Obstetrics and Gynecology was promoted to the first part of the title of the paper.
My opinion on obstetrics and gynecology
Young parents are inexperienced, so the baby needs the care of an obstetrician and gynecologist at birth. At the same time, we should also pay attention to psychological care, because at this time, both infants and parturients need psychological comfort. The author expounds the nursing of obstetrics and gynecology from three aspects.
Newborn baby; Postpartum; Psychological nursing
China Library Classification. R7 1 ID number A1007-8517 (2010)12-245-1.
In recent years, in order to better protect the health of pregnant women, fetuses and babies, advocate prenatal and postnatal care, improve the quality of the people and develop perinatal medicine, this is a great progress in obstetrics. Any medical worker facing the birth of a new life hopes that the baby can grow up smoothly and healthily.
1 Nursing measures for newborns
From the 37th weekend to the 42nd weekend of pregnancy, weight >; A newborn born at 2500g is called a full-term newborn. Umbilical cord rupture from birth to full 4 weeks is called neonatal period. This period is a transitional stage for newborns to gradually adapt to life outside the uterus, during which they must be carefully cared according to their physiological characteristics.
Nursing measures for newborns. ① Keep warm: Newborns must take warm measures. In winter, besides keeping a proper room temperature (20-24℃), you can also use your mother's body temperature, hot water bottle or air conditioner to keep warm. ② Measurement of body temperature and weight: Take the body temperature twice a day, and when it is higher than 37.5℃ or lower than 36℃, take it every 4 hours 1 time. Hypothermia should be kept warm; If the body temperature is too high, first check whether it is caused by too much clothes, too thick quilts and too high room temperature. ③ Keep respiratory tract unobstructed: closely observe breathing and complexion, such as pale or blue complexion, abnormal crying and shortness of breath. , indicating that the respiratory tract is not smooth. At this time, the respiratory secretions should be cleared first, and the lateral position should be alternated left and right to avoid suffocation. ④ Umbilical cord care: Observe closely whether there is blood seepage or bleeding in the umbilical region within 24 hours after birth, and pay attention to keep the region clean and dry. ⑤ Bathing: Bathing every morning 1 time can clean skin, prevent infection, promote blood circulation, make newborns comfortable and quiet, and promote parent-child interaction. ⑥ Care of eyes, ears, mouth and nose: Keep your eyes clean. If there is secretion, you can gently wipe it with normal saline or 3% boric acid cotton ball from the inside out, and then drop 0.25% chloramphenicol eye drops twice a day. ⑦ Skin and buttocks care: Apply sterilized vegetable oil to wipe off fetal fat 6 hours after delivery. The clothes, sheets and diapers used should be clean and soft. Change your lying position frequently to prevent local skin compression.
Nurses should publicize and advocate exclusive breastfeeding to pregnant women, and do not add any food (including sugar water) to babies. Breast milk is rich in high-quality protein, unsaturated fatty acids, sugars and a proper proportion of calcium and phosphorus, which is beneficial to the absorption and utilization of infants and is the most ideal natural food for newborns. Through breastfeeding, letting the baby suck the nipple in the mother's arms can bring happiness to the baby, deepen the relationship between mother and child, increase the mother's confidence in breastfeeding and promote lactation.
Due to the limitation of city size and medical conditions, some hospitals take care of newborn babies by their families. However, the unified management and nursing of newborn babies should be the routine service of hospitals. At present, many hospitals have adopted a set of anti-theft management system of mother-infant identification to prevent babies from being stolen and strengthen baby care.
Fetal distress
Fetal distress is called fetal distress when there are signs of hypoxia in the fetus, which endanger the health and life of the fetus. The main causes of fetal distress are: ① insufficient maternal oxygen content, such as heart failure, hemorrhagic shock or general anesthesia. ② Placental diseases: such as placenta previa, placental abruption, pregnancy-induced hypertension and essential hypertension. Causing placental dysfunction. ③ Obstruction of blood supply to uterus and placenta: such as excessive uterine contraction, umbilical cord prolapse, around neck, knotting or too short. ④ Fetal factors: For example, prolonged labor makes the fetal head compressed for too long, causing intracranial hemorrhage, or the fetus has congenital cardiovascular disease.
