Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
The routine use of cathartics and enemata varies, but it is very common
to give an enema on the second morning after delivery or castor oil or
Rochelle salts, followed by an enema if necessary. After this, a mild
cathartic or a low enema is given often enough to produce a daily
movement when this is not accomplished by means of the diet.
Some doctors, however, prefer that the bowels shall not move for four or
five days after delivery, believing that this delay reduces the danger
of infection from the intestinal contents, which are swarming with
organisms, particularly the colon bacillus.
In cases of third degree tears, catharsis is practically always delayed
for four to six days in order that the torn edges of the rectal
sphincter may become well united before being strained by a bowel
movement. In these cases an enema of six or eight ounces of warm olive
oil is often given and the patient encouraged to retain it over night,
in order to soften the contents of the rectum and lessen the strain and
irritation of evacuation.
=The Bladder.= The question of helping the patient to void after
delivery is one of extreme importance, because she will almost certainly
have difficulty in emptying her bladder, and yet catheterization is not
to be resorted to unless absolutely necessary. As a rule the patient
should be encouraged to try to void from four to eight hours after
delivery. If she is unable to do so at first there are several aids
which the nurse should employ before admitting the patient’s inability
to empty her bladder. Inducing her to drink copious amounts of hot
fluids is the first step. Very often she will then void if placed upon a
bedpan containing water hot enough to give off steam, and more warm,
sterile water is poured directly upon the urethral outlet; or hot and
cold sterile water may be dashed, alternately, upon the meatus.
The sound of running water is often helpful as well as the application
of hot stupes over the supra-pubic region. When everything else fails,
success frequently follows the application of a partly filled hot-water
bottle over the bladder, held in place by a tight binder, particularly
if the patient rests upon a pan of steaming water at the same time.
Public-domain text, read in full here on John Shaqi.
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