Postpartum urinary retention in preventive care.docVIP

 PAGE \* MERGEFORMAT 6 Postpartum urinary retention in preventive care [Keywords:] post-partum urinary retention preventive care Mothers during childbirth, bladder pressure resulted in mucosal edema, congestion and muscle tension reduction, and the perineal wound pain, and other reasons are not used to urinating in bed, prone to postpartum urinary retention [1]. Postpartum urinary retention is a common obstetric complication, its occurrence often affect the contraction of the uterus, resulting in an increase in the amount of vaginal bleeding, an increase of maternal pain, that if given to patients with indwelling catheter increased the chance of infection. Therefore, we should do clinical care and prevention, to reduce the incidence of postpartum urinary retention. 1 Data and methods 1.1 General information in January 2007 -2008 year Obstetrics and Gynecology in our hospital in September there were 16 cases of postpartum urinary retention, of which 10 cases for the removal of indwelling catheter after caesarean section occurred after 24h, 6 cases occurred after vaginal delivery. 1.2 Methods postpartum urine output increased significantly, as soon as possible should be encouraged to postpartum self-urination. 4h post-partum mothers should be allowed to urinate or, if the difficulties in urinating, urination caused by fear of pain should be lifted concerns, to encourage mothers sit to urinate and those who can not urinate on their own, using warm water rinse around the mouth induced urethral urination, or hot-water bottle placed on the middle of the lower abdomen to stimulate the bladder muscle contraction, but also acupuncture Guan Yuan, air sea, Sanyinjiao, Yin Ling Quan and other points, for those who still can not urinate on their own may intramuscular injection of neostigmine 1mg, excited to promote their voiding the bladder detrusor [ 1]. Applications Palace at the end of massage, with the left (right) hand-foot lateral pressure in the palace at the bo