If this happens, nurses should try their best to ensure the emotional stability of pregnant women and increase psychological comfort. Timely detection of abnormal fetal heart movement can improve the fetal condition and make the fetus born healthily. Nurses should closely monitor the fetal condition: listen to the fetal heart every 10 minute/time. For chronic fetal distress, placental function examination and fetal heart monitoring are feasible to guide pregnant women to count fetal movements. At the same time, nursing staff should cooperate with doctors for treatment.
3 Psychological nursing
Give the baby psychological care. Newborn babies are the weakest and therefore most dependent on adults. At this time, the baby's reflex activities and movements are controlled by the cerebral cortex to meet physiological needs. Parents' gentle words and well-meaning smiles can often make nervous newborns settle down. Babies will have a sense of trust in the environment if they are caressed and carefully cared for and their physiological needs are met. Psychological care for newborns should be combined with daily life care, and the attachment relationship between mother and child should be established as soon as possible, which has an important influence on the development of neonatal nervous system, especially on the formation of children's personality in the future. Many parents are not aware of this, so the author puts it forward and expects it. Psychological care? Get attention. Obstetrics and gynecology nurses can teach new parents such psychological rules: caress their children more, talk to them more, and play games with them more.
Psychological care for pregnant women. We must first tell the parturient that the baby is healthy. Humanized service, we must first understand the needs and psychology of pregnant women, and we can't fight unprepared for nothing. As for the gender, we should communicate and understand in advance, and don't rush to tell the mother the gender of the baby after delivery. At this time, it is not good for mother to be too happy or too sad. If the newborn's gender is contrary to the maternal expectation and the spirit is hit, it is necessary to focus on the ideological work of family members and help the maternal to relieve their ideological concerns. Provide pregnant women with relevant information such as operation process, expected results and cooperation means, and inform the real situation in time. People will have anxiety when they are uncertain about future risks, and telling their families about the actual situation can alleviate anxiety to some extent. If the fetus dies unfortunately, don't tell the parturient for the time being, or tell the parturient at other appropriate times. The nursing staff can arrange the parturient to stay away from other babies to avoid the maternal suffering from touching the scene. Nurses can accompany or let their families accompany them, enlighten them, let them talk about their pain and relieve their pressure. We must enlighten them ideologically, and tell them something more unfortunate than her, so that they can have a psychological balance. According to the different characteristics of patients' bad emotions, psychological counseling varies from person to person. Natural elimination, survival of the fittest? Explain the actual situation of the baby by scientific means, appropriately transfer the plot of the parturient, and eliminate psychological obstacles so as not to leave a shadow. So that it can successfully pass through the period of physical and mental discomfort, reduce the impact of adverse factors on maternal mental health, promote maternal rehabilitation and achieve nursing goals.
The basis of humanized nursing is familiar and exquisite nursing technology. On this basis, we can understand the psychology of mother and baby and take corresponding measures to get better results.
refer to
[1] Gong Zhengfeng, edited by Qian Peifen. Handbook of Clinical Obstetrics and Gynecology Nursing-Standing Series of Modern Medicine [M]. World Book Publishing Company, June 2005.
[2] An Libin. Practical obstetrics and gynecology nursing [M]. People's Military Medical Publishing House, May 2009.
Obstetrics and Gynecology was promoted to the second part of the title of the paper.
Application of safety nursing in obstetrics and gynecology
Nursing care of hidden dangers in obstetrics and gynecology is one of the outstanding difficulties in current work. It is necessary to analyze the specific contents of hidden dangers, and from the perspective of hidden dangers control and coordination, to achieve a reasonable solution to hidden dangers in the true sense. This article will discuss this aspect, and analyze in detail the key points and difficulties of the hidden dangers in obstetrics and gynecology nursing. At the same time, the related contents and working methods that should be paid attention to during the work are comprehensively analyzed, aiming at better improving the nursing work of hidden dangers in obstetrics and gynecology.
