ABAS, ALEXANDER MIGUEL M.

04/03/20

2-N-A OB

HEALTH TEACHINGS FOR CLIENTS WHO UNDERWENT CESAREAN

SECTION. HEALTH TEACHING MUST ANSWER THE FOLLOWING
QUESTIONS:
1. WHAT WILL BE YOUR HEALTH TEACHINGS FOR THE CLIENT’S
FAST RECOVERY?
• Keep the region incised clean and dry.
• Ask the doctor whether it's appropriate to take a shower, bathe or soak in water.
• Upon birth, you can experience occasional vaginal bleeding for several times.
Wear the sanitary pads upon delivery for around 6 weeks.
• The incision in the C-section will render regular movements uncomfortable when
recovering. To relieve discomfort, when changing your place, or with sudden
motions such as sneezing or coughing, press a pillow or your hand against your
abdomen.
• To help you recover from childbirth, consume a well-balanced, nutritious diet. If
you're breastfeeding you're going to need extra calories every day. Your doctor
may even warn you to stop other foods. Obey through on both advices.
• Upon childbirth certain women suffer constipation. To avoid this:
1. Consume plenty of fluids.
2. Eat high fiber foods include whole grains, cereals, bread, fruits,
vegetables, beans, and lentils.
• Start moving around every day. Simple physical activity makes you heal.
• Recovery time:
o Do not raise something heavier than your baby.
o Do not move excessively until the doctor advises you to do so.
• Rise gradually. This will serve to save you from getting lightheaded.
• Tell the doctor about when you can return to work and travel.
• Avoid sexual intercourse before the doctor confirms that everything is
appropriate to do. Speak to your doctor about choices for family planning before
you resume sexual intercourse again.
• Over-the-counter pain medicine such as ibuprofen or acetaminophen might be
prescribed by the doctor.
o Prescription Medication for pain.
o Stool softeners.
• Follow these general instructions when taking drugs:
o Take your prescription as instructed.
o Do not adjust the amount or the schedule.
o Do not quit taking drugs without consulting to the doctor.
o Don't share prescription medication.
o Ask what outcome to expect, and what side effects. Report to the doctor
on these.
o When mixed, some medicines can be harmful. If you are taking more than
 one medication, contact a doctor or pharmacist. That covers over - the-
counter medicines, and herbal or dietary supplements.
• Follow-up: Your doctor will need to check on your progress. It is important to go
to any recommended appointments.

2. WHAT ARE THE FOLLOWING COMPLICATIONS OF C/S?

• Potential complications — Infection, hemorrhage (excessive bleeding), pelvic
organ injury and blood clots are the most serious problems linked to cesarean
delivery.
1. Infection – The likelihood of postoperative uterine infection
(endometritis) ranges based on a variety of variables, such as when labour
began and if the fetal membranes ruptured. Antibiotics are used to combat
endometritis.

2. Wound infection - typically progresses four to seven days after surgery if

it happens, but often happens within the first day or two. Besides
antibiotics, wound infections are often managed by opening the wound to
allow drainage and, if necessary, extracting contaminated tissue.

3. Hemorrhage – One to two percent of all people with cesarean deliveries

have hemorrhage (excessive bleeding) requiring blood transfusion.
Hemorrhage usually responds to medications that allow the uterus to
contract, or to obstruct the bleeding cycle. In certain instances a
hysterectomy (surgical removal of the uterus) may be needed where all
other steps fail to avoid bleeding.

4. Injury of pelvic organs – Damage to the bladder or intestinal tract arise

in around one per cent of the deliveries in cesarean sections.

5. Blood clots — Women are at high risk of forming blood clots in the legs
(deep vein thrombosis or DVT) or lungs (pulmonary embolus) during
pregnancy, and especially during postpartum. The danger will be greatly
increased after completion of the caesarean section. The damage may be
minimized by using a device called an intermittent compression device,
which softly squeezes the legs before and after surgery. An anticoagulant
(blood thinning) prescription can be offered to women at high risk of
DVT, to reduce the risk of blood clots.

3. WHAT ARE THE MEASURES TO PREVENT THE COMPLICATIONS

OF C/S?
• Infection - The night before and the morning of the C-section the health care
professional may ask you to wash with an antiseptic soap. Don't shave the pubic
hair off within 24 hours of C- Section. This will increase the possibility of an
infection from the surgical site. If they need to remove your pubic hair, the
medical team will cut it right before surgery. If there is suspected infection,
 Antibiotics are used to combat Endometritis.

• Wound infection - Your abdomen will be cleansed. If there is suspected wound

infection, besides antibiotics, wound infections are often managed by opening the
wound to allow drainage and, if necessary, extracting contaminated tissue.

• Hemorrhage - usually responds to medications that allow the uterus to contract,

or to obstruct the bleeding cycle. In certain instances a hysterectomy (surgical
removal of the uterus) may be needed where all other steps fail to avoid bleeding.

• Pelvic injury - use elective cesarean section, antepartum pelvic floor exercises, or
intrapartum pudendal nerve monitoring.

• Blood clots - The damage may be minimized by using a device called an

intermittent compression device, which softly squeezes the legs before and after
surgery. An anticoagulant (blood thinning) prescription can be offered to women
at high risk of DVT, to reduce the risk of blood clots.

4. PREPARE A DISCHARGE PLAN FOR THIS CLIENT.