Prevention of postpartum urinary retention and nursing.doc

 PAGE \* MERGEFORMAT 6 Prevention of postpartum urinary retention and nursing [Keywords:] post-partum urinary retention Care Postpartum voiding dysfunction due to transient effect that some or all of the urine can not be discharged from the bladder, normal childbirth Postpartum 4 ~ 6 h can automatically voiding more than 8 h could not urinate urine retention, said those who called this phenomenon is a common obstetric complications [ 1]. Often affect the uterine contraction, resulting in an increase in the amount of vaginal bleeding, causing postpartum urinary tract infection, which not only increased the suffering of mothers, also affected the quality of care [2], are now working on the prevention of urinary retention and care are summarized below. A common factor 1.1 episiotomy because of maternal psychological factors, fear of pain or fear of perineal wound infections and dehiscence do not dare to force urination. 1.2 Human Factors in the first and second stages of labor, the retention of urine too much, not timely processing, further reduction of bladder tone and sensitivity. 1.3 factor of abdominal wall muscle contraction the body fatigue, caused by inability to urinate. Extension of labor, fetal head compression bladder too long, so that the bladder mucosa congestion, edema, particularly within the urethra mouth swelling caused by difficulties in urinating. 1.4 Drug factors in pre-natal or birth process of the spasm large doses of sedative drugs, such as pregnancy-induced hypertension drugs such as use of magnesium sulfate to reduce tension Erzhi bladder urine retention [3]. 2 Prevention (1) prenatal to strengthen missionary to lift the fear of maternal stress. Maternal prenatal exercises to bed urination. (2) post-natal 1 ~ 2 h for hot massage abdominal bladder area: with 500 ml saline bottle Sheng 60 ℃ ~ 65 ℃ hot water into a bag, will urge mothers lie horizontally, straighten both legs, put hot water bottle placed across the pubic symphysi