b. Medical Treatment.
(1)
Antibiotic therapy and analgesic therapy.
(2)
Periodic cultures of breast milk.
(3)
Intervenously fluids.
(4)
Possible I&D, if abscesses.
(5) Discontinued breast-feeding for a short time depending on antibiotic
used and closeness of abscess site to nipple.
c. Nursing Care.
(1) Apply ice or heat to painful, swollen breast depending on the stage of
infection. Ice should be avoided if the mother plans to resume or continue
breast-feeding.
(2)
Encourage increased fluids.
(3)
Inform mother to wear a support bra.
(4) Have the mother pump her breast until nursing resumes. Pumping the
breast should be avoided if the mother plans to bottle-feed.
(5)
Retrain mother in breast care techniques and feeding techniques.
(6)
Instruct mother on the importance of handwashing.
6-18. THE CESAREAN SECTION DELIVERY
a. Cesarean section delivery refers to a surgical incision made into the abdomen
and uterus to deliver the fetus. It requires the same postsurgical care as any other
abdominal surgical patient.
b. Postpartal care.
(1)
Observe incision site for bleeding or infection.
(2)
Ambulate early.
(3) Have patient turn, cough, and deep breathe especially if general
anesthesia was used.
MD0922
6-22