In recent years, obstetric services are developing towards warm family delivery
Family delivery has become a new delivery nursing model strongly advocated by the international obstetric academic circles
Let's share with you the management requirements of the family delivery room: 1
The staff in the delivery room should be trained regularly and carry out rescue exercises, have rich professional knowledge and master the relevant knowledge of labor process management
Good communication among doctors, nurses and patients
2
Requirements for personnel access: the staff shall change special work clothes, hats, masks and indoor shoes in the designated area
Work clothes and indoor shoes shall be cleaned and replaced every day
Wear work clothes when going out
3
Strictly follow the principle of hand hygiene and implement standard prevention techniques
Hands should not wear ornaments and long nails
Staff suffering from respiratory tract infections, skin infections and other infectious diseases are temporarily transferred out of the delivery room
4
The waiting room should always be quiet and tidy
Pregnant women should change their clothes, trousers and shoes in the waiting room
5
The supplies, instruments, drugs and dressings in the delivery room shall be kept by a specially assigned person and supplemented at any time after use
6
If the delivery package is opened for more than 1 hour and the parturient does not give birth, the delivery package needs to be replaced before delivery
7
Pregnant women with infectious diseases should give birth in the isolated delivery room
All cloth and instruments are treated according to the routine of disinfection and sterilization
The disposable articles and placenta after use are put into yellow plastic bags (double-layer packaging), transported in a closed manner and treated innocuously
After the parturient leaves the delivery room, wipe the surfaces and floors of all objects in the room with disinfectant, disinfect the air, and then ventilate
8
Closely observe the progress of labor, pay attention to the pregnant women's diet, urination, defecation and vaginal bleeding during labor, cooperate with the use of labor pain reduction techniques and methods, standardize the use of oxytocin, timely record the fetal heart sound, uterine contraction, blood pressure, uterine opening and descent of presentation, and draw the labor process map
Assist the parturient to deliver the newborn according to the delivery transition
After delivery, oxytocin is routinely used to prevent postpartum hemorrhage
Postpartum observation is performed for 2h, and the amount of postpartum hemorrhage is recorded
If there are no special circumstances, the mother and baby are escorted back to the baby loving area together
9
After the birth of a newborn, hold it to the maternal to see its gender
If there are malformations or other abnormal characteristics, it must be explained to the family members in time, make detailed records, and print the footprints of the newborn and maternal fingerprints on the neonatal medical record
Tie a bracelet on the baby's left wrist, indicate the mother's name, bed number and newborn gender, measure the weight, length and send it to the baby friendly area (or to the newborn room) after routine examination, fill in the delivery record and newborn birth certificate in time, and pay attention to keeping warm
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