Family nursing of perineal laceration caused by delivery

Wound nursing of perineal laceration caused by delivery

If you make up your mind to have a baby on your own, you are a brave mother. But determination is not enough. Physical damage is an inevitable problem.

Although the progress of modern medicine has reduced the probability of perineal wound infection after natural birth, it still can not be completely avoided. According to statistics, the probability of wound infection after natural birth is 0.3% to 0.5%. Perineal wound infection occurs after giving birth, which is an unpleasant experience for parturients, suffering physically and mentally dog dildo , and often at a loss.

Causes of postpartum infection

Vaginal environment under normal circumstances, there are many kinds of bacteria grow in it and maintain balance. During natural birth, vaginal and perineal lacerations are inevitable horse cock dildo , causing vaginal bacteria to often contaminate the perineal wound, so the probability of perineal wound infection should be very high in theory. However vibrator for women , clinical experience has found that after natural delivery, the probability of perineal wound infection is very low. Analysis of the reason, the main reason is that the blood supply of the perineum is very good, making the wound heal faster, and the antibodies in the blood can also kill bacteria, so infections do not occur frequently.

Perineal wound infection occurs after natural birth, the most common cause is fourth-degree laceration, that is, the perineal wound is larger penis cage , split to the anal and rectal mucosa. Because the anal and rectal mucosa contain many infectious bacteria, and when the fourth-degree laceration, these bacteria contaminate the perineal wound, so it is easier to propagate here and form perineal wound infection.

Fourth-degree laceration generally occurs in the perineal wound with a higher probability of direct incision, so if the distance between the vagina and the anus is shorter or the fetus is larger, oblique perineal wound can be considered to avoid fourth-degree laceration. Perineal hematoma caused by incomplete hemostasis or poor coagulation is the second most common cause of perineal wound infection because bacteria are easy to grow and reproduce in the haematoma. Other possible causes of perineal wound infection include allergy to sutures, smoking and human papillomavirus infection.



Symptoms after infection

Symptoms of perineal wound infection usually occur three to seven days after birth. At first, there is redness and swelling on the edge of the wound and the pain increases, then the suture breaks and the wound breaks, and blood or purulent secretions flow out. Some patients will have a fever. If you have the above symptoms, you must see a doctor as soon as possible. Experienced obstetricians and gynaecologists can usually tell whether there is a wound infection at a glance. It is best to add bacterial culture of wound secretions to determine the type of bacteria infected and choose effective antibiotics to prescribe the right medicine.

Treatment of wound infection

In terms of treatment, if the perineal wound infection is superficial and the area is small, it generally does not need to be re-sutured, only need to soak in warm water, and then take antibiotics on time, which can be cured in about seven to ten days. The way to soak warm water is to prepare a clean plastic basin, which is filled with an appropriate amount of warm water, and add a little euiodine (about 5~10cc), soaking at least four times a day for 15 minutes, so as to drain the secretions from the wound and promote blood circulation. when the wound becomes cleaner, the amount of excellent iodine can be reduced or not used.

If the perineal wound has a deep infection or a large area, it is necessary to remove the sutures as soon as possible and open the wound completely, so that the pus and necrotic tissue can be quickly and completely drained out, and then soak in warm water four times a day, and intravenous antibiotics are used.
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