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Postpartum Pain ManagementHow you feel should guide your activity level. You may wish to limit your visitors in order to get the rest you need and to take advantage of the nursing care and teaching. We support your choices and have very few routines or rules. Please tell the staff what is important to you during your hospital stay. We encourage you to ask questions and hope you feel well cared for. Taking good care of yourself is an important part of parenting. It will be some time before your body returns to how it was before you became pregnant, but there are things you can do that will assist the natural recovery phase. Pain Management You will be asked how you feel periodically throughout your stay in the hospital. You can help by telling us on a scale of 0 to 10 how your pain feels. Having no pain is characterized by 0 (zero) and 10 is the worse possible pain you know. As the parent, you may also find it comforting to know that we have a scale to measure newborn pain that your baby may experience during a procedure such as circumcision or blood draw. We make every effort to comfort your newborn during any painful procedure and we will teach you how to do the same. Your doctor or midwife has left orders for medications to reduce your pain and increase your comfort. Your nurse will administer any additional pain medications prescribed by your physician or midwife. Let your nurse know if you have pain as soon as you begin to feel uncomfortable. In addition to pain medication, your nurse can suggest comfort techniques such as the use of ice on sore stitches or sitting and lying positions that can help you feel more comfortable. Bleeding and Afterpains Bleeding will decrease over the next few weeks, and change color from bright red to pink to brown to yellow and then clear. It should have a strong fleshy smell, not a putrid odor. A return to bright red bleeding or passing of large clots once your bleeding has slowed may signify excessive activity on your part. It is your body’s way of reminding you to rest and take it easy. Afterpains (cramping) are the contractions of the uterus occurring in the days following childbirth. They are normal, but can be uncomfortable. Afterpains are usually strongest on the second and third days following delivery, when you are breastfeeding or after you take a uterus-contracting medication prescribed by your physician or midwife. Cramping is most noticeable after the birth of a second or third baby. Afterpains gradually decrease in intensity, but may last seven to ten days. To help ease afterpains, try the following:
Changes in Your Uterus
Laceration (Tear) or Episiotomy Occasionally, an episiotomy (a surgical incision that enlarges the vaginal opening) is performed to facilitate the birth of the baby. The amount of pain following an episiotomy or deep tear varies among individuals. It is caused by the swelling of the tissues surrounding the vagina as well as by the incision or deep tear. Swelling and discomfort usually peak on the second or third day after delivery, but it is difficult to predict how long the discomfort will persist. Some women experience little or no discomfort, while others experience dull, aching pain for some time. This is normal and eventually subsides. Helpful Hints for Care of the Perineum:
Cesarean Birth Helpful Hints
Hemorrhoids Treatment for Hemorrhoids
Which intervention would the nurse perform as soon as a newborn is delivered?Immediate care for the newborn
One of the first checks is the Apgar test. The Apgar test is a scoring system to evaluate the condition of the newborn at 1 minute and 5 minutes after birth. The healthcare provider or midwife and nurses will evaluate these signs and give a point value: Activity; muscle tone.
What are the nursing care of the client experiencing labor and delivery process?Nurses in the Delivery Room. Monitor and time contractions during labor and delivery;. Administer epidurals (pain management) and other medications;. Assist the doctor in inducing labor by administering Pitocin or Cytotec;. Monitor the vital signs of the mother and the heart rate of the baby;. What is the most critical nursing action in caring for the newborn immediately after the birth?With every newborn contact, respiratory evaluation is necessary because this is the highest priority in newborn care.
What should I do immediately after delivery?What you can do:. Do Kegel exercises. These exercises strengthen the muscles in the pelvic area. ... . Put a cold pack on your perineum. Use ice wrapped in a towel. ... . Sit on a pillow or a donut-shaped cushion.. Soak in a warm bath.. Wipe from front to back after going to the bathroom. ... . Ask your provider about pain medicine.. |