Asuhan Keperawatan pada Ibu Post Sectio Caesarea Di Ruangan Kebidanan RSUD Poso

Siti Nurazizah, Nirva Rantesigi
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Abstract

Introduction: post sectio caesarean delivery has a five times greater risk of complications compared to normal delivery, problems that commonly occur in post section caesarean mothers are postpartum bleeding, infection, and swollen breasts.  For this reason, comprehensive nursing care is needed and improving health in clients can be done by a nursing care approach. The purpose of this study was to provide nursing care for post sectio caesarea mothers in the obstetrics room at Poso Hospital. Methods : The research method is using a descriptive method with a case study approach of 1 patient of post sectio caesarea mother. Results: assessment of the patient complained of pain in the abdomen after cesarean section surgery, the pain was felt like stabbing, the pain disappeared, the patient looked grimacing, there was a surgical wound, there were 14 stitches, wound size 11 cm, wound width 0.2 cm, pain scale 8, blood pressure 110/80 mmhg, breathing 20x / m, pulse 80x / m, temperature 37 ̊C post section caesarea 6 hours. The patient said the milk had not come out, the patient said the baby cried when breastfed, the milk did not gush or drip, the nipples looked flat, the baby did not want to suck. Nursing problems acute pain, ineffective breastfeeding. Nursing Interventions Pain management, relaxation therapy, positioning, mobilization support, analgesic breastfeeding education, and giving the baby the opportunity to breastfeed. Implementation was carried out for 5 evaluation results showed reduced pain, the patient said he could do activities, the patient no longer complained of pain in the abdomen, pain scale 3, the patient said the milk had started to come out, the patient said the baby had not cried when breastfed, the milk had come out, the patient looked more relaxed and comfortable. Conclusion: pain management, relaxation therapy, positioning, mobilization support, giving analgesic breastfeeding education, and providing opportunities for babies to breastfeed are effective in providing nursing care to post section caesarea mothers. Suggestions patients can carry out nursing interventions independently according to what is taught by researchers.
在产科病房里照顾Sectio剖腹产妇女
简介:剖宫产术后并发症的风险是正常分娩的5倍,剖宫产术后常见的问题是产后出血、感染和乳房肿胀。因此,需要全面的护理,通过护理方法可以改善客户的健康状况。本研究的目的是为波索医院产科剖宫产后产妇提供护理。方法:采用描述性研究方法,对1例剖宫产后产妇进行个案研究。结果:评估患者剖宫产术后主诉腹部疼痛,疼痛感如针刺,疼痛消失,患者面带苦相,有手术创面,有14针,创面大小11 cm,创面宽0.2 cm,疼痛评分8,血压110/80 mmhg,呼吸20次/ m,脉搏80次/ m,剖宫产术后6 h体温37℃。病人说奶还没出来,病人说宝宝喂奶的时候哭了,奶没有喷也没有滴,乳头看起来很平,宝宝不想吸。护理问题急性疼痛,母乳喂养无效。护理干预:疼痛管理、放松疗法、体位、活动支持、镇痛母乳喂养教育,并给予婴儿母乳喂养的机会。实施后进行了5次评估,结果显示疼痛减轻,患者表示可以进行活动,患者不再抱怨腹部疼痛,疼痛等级为3,患者表示已经开始出奶,患者表示母乳喂养时婴儿没有哭泣,已经出奶,患者看起来更加放松和舒适。结论:疼痛管理、放松疗法、体位、活动支持、镇痛性母乳喂养教育、为婴儿提供母乳喂养机会是对剖宫产后产妇的有效护理。建议患者可根据研究人员讲授的内容独立进行护理干预。
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