Immediate Care of Mother and Baby

 Immediate Care of Mother and Baby 

The mother and the baby has to remain in the delivery room for an hour after delivery.

 

Immediate care of mother:

 

Give Ergometrine or pitocin, massage the uterus and expel the clot

The vulva is swabbed and a sterile pad placed in position Buttocks should be dray and any wet sheet is removed the sterile towel is lain over the lower abdomen and thighs and cover with warm blanket.

 

Careful observation

 

 

·                 Check the maternal purse /60-70/minute is the normal range

·                 Take body temperature – subnormal due to loss of body heat, as high as 37.20C due to reactions of prolonged labour.

·                 Encourage her to pass urine

·                 Blood pressure is taken ½ hourly.

 

Immediate care of baby

 

Observe:

 

The general well being of the baby

 

Check the security of the cord clamp

 

Check APGAR score

 

Promote bonding and breast feeding

 

Put on ID (identification) band

 

Check weight, height, head circumference and any drug (s)

 

given to the baby

 

Record keeping

 

Record your observations during labour

 

·                  Method of delivery- spontaneous or accelerated, forceps, cesearian section or vacuum.


·                 Anaesthetic – General, epidural, local

 

·                 Blood loss- amount

 

·                 Placenta and membranes- complete, incomplete

 

·                 Perineum- laceration, episotomy

 

 

·                 Drugs given for the mother

 

·                 Baby – Sex, weight, APGAR score, alive or stillbirth. Date and time of delivery

 

N.B .The chart should present a clear, concise, reliablerecord.

 

The legal aspect of record keeping is also important during labour.

Comments

Post a Comment

Popular posts from this blog

Lacerations

  Lacerations   A tear is called laceration. The tear can occur in the vaginal wall or in the perineum or in the cervix. Tears of the perineum are graded according to their severity. Other areas of trauma may be the cervix and extended tears of the vagina.   Causes   ·          Not controlling the head at delivery   ·          Precipitate labour   ·          Big baby   ·          Face to pubis and after coming head of breech   ·          Instrumental delivery   ·          Old scar tissue and face presentation   Type of perineal lacerations   First degree   Involves the vaginal mucous and the skin of the perineum.   Second degree   Involved the deeper layer of perineal muscle   ...
Read more

The origin of cell excitation

Image
  The origin of cell excitation The mechanisms we have discussed above account for the propagation and for the termination of the action potential. However, so far we have relied on external electrodes for its initiation. Under physiological conditions, action potentials can be evoked in various ways. The first, very important means of action potential genera-tion consists in synaptic transmission. A synapse connects a presynaptic cell (always a neuron) to a postsynaptic cell (a neuron or muscle cell). In brief, a synapse works as fol-lows:   1.    Excitation of the presynaptic cell leads to the release of a neurotransmitter substance.   2.    The neurotransmitter binds to a receptor on the postsy-naptic cell, very commonly a ligand-gated channel.   3.    The receptor channel opens and locally depolarizes the membrane.   4.    The local depolarization is picked up by adjacent voltage-gated channels and propagated across th...
Read more

The Normal Puerperium

  THE NORMAL PUERPERIUM At the end of this chapter students will be able to:   ·                   Define peurperium   ·                   State physiological changes during peurperium   ·                   Describe postnatal care given for mother and baby.     Defintion  - Puerperium is period from the expulsion of theplacenta to the time the reproductive organs returns to pregravid state lasts 6 weeks.   Puerperium is characterized by the following features   ·                   The reproductive organs return to the non pregnant state ·            ...
Read more