NURSING MANAGEMENT FOR UTERINE MALFORMATIONS

 

NURSING MANAGEMENT FOR UTERINE MALFORMATIONS

Uterine malformations

          It will vary depending upon the clinical features

Nursing Management for Dysmenarrhoae

·        Provide psychological support to the mother.

·        Provide divertional therapies like music / news paper or TV.

·        Provide comfortable position i.e., right / left side lateral position.

·        Provide comfort measures like hot application by using the hot water bag on the abdomen.

·        Administer analgesics like tab mefthalspas if the pain is severe.

·        Advice the mother to consult a gynaecologist.

 

Nursing Management for Menorrhagia

·        The nurse should check the Hb count of the mother

·        The nurse should assess wheather the mother is anaemic or not.

·        Administer Iron tablets like Tab. Orofer to the mother if the mother if the mother is having any signs of anemia.

·        Provide nutritious diet to the mother that should be in iron rich like dates and green leafy vegetables.

·        The nurse should check the weight of the mother periodically.

 

Nursing management for Dyspareunia

·        The nurse should give the sex education of both the partners relieves the symptom.

·        The nurse should encourage the partners to consult a gynaecologist.

 

Nursing Management for obstetrical problems

·        Encourage the mother for periodic antenatal visits.

·        Assess the high risk mother by internal examination and other invasive and non-invasive procedures.

·        Encourage the mother to take complete bed rest.

 

Management of preterm labour

First Stage

·        Encourage the mother to take complete bed rest to prevent early rupture of the membranes.

·        The nurse provide adequate fetal oxygenation by giving O₂ to the mother by mask.

·        The nurse should watch the labour by intensive clinical monitoring / with continuous electronic monitoring.

·        The nurse should encourage the mother to delivered by caesarian section, in case of delay or anticipating a traumatic vaginal delivery.

·        The nurse should take the consent for the operation.

Second stage

·        The nurse should take care to avoid rapid compression and decompression of the head by conducting the birth gentle and slow.

·        The nurse should clamp the cord immediately at birth to prevent hyperrolemia and hyperbilirubinaemia.

·        Check the vital signs frequently i.e., every 2^nd hrly.

·        Check the general condition of the mother.

Nursing Management for post partum hemorrhage

·        The nurse should check the blood loss.

·        Sent eh blood for checking the Hb level.

·        Kept the blood ready for the blood transfusion.

·        Administer Inj. Oxytocin as a prophytactic treatment for the 3^rd stage.

·        Start the dextrose saline drip.

·        Catheterize the mother in order to minimize the trauma.  Because a fully bladder may cause further bleeding.