Introduction to the care of incomplete uterine involution

Many female friends do not pay attention to resting well after giving birth and insist on going to work. This will cause their already weak bodies to suffer great trauma again, and their body mechanisms will not recover well, which will lead to incomplete uterine involution. Let us now learn about the care of incomplete uterine involution.

Nursing Introduction:

1. During pregnancy, attention should be paid to all measures that can enhance the physical fitness of pregnant women.

2. After delivery, the delivery of the placenta and fetal membranes must be handled correctly. The delivered placenta and fetal membranes should be carefully checked to see if they are intact, and attention should be paid to checking whether there are broken blood vessels on the edge of the fetal surface of the placenta, so that an accessory placenta can be detected in time. If there is suspected presence of accessory placenta, partial placental retention, or large amounts of fetal membranes remaining, the uterine cavity should be reached under strict aseptic technique to remove all remaining tissue. If examination of the fetal membrane confirms that only a small amount of fetal membrane remains, uterine contractions and antibiotics can be used promptly after delivery to wait for it to be discharged naturally and to prevent infection.

3. To avoid postpartum urinary retention, instruct the mother to urinate within 4 hours after the placenta is delivered. If the baby is still unable to urinate on its own 6 hours after delivery and is diagnosed with urinary retention, timely treatment should be given and catheterization should be performed if necessary.

4. Advise the mother to avoid lying in the supine position for a long time and encourage her to get out of bed and move around as soon as possible. If the uterus is confirmed to be retroverted and flexed, the patient should be corrected by lying on the chest and knees twice a day for 15 to 20 minutes each time.

5. Care during delivery and the postpartum period should be strengthened to prevent the occurrence of incomplete uterine involution as much as possible. If residual material is suspected, the uterine cavity should be cleaned immediately, and uterine contraction agents should be given to promote uterine contraction, and antibiotics should be used prophylactically. Actively deal with postpartum urinary retention. Once postpartum urinary difficulty occurs, it should be treated as soon as possible, such as hot compress on the lower abdomen, acupuncture, moxibustion, acupoint blockade and neostigmine. If urination is still not complete and the bladder is swollen to near the navel, continuous catheterization is required. After delivery, you should avoid lying in the supine position for a long time and get out of bed and move around as soon as possible. Patients with heavy or prolonged bleeding should undergo B-ultrasound examination. If any residue is found in the uterine cavity, uterine curettage should be performed. The scrapings were sent for pathological examination. If there is fever and increased white blood cell count, infection may have occurred. High-dose broad-spectrum antibiotic treatment should be started at the same time as bacterial culture of the uterine cavity contents. If conservative treatment is ineffective, surgical treatment may be considered. Depending on the condition of the fibroids, myomectomy may be necessary, but hysterectomy is rarely necessary.

The above article introduces in detail the care methods for incomplete uterine involution. I believe everyone has some understanding. In fact, you should not go to work immediately after giving birth. You should rest at home and eat more nutritious foods.