the number of newborn death by
degrees Celsius? decreasing the ingestions of infectious
 To prevent hypothermia organism.
 The baby is still adjusting to the outside world  Breast milk also provides many anti-
infective substances like
Core Steps of EINC immunoglobulins and lymphocytes that
1. Immediate and thorough drying with in the may stimulate and enhance the baby’s
first 30 Seconds immune system.
 It stimulates the babies breathing and  Studies have shown that breast-feeding
provides warmth to the newborn to reduces death due mainly to diarrhea
prevent hypothermia. and lowers respiratory track infections.
 Hypothermia can result in infection
coagulation defects acidosis delayed What kind of syringe do we use for Vitamin K
fetal to newborn circulatory adjustment, and Hep B Vaccine?
hyaline membrane disease and brain  Tuberculin syringe
hemorrhage.  1 cc
2. Skin to skin contact
 Facilitates bonding between the mother Hepatitis B Vaccine (HepB)
and her newborn.  Schedule: Birth
 It also provides warmth with prevents  Type of Vaccine: Recombinant DNA
hypothermia and its complication.  Injection Site: For infants, Hep B vaccine is
 It provides protection from infection by injected usually into the outer part of the
exposing the baby to the good bacteria mid-thigh.
of the mother and it increases the blood  Injection Type: Intramuscular
sugar of the baby
Why do we give Vitamin K after birth?
 Provides protection against bleeding that
could occur because of low levels of this
essential vitamin.

Why should we not wipe off the vernix?


 This is because it continues to provide a
natural protective cover for the baby,
against infection, as well as it helps to
insulate the baby, and thus preventing
hypothermia

Why do we give erythromycin after birth to the


baby?
 Eye care is given to protect the baby’s eyes
from infections such as gonorrhea which
can be passed on to the baby during the
birthing process and can eventually result in
blindness.
 This is to protect babies from getting
bacterial eye infections that can occur
during birth.
 Untreated, these infections can cause
serious problems including blindness.

What do we inject after birth to the baby?


 This should be followed by injections with
vitamin K ( IM), Hepatitis B vaccine (IM)
and BCG (ID)

BCG Vaccine
 Dosage: 0.05 ml
 Injection Site: Outer upper arm or shoulder
just below the deltoid.
 Intradermal
 Against TB

Episiotomy
I have learned a lot of things from our activity

One is that time is essential in performing the sets


of responsibilities of each nurse and that we must
be very observant to our patient and to the baby so
that we can provide the necessary care or
intervention needed and to prevent any
complications and lastly I’ve learned how things go
on in the delivery room.

You might also like