_7126 care of pregnant women with placenta previa

yxfbbiedtj · Wysłany: Pią 17:09, 25 Mar 2011

Care of pregnant women with placenta previa

To prevent infection (reduced series: He Zhiyuan) strengthening management to ensure rooming maternal and child health magnificent Sun Ling Wang Xiaohong, Riverside Forest # hospital staff hospitals since 1995 to create baby-friendly hospitals, has been in a security Rooming-in mother to child in the region, is the key to improve health care by today's standards, rooming-in mother and child will not only increase the feelings of the mother is also conducive to mental and physical health, but also to avoid cross-infection in the baby room. But there are also major drawbacks of silver, therefore, in order to strengthen the management of rooming-in and control nosocomial infections, we should be appropriate prevention. (1) Medical personnel management: the first study to strengthen the business, you must step through to 6 months of technical training related to breastfeeding, the new mediator training of staff also have 18 hours, so medical staff can teach the mother the right to feed feeding knowledge. Preaching parental knowledge, it is a good physical recovery and is conducive to maternal newborn growth and development. Medical personnel have a high degree of responsibility, rigorous working attitude, aseptic technique must be disposed of in order to avoid a variety of operating procedures caused by human infection, medical personnel working each coat to wear before entering wards, wearing masks, each contact with maternal before and after application of hand-washing soap or running water, regular medical examination of the medical staff, so early prevention of respiratory and digestive tract infection, purulent skin and hepatitis and other infectious diseases, medical personnel should be temporarily removed from rooming-in ward Medical personnel on a regular basis bacteria determination of hand, the number ≤ 5e {u / c. Not detected Salmonella. 200l (2) management of the ward: I was baby-bed hospital dedicated, so that mothers can experience in the hospital to the home of the warm, rooming-in ward at any time hand cleaning, interior cleaning, good ventilation, adequate sunlight, temperature of 22 ~ Z4 ℃. Humidity of 60 to 65 staff over the visit, more than the chance of nosocomial infection. Therefore, to reduce the visit staff, ward objects placed complete, to avoid too much moving around in the indoor ward for rooming-in, day shift before the application of a] 00 net oxygen smear excellent beds, bedside tables, chairs, floors. UV l hour and then a week with lactic acid 12ml/em. Fumigation regular air culture, surface surveillance, and record the intended index, if contagious diseases, the implementation of protective isolation. Our hospital has a dedicated I-~ Ag ward, the patient-specific appliances, thermometers, utensils, etc. should be soaked tourniquet excellent oxygen at 150 net 30 to 60 minutes or within a stock solution of glutaraldehyde in 5 ~ l0 minutes. Maternal lochia waste and contaminated items and disposable syringes by the hospital to focus on burning hand. Nurses wash their hands (1:] 00 net soak excellent oxygen) running water before disposal in another patient. (3) maternal and child management: Since the creation of baby-friendly hospital has been implementing a rooming management of breastfeeding after birth with the mother 24 hours together, blocking maternal separation of any place not more than 1 hour. Knowledge of medical staff feeding the correct guidance of the Church in the post-natal maternal 3O minutes early infant exposure to naked and mothers, early sucking, breastfeeding on demand. Feeding should be preceded by washing hands, the breast with a wet towel, wet compress 3 to 5 minutes, direct-feeding mothers, newborns can receive colostrum as soon as possible nutrients immune substances, the elimination of artificial infant feeding bottle and the interior caused by the diaper change maternal infection in indoor activities, and pay attention to health care, particularly maternal incision should be noted that the skin around the incision clean delicate skin of newborns, should be kept clean, especially the umbilical health. So at the easy to breed bacteria and cause infection, should be kept clean and dry, if Cullen redness, bleeding, application of 75 alcohol disinfectant or 3 hydrogen peroxide, generally in 5 to 7 days the natural shedding. Newborns should use a soft, high moisture absorption of cotton textiles, frequent change and wash, autoclave, after each wash stand, or iron with hot water, sunlight exposure. Disinfection to play the role of a newborn with a disinfection of supplies, and cover with a sterile towel as raising the level of medical technology, hospital for liver function after the mothers have two pairs of semi-check on the newborns of hepatitis B vaccine and BCG vaccination, if a family history of TB diagnosis and treatment of newborns are referred to tuberculosis. If the mother I-IBsAg positive newborns. That aseptic line by hepatitis B vaccine inoculation, the body produces auto-immune system can usually choose the upper arm deltoid injection, a total of three times, and time is within 24 hours after birth, 1 month after birth and every 6 months 30rag, 20mg, l0f or give specific high titer hepatitis B immunoglobulin (HBIG) units with a better effect. In short, the prevention of mother to child infection in the same room, is related to maternal and child health in the event. Also improve hospital quality, improve hospital management,[link widoczny dla zalogowanych], to ensure