Key words: nursing of hidden dangers in obstetrics and gynecology; Research and analysis; Working state; Production method
With the continuous development of the current medical cause, the expectations of medical staff for medical care work are also constantly improving. Accordingly, obstetrics and gynecology, as one of the departments with relatively many hidden dangers in clinical work, also needs the majority of medical staff to pay more attention to the nursing of hidden dangers in obstetrics and gynecology. In a real sense, starting from the root of the problem, we should take active and effective measures to realize the reasonable solution of related problems, realize the effective prevention of hidden dangers, and really improve the overall benefit of hidden dangers nursing in obstetrics and gynecology and the quality of nursing staff.
1 analysis of hidden dangers in obstetrics and gynecology
At present, there are many hidden dangers in the hidden danger nursing of obstetrics and gynecology. A detailed understanding not only plays a practical role in improving the nursing quality of hidden dangers in obstetrics and gynecology, but also helps all departments to establish a perfect system and ensure the effective implementation of the work. It is necessary for medical staff to pay more attention to the nursing of hidden dangers in obstetrics and gynecology, and take active and effective measures to solve related problems from the root causes of the problems. As mentioned above, obstetrics and gynecology is an important department with disputes at present, and better solving the nursing-related problems of hidden dangers in obstetrics and gynecology is the key point to effectively improve the level of medical technology and improve patient satisfaction. At present, medical technology is constantly developing, and the use and updating speed of new equipment and new means is also accelerating. Therefore, it is necessary to effectively improve the quality and ability of personnel and ensure that medical technology work is in place. For example, at the critical moment such as rescue, it is impossible to cooperate with nursing work quickly, which will leave huge security risks for later nursing. In addition, failure to monitor and control uterine contraction in time during intravenous injection can also lead to neonatal cerebral palsy and hypoxia, so strict attention should be paid. For the use of drugs, performance and operating procedures are not clear, and drug taboos are not in place. There will also be huge hidden dangers, which also need attention.
2 Obstetrics and Gynecology Safety Hidden Danger Nursing Measures Analysis
2. 1 Strengthen the nursing awareness of hidden dangers in obstetrics and gynecology, and comprehensively and clearly implement the relevant family system and disease notification system. From the above analysis, in the current clinical work, the requirements and standards of the masses for nursing work are constantly improving. With the continuous development of the current society, people's expectations and quality of medical work are also constantly improving. Therefore, patients, surgical patients and anesthesia patients inside and outside the hospital need to be informed, and critically ill patients, emergency patients and rescue patients also need to be informed in time. Record the related contents of family members' opinions and notifications in detail, and incorporate them into relevant jumps. Take active and effective measures to achieve reasonable solution of related problems and effective prevention of hidden dangers, take active and effective measures to achieve reasonable solution of related problems and effective prevention of hidden dangers, and abide by various nursing operation procedures to strengthen nursing management. It is necessary to effectively enhance the quality and ability of personnel, ensure that medical and technical work is in place, and improve various nursing work systems. Organize nurses to learn hospital nursing management system. In the implementation and implementation of the system, the head nurse should always supervise and inspect and strictly manage. In addition, it should be noted that if the patient's family members have illegal requirements, they need to inform the relevant risks and possible consequences in detail to ensure the strict implementation of the nursing system for hidden dangers in obstetrics and gynecology.
2.2 Improve the quality and ability of nursing staff. It is necessary to comprehensively strengthen the business and technical popularization of hidden danger nursing in obstetrics and gynecology, and fundamentally improve the level of nursing management. First of all, we should encourage nursing staff to continue trading and learning, fully implement the 24-hour duty system in practice, strengthen the technical strength of departments, and better improve nursing welfare. For the use of new drugs, it is necessary to read the instructions carefully and file them properly. The majority of medical staff should pay more attention to the nursing of hidden dangers in obstetrics and gynecology, start from the root of the problem, take active and effective measures to realize the reasonable solution of related problems and the effective prevention of hidden dangers, and take active and effective measures to realize the reasonable solution of related problems and the effective prevention of hidden dangers, so as to really improve the overall benefit of nursing hidden dangers in obstetrics and gynecology. Finally, nurses should be regularly trained in professional and technical knowledge and first aid knowledge to strengthen the cultivation of skills.
