Care gynecological patients

The gynecological care of patients undergoing inpatient treatment, except for joint activities, includes the vaginal douching (see), vaginal baths, the introduction of drugs into the vagina, gynaecological massage (see Massage, gynecology). In all diseases is of great importance washing of external genitals, which are conducted twice a day (morning and evening); discharge from genitals, especially for patients suffering from uterine bleeding, require more frequent cleaning and change of bed-diaper or hygienic dressing. If the patient is allowed to go pidmyvannya best done in the shower or toilet room, using bottom-up soul. Taking a smear of the genital organs for laboratory tests in addition to performing common diagnostic and therapeutic procedures is the responsibility of the nurse.
Preoperative preparation and postoperative care not have specific features (see the Postoperative period, the Preoperative period), with the exception of some plastic surgery to restore the pelvic floor (see Colpoperineorrhaphy).
The postoperative period when vaginal operations proceeds, as a rule, easier, than at laparotomy. Swabs from the vagina is retrieved through 1-3 days after the operation. During operations on the perineum sterile pads are changed every 3-4 hours; the patient should lie with related in the knees in order to avoid divergence of seams. In the first 4 days the patient receives 3-5 drops of water-alcohol tincture of opium to reduce the peristalsis of bowels. Food should only be liquid.
Patients operated on for urinary fistulas (see), need special care. The nurse monitors the catheter patency and for the correct position of the patient (depending on localization of the fistula).
Gynecological diseases in children is not recommended to record the child's attention on the disease and the forthcoming operation.
Gynecological infectious diseases (gonorrhoea, Trichomonas colpitis , and others) should perform a series of preventive measures, preventing the possibility of disease of children.
The care of patients who are treated in the clinic or at home, similar care in hospital in the conservative treatment of the sick and is in strict compliance with the rules of personal hygiene (see Personal hygiene women), a balanced diet and implementation of doctor's appointments.
Care for pregnant women, new mothers, as well as the pathology of pregnancy, delivery and postpartum diseases - see Pregnancy, Postpartum period, Childbirth.