Prevention of postpartum urinary retention and nursing intervention.doc

 PAGE \* MERGEFORMAT 5 Prevention of postpartum urinary retention and nursing intervention [Keywords:] nursing intervention to prevent postpartum urinary retention Most mothers after delivery can be within 4 ~ 6h own urine, but some mothers for a long time (8h or more) of bladder filling, but not self-urine, bladder urine retention lot. Bladder capacity increased 3000 ~ 4000ml, a high degree of expansion of the bladder can Ministry to the navel, this can be called urinary retention. The patient complained of abdominal pain, difficulty urinating, pull on the pubic bone and the cystic mass. 1 Clinical data October 2008 -2009 in April, our department treated 215 cases of maternal hospital stay, the occurrence of urinary retention accounted for 0.08% of 18 cases of cesarean section in 2 cases. Uterine atony, vaginal products midwifery in 2 cases, vaginal hematoma, vaginal mucosa injury in 2. episiotomy unilateral in 7 cases, 5 cases of psychological fear of pain. youngest 22 years old, maximum 32 years. the implementation of nursing intervention after the April 2009 -2009 165 patients were treated in October occurred in 9 cases of postpartum urinary retention 0.05%. 2 Causes of postpartum urinary retention 2.1 vaginal prolonged labor or vaginal birth remain stranded in the fetal head compression bladder, urethra, so that congestion, edema, vaginal operative delivery leaving the bladder to help position down, sacral ligament in 2 cases of uterine damage caused through urinary sphincter muscle and bladder dysfunction, Yip, etc. [1] that the duration of labor and postpartum residual bladder capacity and post-partum urinary retention related. 2.2 Separation after birth because the rectus abdominis, the abdominal wall relaxation, abdominal pressure decreased detrusor contraction fatigue, inability to urinate sensitive down, perineal incision pain stimulation, reflex inhibition of urinary function. On the other hand maternal infection, wound dehiscen