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PROCEDURE

ON

SITZ BATH

Definition: It is also known as a hip bath, a sitz bath involves immersion of the pelvic area in
warm or hot water.

Purposes:

 To relieve discomfort

 To promote wound healing by cleansing the perineum

 To increase the circulation

 To reduce inflammation

 It helps to relax local muscles


PRELIMINARY ASSESSMENT

 Assess the condition of the episiotomy site, any itching, irritation, ulcer, edema, drainage

 Assess the need and frequency of sitz bath.

 Assess whether the sitz bath should be done under ‘aseptic’ technique or clean technique (remember when there is a
episiotomy wound the sitz bath should be done under aseptic technique

 Assess for any tare, odour scars, inflammation, excoriation and enlarged lymph nodes.

 Check the physician’s order for any specific instruction

 Assess the patient’s self ability for care.

 Assess the patient’s mental ability to follow instruction

 Check the articles available in the patient’s unit.


PREPARATION OF THE ARTICLES:

ARTICLES RATIONALE

 Sitz bath/Stainless Steel basin To provide sitz bath

 Aircushion To prevent the development of the burns.

 Lotion thermometer To check the water temperature

 Two bath blankets To cover the client

 Towels To wipe the perineum

 Hospital gown To place the mother in hospital gown

 Gloves To prevent the contamination

 Povidine-Iodine solution 10% To provide betadine sitz bath

 Neem paste with bowl 30gms To provide neem extract sitz bath

 Clean Perineal Pads To place in a perineal area after sitz bath.


PREPARATION OF THE MOTHER AND ARTICLES

 Explain procedure to the mother.

 Provide privacy to the mother by screen

 Arrange all articles

 Check for the Doctors orders for any special precautions.

STEPS OF PROCEDURE:

STEPS RATIONALE SCIENTIFIC NURSING


PRINCIPLE PRINCIPLE.

 Explain the procedure to the patient To gain confidence Psychological To gain confidence.
and co operation preparation
 Provide screens For privacy Physical preparation
 Ask the mother to wear the hospital
To maintain aseptic Physical preparation
gown and thoroughly wash the
Perineal area. technique
Safety
 Spread the rubber mat, kept the
To maintain sterile
stainless basin (Betadine solution) Microbiology
area

 Check the water temperature with


lotion thermometer is about 115o F
To prevent the burns
Microbiology
 Add 10%povidine iodine for
betadine sitz bath and 30gms of Therapeutic
neem paste for neem extract sitz To promote healing.
bath. effectiveness
Microbiology
 Allow the mother to immerse the To promote healing
perineum for fifteen to twenty
minutes
 Repeat this application for two times
a day Therapeutic
effectiveness.
After care of the mother and articles.

After Care of the mother


 Dry the area thoroughly
 Keep the clean Perineal pads
After care of the articles:

 Discard the water

 Wash the bath tub under running water

 Dry the articles and replace.

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