COLLEGE OF NURSING, L.L.R.
M
MEDICAL COLLEGE, MEERUT
ASSIGNMENT ON:
PERINEAL CARE
SUBMITTED TO
MRS. shaini p.c
SUBMITTED BY
PROFSSOR MS. SHWETA
SINGH
COLLEGE OF NURSING, M.SC NURSING I YEAR
L.L.R.M MEDICAL COLLEGE COLLEGE OF NURSING,
MEERUT L.L.R.M MEDICAL COLLEGE
MEERUT
SUBMITTED ON
DEFINITION
Cleansing patient's external genitalia and surrounding skin using, antiseptic
solution.
PURPOSES
1 To cleanse the perineal skin.
2 to reduce chances of infection of episiotomy wound.
3 To stimulate circulation.
4 To reduce body odour and improve self-image.
5. To promote the feeling of wellbeing,
EQUIPMENT
1. A clean tray containing:
a. Sterile antiseptic lotion-2% Dettol or Savlon.
b. Sterile normal saline in a bottle
c. Cheatle forceps.
d. Antiseptic or antibiotic medication if ordered.
e. Sterile sanitary pad.
f. Kidney tray.
g. Sterile gloves.
h. Mackintosh
2.Sterile pack or tray containing
a. Artery forceps-1.
b. Dissecting forceps-1.
c. Cotton balls.
d. Gauze pieces.
e. Sterile towel to wipe hands after surgical scrub.
3. Additional items
a. Infrared light.
b. Bedpan (if procedure is done at bedside),
c. Jug with warm water.
d Receptacle for used perineal pad,
e. Face mask.
PROCEDURE
NURSING ACTION RATIONALE
1.Identify client's need for the perineal
care
2.Explain the purpose and procedure to Gains confidence and
the client cooperation of the patient
3.Prepare needed articles- Saves time and effort.
1. sterile perineal care pack
containing-
-Cup with cotton balls
-Artery forceps
-Thumb forceps
2. Other articles-
-Disinfectant solution
-K-Basin
-Extra cotton balls
-Sanitary pads
-Hip tie
-A pair of gloves
4.Prepare environment and provide Provides privacy and reduces
privacy embarrassments
5.Position a mackintosh under the
client's buttocks
6.Wash hands and wear gloves To prevent from infection
7.Open perineal pack, pour antiseptic Maintain asepsis
solution in the cup and cover back
loosely with one flap of pack cover
8.Roll draw sheet to one side and place Dorsal position facilitates better
patient in lithotomy position viewing of the perineum
9.Keep K-basin near the perineum
10.Drape patient with top sheet
11.Remove sanitary pad
12.Remove gloves and wash hands
again. Wear gloves
13.Flip open the perineal pack cover by
inserting four fingers in the inner sterile
side of pack cover
14.Clean the mons pubis in zigzag
manner
15.Using cotton ball, separate labia
majora with non-dominant index finger
and thumb
16.Clean with cotton ball and antiseptic Cleaning from more cleaner
solution from clitoris down. Use fresh area to least clean area prevents
cotton ball for each stroke contamination
17.Then clean labia minora and labia
majora using one cotton ball for each
stroke
18.If catheter is present, clean urethra
around catheter using fresh cotton ball.
Clean catheter to a length of 2 inches
away from urethra using fresh cotton
ball
19.Clean perineal suture line if present
20.Finally, clean from forchette to anus
21.Fix pad from front to back
22.Put back the draw sheet or replace if
soiled
23.Position patient comfortably
24.Wash hands
25.Replace the article
26.Record the procedure- date, time,
type of lochia, colour consistency, odour
and condition of the suture line if
present.
27.Report any foul smelling discharge
and gaping of wound to the concerned
doctor
SPECIAL CONSIDERATIONS
1. If a sitz bath is prescribed, give it before perineal care.
2.If patient has urinary catheter, provide catheter care along with perineal
care.
Summary
Today we learned about perineal care, purposes, equipment’s and procedure
of perineal care.
Conclusion
Maternal and health- care related factors were associated to the prevalence
and degree of spontaneous perineal care.it is imperative that women receive
high quality evidenced based care wherever childbirth takes place.
Practice that reduce the adverse effect of perineal trauma and make vaginal
birth more desirable are to be encouraged.
Bibliography
1. Jacob Anamma, Rekha R at al. Clinical nursing procedures: the art of
nursing practice: 3RD ed. Jaypee publishers:2015. page no.- 569-570.
2. Patel B Mansukh.ward procedures: 6TH ed. Elsevier: 2012.page no.-
3. Swain Dharitri. Obstetrics nursing procedure manual:2nd ed. Jaypee
publishers Medical Publishers (P) Ltd: 2023.
4. Podder lily. Obstetrical Nursing and Gynecology Procedure Manual: CBS
publishers and distributors:2019.
