Management of the client in 4th stage of labour

PROCEDURE: 

The Midwife shall:- 

4.6.1 Ensure that the client’s uterus is well contracted and assess the volume and nature of lochia. 

4.6.2 Assess the coping ability of the client and provide the required support and comfort. 

4.6.3 Prepare the client for perineal repair which shall be done within 1 hr following delivery. 

4.6.4 Inform the Obstetrician and Paediatrician of any abnormalities. 

4.6.5 Ensure that the client’s vital signs are monitored and recorded. 

4.6.6 Support the mother with bonding and breastfeeding during this period unless contraindicated.

 4.6.7 Offer a light meal or refreshment as desired unless contraindicated. 4.6.8 Monitor and support the mother in the care of her newborn until transfer to the postnatal ward. 

4.6.9 Make assessments of the client’s lochia, fundal height, and bladder function during the postpartum period. 

 4.6.10 Administer to the baby born to an HIV-positive client, a single dose of NVT 2mgm per kg body weight within six (6) hours after birth. 

4.6.11 Document all findings in the client’s health record. 

4.6.12. Prepare client for transfer to the postnatal ward. 

4.6.13 Follow established infection prevention and control guidelines according to the IPC manual