(1) Vaginal douching should only be done with a physician's order for
treatment of a specific condition. There is potential for introduction of infection and
development of an air embolism.
(2) Vaginal douching should never be done after a rupture or even
suspected rupture of the membrane.
(3) Feminine hygiene deodorant sprays should not be used due to
increased chance of perineal irritation, cystitis, and urethritis. Undesirable odors can be
controlled with daily use of soap and water.
(4) If a douche is ordered, it should be done slowly using a gravity bag.
Bulb syringe and "squeeze" operated pre-packaged douches should be avoided, as
they are capable of producing too much force.
(a) Douche while sitting on a toilet to decrease the risk of injury by
(b) The tip is not to be inserted deeper than 3 inches.
(c) The bag should not be higher than 2 feet above the level of the
vagina. The bag higher than 2 feet above will increase the force of pressure.
g. Clothing. During pregnancy, the clothes should be given the same or
perhaps even a little more attention than at other times.
(1) The clothes should be lightweight, nonconstructive, adjustable,
absorbent, and enhance the sense of well-being of the patient.
(2) No constrictive round garters or girdles should be used due to
(3) The shoes should be comfortable and well-fitting, easy to apply,
especially in the last trimester when it is difficult to bend over to tie or buckle. They
should also have a good solid base of support (broad heel) to avoid tottering, which may
lead to a fall.
ACTIVITY MODIFICATIONS DURING PREGNANCY
Goals of modified activity during pregnancy are to promote health of the patient
and the fetus, to provide relaxation and diversion, to promote or continue good muscle
tone, and to prevent muscle atrophy.
(1) Many patients continue to work throughout pregnancy. Whether she can
or should continue to work depends on the physical activity involved, the industrial