What is the nursing goal after cesarean section? 1. Pay attention to vaginal bleeding
There is more uterine bleeding in cesarean section, so family members should check the amount of vaginal bleeding from time to time. If you exceed the menstrual flow, you should inform your doctor and take timely measures to stop bleeding.
2. Turn over more after operation
Due to the influence of narcotic drugs on intestinal peristalsis, flatulence is caused, and parturients after cesarean section will feel abdominal distension. Doing more turning movements after delivery can promote the recovery of paralyzed intestinal muscle peristalsis function, and the intestinal gas can be discharged as soon as possible to relieve abdominal distension.
It is wise to take a semi-recumbent posture in bed.
Not getting up in a short time after cesarean section will make it difficult to discharge lochia. Taking the semi-supine position and multi-transposition can promote the discharge of lochia, avoid the infection caused by lochia deposition in the uterine cavity, affect the contraction of uterus, and be beneficial to the healing of uterine incision.
Get up as soon as possible
Caesarean women need to stay in bed for about 24 hours, and then the nurse will help pull out the catheter and urge you to get out of bed and walk around.
At first, you may be reluctant and need help from others. However, it is necessary to exercise as soon as possible to avoid venous embolism and pulmonary embolism of lower limbs.
5. Pay attention to your temperature
Low fever can occur after stopping antibiotics, which is often the early manifestation of reproductive tract inflammation. If it exceeds 37.4 degrees Celsius, it is not appropriate to be forced to leave the hospital; Those who leave the hospital without low fever should have their body temperature measured every afternoon after returning home 1 week, so as to find low fever early and deal with it in time.
6. Use less painkillers
After cesarean section, the anesthetic effect gradually subsided and the pain of abdominal wound began to recover. Generally, the wound begins to ache severely several hours after operation. At this time, in order to let the parturient have a good rest, the doctor gave some painkillers on the day or night of the operation. Do not use analgesic drugs after this, because it will affect the health of the body, especially the recovery of intestinal peristalsis function, so it is necessary for pregnant women to be patient with the pain.
Postpartum care and diet for caesarean section? After cesarean section, we should closely observe the maternal vital signs, uterine contraction and vaginal bleeding, and notify the doctor in time if there is any abnormality. Taking a semi-recumbent position 24 hours after operation can promote the discharge of lochia, indwelling catheter 24 hours after operation, and instructing the parturient to urinate as soon as possible after extubation. Encourage lying-in women to turn over frequently, get out of bed as soon as possible and give them a nutritious and digestible diet. According to the situation, antibiotics should be given to prevent infection, and rehydration should be given for 2~3 days as appropriate. Instruct parturient to keep vulva clean, and change underwear after discharge. Encourage proper breastfeeding and come to the hospital for reexamination 42 days after delivery.
Cesarean section is easy to constipation because of wound, sudden decrease of postpartum intra-abdominal pressure, relaxation of abdominal muscles and slow intestinal peristalsis. Dietary arrangements should be different from natural production. After operation 12 hours, the parturient can drink a little boiled water to stimulate intestinal peristalsis, and then eat after exhausting. Choose liquid food at first, and then gradually change from soft food to solid food.
It is not advisable to eat too much after operation. Caesarean section stimulates the gastrointestinal tract and inhibits its normal function, which is easy to cause constipation, increase labor process and increase abdominal pressure, which is not conducive to rehabilitation. It is not advisable to eat more fish after operation. According to research, fish food contains an organic acid substance, which can inhibit platelet aggregation and hinder postoperative hemostasis wound healing. It is not advisable to eat more gas-producing food after operation. Foods that produce a lot of gas include soybeans, bean products and sweet potatoes. After eating, it is easy to ferment in the abdomen, producing a lot of gas in the intestine and causing fermentation.