betadine after delivery - page 2
I've read several articles talking about how bad betadine is and while I don't buy into it completly it does make me question its use in some situations. I've recently started doing something I'm... Read More
Mar 29, '03Usually straight caths.
Occasionally for a long labor, when they have an epidural, we will insert a foley until they start pushing.
Also, occasionally, we will insert an indwelling cath if they have a lot of edema after delivery and it is obvious that they will have trouble/not be able to urinate. Then the foley comes out once the edema has gone down.
Mar 29, '03Just said I rarely have to cath pp patients. I guess I jinxed myself in saying it, as you can see if you read my latest thread. UGH I really blew it this time.
Mar 30, '03I could care less if the perineum is cleansed w/ betadine...
personally, a bit of baby shampoo and water is what I use just to "clean up a bit" before putting the 'under-buttocks" pad into place....
but for catheterizations: Please, use STERILE technique in handling the catheter AND s tiny bit of betadine or Hibiclens locally at the urethra to decrease the chance of dragging normal exterior flora into the urethra and bladder!
I can tell you, from first-hand experience 27 years ago, that having a severe septicemia after a vaginal delivery is NOT NICE! My OB did a 'red rubber' cath after my delivery, without any sort of a skin prep!
Mar 31, '03Strict aseptic cath technique is VITAL and standard of care for all patients; OB is no exception. I would love to see stats on post-partum UTI's Kidney infections.......just to see how many who had indwelling or straight cath procedures developed infections that could have been hospital-acquired. It could be sobering. I myself always make sure I am careful cath'ing folks and when I miss the first time, I start fresh with a new kit and gloves to ensure I don't cause an infection. I have actually seen nurses NOT do this and I call them on it later on. No one is perfect, but there is no excuse not to meet standard of care...and I hold myself to it and am the first to self-criticize if I fail to meet it! I am sorry for what you went thru Haze ---what an awful complication in your postpartal period!