Perineal Prep Solutions?

  1. There was a similar post on this years ago, but after an exhaustive lit search, I'm coming to you guys. For the perineal prep immediately before SVD, what does your facility use? Betadine? Baby shampoo? Sterile water? Do you even do a prep? L&D nurses seem to agree that it's ridiculous, as the vagina is far from sterile, and any sort of scrub must be rendered null and void by delivery. So what do you use? And do you know why you use it?
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    About dkrRN

    Joined: Mar '13; Posts: 1


  3. by   klone
    The smallish community hospital where I used to work would open up a tub of 4x4s, pour a glob of Phisoderm onto it, pour prewarmed sterile water into the tub, and use the 4x4 and Phisoderm solution.

    Where I work now (large teaching hospital), we don't do anything. If there has been a lot of stooling while pushing, the provider might request a perineal wash first, and then we just use warm tap water and a squirt of betadine put in an emesis basin.
  4. by   Best_Name_Ever
    We use bath wipes in a white package that we keep in a warmer. I couldn't tell you why, that's just how it's been since I was orientated!
  5. by   Sezza83
    Nothing. If its a dirty down there just warm tap water and a bit of a wipe.
  6. by   Cerridw3n
    Yeah.. Just regular pericare... One physician likes to use baby shampoo as the head emerges.
  7. by   winter_green
    My old workplace, and currently where I am at.... always betadine.
  8. by   RNinLDRP620
    Betadine on 4x4s and sterile water. There is always the risk for impaired skin integrity through tearing/episiotomy so maybe they use it to wash off as much bacteria as they can and decrease infection risk? That is my guess. We use chlorhexadine scrub for people with betadine allergies
  9. by   Alikatz
    Also Betadine on 4x4s with sterile water.
  10. by   smdechant
    We use Premade betadine wipes and warm sterile water if the physician on CNM wants to prep. About half of them do, and if you ask any of them if they want to prep, they will always say yes.
  11. by   melmarie23
    We don't prep
  12. by   serenity1
    Secura Personal Cleanser. It is a spray that we use just before delivery. Kind of silly before delivery, but it is no-rinse and it works great after delivery cleaning mom up and when we get her up for the first time to the bathroom.
  13. by   LandD_RN_chica
    Betadine. And if the woman is pooping while pushing I've seen those daily care wash wipes used to clean that area.
  14. by   courtney,rn
    i interned on a large labor and delivery unit and we the nurses only did pericare if the patient had an odor, or if they had a lot of secretions from the vagina and it was getting messy. We used johnsons baby shampoo for the pericare if we did it. The doctors used betadine if they were going to do an episiotomy.