Saturday , June 23 2018
Perineal Care Perineal Wash

How To Do Perineal Care

Purpose-Perineal Care

  • To maintain cleanliness and comfort.
  • To provide healing of suture line.
  • To instruct the mother about perineal self care.

Scope

 Mothers who has undergone vaginal deliveries.

Definition-Perineal Care

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.

Applicable Areas

Gyneac & Obstetric Department.

Responsibility

Staff Nurse, Auxillary Nurse Midwife and Head Nurse.

Equipment

  • 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

Procedure

  • 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.

Documentation

Nurse’s Observation Sheet