Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
Integrated Maternal and Newborn Care Basic Skills Course ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Reference Manual<br />
2. Hold the cord with one h<strong>and</strong>, allowing the placenta <strong>and</strong><br />
membranes to hang down. Place the other h<strong>and</strong> inside<br />
the membranes, spreading your fingers to ensure that<br />
membranes are complete (Figure 5.22).<br />
3. Dispose of the placenta as appropriate.<br />
8. Examine the lower vagina <strong>and</strong> perineum.<br />
Figure 5.22. Checking the membranes.<br />
(Gomez et al, 2005)<br />
1. Gently separate the labia <strong>and</strong> inspect the lower<br />
vagina <strong>and</strong> perineum for lacerations that may<br />
need to be repaired to prevent further blood loss<br />
(Figure 5.23).<br />
2. Repair lacerations or episiotomy.<br />
Figure 5.23. Gently inspect the lower vagina <strong>and</strong><br />
perineum for lacerations. (POPPHI, 2007)<br />
3. Gently cleanse the vulva, perineum, buttocks, <strong>and</strong> back with warm water <strong>and</strong> a clean<br />
compress.<br />
4. Apply a clean pad or cloth to the vulva.<br />
5. Evaluate blood loss.<br />
6. Explain all examination findings to the woman <strong>and</strong>, if she desires, her family.<br />
<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />
<strong>Basic</strong> skills course<br />
73