MID 304
SESSION 8
CARE OF MOTHER WITH
CESAREAN SECTION(CONT)
OBJECTIVES
At the end of the class students will be able to:
Teach about hygiene and perineal care to postnatal
mothers.
Know about the correct procedure and positions of
breastfeeding.
Educate the mothers about the techniques and
importance of early ambulation.
Discuss the care of bladder and bowel, including the
cases of bladder injury and urinary disorders.
HYGIENE AND PERINEAL CARE
After a cesarean section, it's important for postpartum patients
to prioritize hygiene and personal care to promote healing and
prevent infection.
Incision Care: Follow your healthcare provider's instructions
for cleaning and dressing the incision.
Hand Hygiene.
Showering.
Gentle Cleaning: Use mild, fragrance-free soap and warm
water to clean the incision area. Dry gently with a clean towel.
CONT.
Change Dressings: Change them as instructed by
healthcare provider or Doctors.
Pain Management.
Rest and Movement: Balance rest with gentle
movement to promote healing and prevent blood clots.
Follow-up Appointments: Attend all postpartum check-
ups with healthcare provider.
PERINEAL CARE AFTER C-SECTION.
Perineal care is crucial for post-cesarean section
recovery.
The following steps for effective perineal care:
Sanitary pads should be changed at least every 4 hours.
After urinating or defecation, clean with warm water
from front to back.
Do not use scented or harsh soaps to clean the perineal
region.
Kegel exercises are must to strengthen perineal muscles
during the postpartum period.
BREAST FEEDING
Breastfeeding after a cesarean section is absolutely possible and
encouraged.
In cesarean section cases, baby is put to breast feeding within 30
minutes to one hour of baby birth to enhance bonding between
the mother and the baby.
Positioning might be a bit uncomfortable at first, but with some
adjustments, you can find a comfortable position for breastfeeding.
Maintaining skin-to-skin contact with baby can help stimulate
milk production and bonding, which are essential for successful
breastfeeding.
Teach the mother the four signs of good positioning and
attachment to avoid painful and insufficient feeding.
Breastfeeding while lying on the side is deemed to be
the most comfortable during the first day.
Another comfortable position for C-section mothers is
called the under arm, football or clutch hold position.
EARLY AMBULATION
The patient can sit on the bed or even get out of bed to evacuate
the bladder.
In case of non- ambulatory cases, patient should be catheterized.
The mother is advised to start walking soon after delivery on day
one of cesarean delivery or after 6-8 hours at the earliest.
She is encouraged to move her legs and ankles and to breathe
deeply to minimize deep vein thrombosis and pulmonary
embolism.
It can help in preventing complication such as blood clots,
promote faster recovery.
BLADDER AND BOWEL CARE
Bladder injury is rare in a primary cesarean section but
may occur in a repeat procedure.
Removing a urinary catheter after c-section can
depending on several factor, including the patient's
individual circumstances, type of surgery, and any
complications that may have occurred during or after
the procedure.
It can be removed in the first 6-12 hours after cesarean
section.
KEY POINTS FOR TAKING CARE OF
BLADDER AND BOWEL IN C-SECTION.
Hydration: Encourage adequate fluid intake to prevent urinary
tract infections and maintain bladder function.
Early mobilization: Encourage early ambulation to help stimulate
bowel movements and prevent constipation.
Pain management: Manage pain effectively to encourage mobility
and prevent urinary retention or bowel dysfunction.
Bowel regimen: Give stool softeners or fiber supplements, to
prevent constipation, which can be common after surgery.
Bladder care: Monitor urinary output and encourage frequent
voiding to prevent urinary retention.
CONT.
Education: Provide education on proper toileting
techniques, including how to support the abdominal
incision during bowel movements and how to perform
pelvic floor exercises to help in bladder and bowel
function recovery.
REFERENCE
Breastfeeding after Cesarean Section. (2017, November ). Retrieved
3 14, 2022, from Illi.org:https://www.llli.org
/breastfeeding-info/breastfeeding-cesarean-birth
Dutta, D. (2013). DC Dutta’s Textbook Of Obstetrics. Jaypee
Brothers Medical Publishers . Retrieved 3 12, 2022
MOH, D. o. (2018). Standard of Midwifery Practice. Retrieved 2 22,
2022, from https://www.moh.gov.bt/wp-content/uploads/afd-
files/2014/11/Final-Version-Midwifery-standard_2018.pdf
Raynor, J. M. (2014). Myles textbook for midwives. china: churchill
livingstone elsevier. Retrieved 03 10, 2022
Schmidler, C. (2010, 6 13). Perineal Care After Cesarean Birth.
Retrieved 3 11, 2022, from Health pages. Org:
https://www.healthpages.org/health-a-z/perineal-care-after-
cesarean-birth/
