CARE FOLLOWING CESAREAN BIRTH (4 HOURS TO 3DAYS POSTPARTUM)
CLIENT ASSESSMENT DATA BASE
Review prenatal and intraoperative record, and the indication(s) for cesarean delivery.
Blood loss during surgical procedure approximately 600–800 ml
May display emotional lability, from excitation, to apprehension, anger, or withdrawal.Client/couple may have questions or misgivings about role in birth experience.May express inability to deal with current situation.
Indwelling urinary catheter may be in place; urine clear amber.Bowel sounds absent, faint, or distinct.
Abdomen soft with no distension initially.Mouth may be dry.
Impaired movement and sensation below level of spinal epidural anesthesia
May report discomfort from various sources, e.g., surgical trauma/incision, afterpains, bladder/abdominal distension,effects of anesthesia
Lung sounds clear and vesicular
Abdominal dressing may have scant staining or may be dry and intact.Parenteral line/saline lock when used, is patent, and site is free of erythema, swelling, and tenderness.
Fundus firmly contracted and located at the umbilicus.Lochia flow moderate and free of excessive/large clots.
Assesses changes from preoperative levels and evaluates effect of blood loss in surgery.
Urinalysis (UA); Urine, Blood, Vaginal, and Lochial Cultures:
Additional studies are based on individual need.