2.3 Strengthening the inspection management of medical products As mentioned above, the current medical technology continues to develop, and the use and updating speed of new equipment and new means is also accelerating. Therefore, it is necessary to effectively enhance the quality and ability of personnel and ensure that medical technology work is in place. Therefore, it is necessary to strengthen the management of drugs and equipment, improve the management of equipment and drugs, and ensure that emergency drugs and equipment are in an emergency state at any time. The first-aid equipment shall be managed by a special person, and the medical equipment shall be checked at any time to see if it is in good condition. During the first-aid process, the equipment shall be kept on standby at any time to ensure sufficient drugs, and the drugs used shall be recorded in case of emergency. For example, the "five-fixed" system should be implemented for the necessary supplies, medicines and first-aid equipment in the delivery room. Keep all kinds of articles in good condition and sufficient consumables, so that the first-aid equipment is always on standby. Hold a branch meeting once a month to analyze the quality of nursing and improve the consciousness of each nursing staff to prevent mistakes and accidents.
2.4 Strengthen nurse-patient communication Nurses must establish a sense of service when communicating with patients and their families, and try to reduce disputes caused by family dissatisfaction caused by improper language. Nurses should adopt a tolerant, understanding and forbearing attitude, fully understand the mood of patients and their families, and avoid confrontation with patients and their families no matter what happens, so as to ease the contradiction between doctors and patients and avoid intensification of contradictions. For individual patients with poor quality, we should treat them kindly and calmly, influence and guide them with practical actions, and make them consciously enter the role of patients and obey the arrangement and treatment of nurses. Take the initiative to care for the parturient, actively communicate with the parturient, and pay attention to their own quality to avoid related contradictions and conflicts with patients and their families. In the process of communication, learn to face the patient's situation and all kinds of bad thoughts and emotions with tolerance and understanding, actively cooperate with the related work of patients and their families, and achieve the effect of minimizing dissatisfaction. Finally, it is necessary to comprehensively strengthen the business and technology promotion of hidden danger nursing in obstetrics and gynecology, and fundamentally improve the level of nursing management. Take the initiative to answer the questions raised by patients and their families and respond enthusiastically. In the process of nursing, we should always think of patients, actively solve problems, care for and help patients, seriously answer related questions raised by patients, reduce bad emotions and ensure the best clinical nursing effect [1-4].
To sum up, on the basis of a comprehensive analysis of the key points and basic core concepts of modern nursing care for hidden dangers in obstetrics and gynecology, the aim is to better improve the nursing care for hidden dangers in obstetrics and gynecology, and take effective measures to reasonably solve related problems, realize effective prevention of hidden dangers, truly enhance the overall benefits of nursing care for hidden dangers in obstetrics and gynecology, and improve the quality of nursing staff. In a real sense, it will push the construction work into a new stage.
References:
Chen Huaimin. Analysis of factors to realize the effectiveness of nurse-patient communication [J]. Guide to Traditional Chinese Medicine, 2007 (11):120-12l.
[2] Chen Liangzhu, Lai Minzhen. The main causes of current medical disputes and the key points and basic core preventive measures of modern obstetrics and gynecology nursing [J]. Southern Nursing Journal, 2005,3 (12): 83.
[3] Liu, Risk and management in obstetrics and gynecology nursing [J]. Modern Hospital Management, 2007(03).
[4] Zhang Hui. Discussion on occupational stress factors of obstetrics and gynecology nursing [J]. Journal of Clinical and Experimental Medicine, 2007(08).
Did you get a look at him? Topic of promotion thesis in obstetrics and gynecology? People still see:
1.3 papers on medical promotion to thesis topic
2. Summary of the promotion of obstetricians and gynecologists' titles
3. There are three model articles in the report of doctor's promotion title.
4. The senior title of obstetrics and gynecology debriefing report
5. Demonstration Report on Promotion of Doctoral Title