assessment - vaginal birth infections (time sensitive)

  1. Hello there!

    I need some help I was assigned:

    Prevention of Infection for a vaginally delivered patient.

    Assessment criteria

    and i haven't been able to find anything yet dedicated to that other than:

    assessing for symptoms
    "[FONT=Arial, Helvetica, sans-serif]The primary symptom of BV is an abnormal, odorous vaginal discharge. The fish-like odor is noticeable especially after intercourse. Women with BV also may have burning during urination or itching around the outside of the vagina, or both. However, nearly half of the women with clinical signs of BV report no symptoms. A physician may observe these signs during a physical examination and may confirm the diagnosis by doing tests of vaginal fluid. "


    can you guys think of anything else?
  2. Visit 9livesRN profile page

    About 9livesRN

    Joined: Jan '08; Posts: 1,512; Likes: 931
    RN; from US
    Specialty: 2 year(s) of experience in SNU/SNF/MedSurg, SPCU Ortho/Neuro/Spine

    5 Comments

  3. by   obicurn
    How about the baby? Erythromycin for the eyes?
  4. by   beth66335
    If I am reading this right you need methods for preventing BV, not symptoms or how to recognize it, correct? I would say pt teaching, such as wiping from front to back after bowel movements and rinsing with a peri bottle after urination or defecation. Changing pads often and taking showers only, not tub baths, until Lochia ceases or the pt has their 6 weeks postpartum check-up. Some sources recommend lying down after a shower on a towel and letting air get to the peritoneal area for a short time. A heat lamp is used sometimes as well, but that is more for comfort and soothing stitches. Do you have a textbook for OB? I would check the section on postpartum if you do. I hope this helps!
    Last edit by beth66335 on Jun 9, '09
  5. by   obicurn
    Maybe I read it wrong. LOL I was thinking vaginally delivered patient would be the baby. It's been a long day.
  6. by   Daytonite
    Prevention of Infection for a vaginally delivered patient.

    Prevention will have to do with doing something about the cause of vaginal infection. Vaginal infections are more likely to occur when there have been:
    • multiple cervical examinations
    • prolonged labor
    • manual extraction of the placenta
    • diabetes
    • urinary catheterization
    • anemia
    Knowing this, you want to take precautions against a vaginal infection happening when any of the above have occurred.

    Signs and symptoms of a vaginal infection are quite simply fever. chills, malaise, purulent, foul smelling lochia, tachycardia.
  7. by   9livesRN
    thank you yall!

    i have fond a lot of info afterwords. I had a couple of people that emailed me also the assistance!!

    i had my case study, and spoke within beth's and daytonite's post

    it went really well!!!

    lol

    i actually like ob! and have been doing better then the girls lol!

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