Case Study Of Episiotomy

A.B. did not have any lacerations or extensions and she did not need an episiotomy. During the third stage of labor Pitocin was used to help with uterine contractions. This stage usually last 5-30 minutes and this stage lasted 7 minutes for A.B. which is within normal limits. The placenta was delivered spontaneously at 0404 and no abnormalities were noted. The estimated blood loss was less than 500 ml (Patient’s chart, 2016). Usual blood loss ranges from 250 -500 milliliters after the delivery (London, et al., 2014). From admission to the time of delivery Stadol 2mg/ml was given three times for pain relief (Patient’s chart, 2016).
Comprehensive Post-partum
After delivery A.B.’s vital signs were temperature 97.3, pulse range 62-74, respiratory …show more content…
She had positive bowel sounds in all four quadrants. She was voiding at least every six hours without difficulty. She did not have a bowel movement during her hospital stay but she was passing gas (AB, personal communication, September 28, 2016). The patient should be voiding in sufficient quantities at least every 4 to 6 hours and should have a normal bowel movement by the second or third day after delivery (London et al., 2016). A.B. did not have a bowel movement before her discharge on the second day, but she did have positive bowel sounds in all four …show more content…
This medication binds to opiate receptors in the CNS altering the perception of and response to painful stimuli. Side effects include confusion, sedation, headache, constipation, nausea, vomiting, and hypotension (Deglin et al., 2015). The amount of codeine secreted into the breast milk is low and dose-dependent. This medication has a lactation risk category of L3 which means this medication is probably safe to take while breastfeeding, but there is still a risk of harm to the infant (Hale, 2012). Nursing responsibilities include assessing the patient’s pain type, location, and intensity prior to and one hour following