- To maintain cleanliness and comfort.
- To provide healing of suture line.
- To instruct the mother about perineal self care.
Mothers who has undergone vaginal deliveries.
Perineal Care is defined as Cleansing the patient’s external genitalia and surrounding skin using aseptic solution. To prevent infection by cleansing of external genitalia.
Gyneac & Obstetric Department.
Staff Nurse, Auxillary Nurse Midwife and Head Nurse.
- Rubber gloves.
- Rubber sheet.
- Paper bag to collect waste material.
- Clean perineal Pad.
- Tissue Forceps for holding the gauze piece.
- Antiseptic solution.
- Soap and water
- Explain the procedure to the mother why perineal care is important and how do it.
- Prepare equipment and take to bedside.
- Screen the mother’s bed to provide privacy.
- Close the windows.
- Wash hands with following hand hygiene steps and wear gloves.
- Position the mother in dorsal recumbent position.
- Place rubber sheet under mother’s hips.
- Remove solid pad from front to back.
- Observe color and amount and odor.
- Wrap soiled pad and throw it in paper bag to prevent spoiling of clothes.
- Test the temperature of the antiseptic of lochia solution.
- Use antiseptic solution / soap and water for cleaning according to the following direction :
- Clean the mons pubis from the level of clitoris upward to the lower abdomen in a zigzag line.
- Clean two thighs from medial to lateral in a zigzag line.
- Clean two labia Majora from upward to downward in a single motion.
- Clean the introitus from upward to downward in a single motion.
- Dry the perineum using the same technique and put clean perineal pad.
- Remove and clean the equipment.
- Replace the equipment with appropriate care.
- Wash hands with soap and water or use disinfectant for hand hygiene.
- Record and report any abnormalities.
- Give health teaching about self-care and genital hygiene.
Nurse’s Observation Sheet