Effectiveness of Women's Self-care Instructions concerning Wound, Perineal & Urinary System Care post cesarean section in Baghdad teaching hospital

Abstract

Aim: to determine the effectiveness of women's self-care instructions on their post cesarean section care in Baghdad
teaching hospital.
Methodology: The present study used quasi-experimental study design in maternity words in Baghdad teaching
hospital. The sample was collected and follow up for the period (15) January 2014 until 15 May 2014 Nonprobability
(purposive sample) of (100) women post cesarean section divided in to two groups (50) women post
cesarean section considered as a study group, and another (50) women post cesarean section considered as the
control one, A questionnaire designed as a tool to collect data fit the purpose of the study a questionnaire include
demographic variables, Reproductive variables, instructions self-care post cesarean Wound care, a pilot study was
carried out to test the reliability, As for reliability of questionnaire has been displayed by a group of experts in
various medical specialties and nursing
.Result: The study presents significant differences in implementation of instructional program for self-care
post cesarean between study and control groups on wound, there is significant differences in washing hand
before & after any procedure, Don't put ointment or cream on the wound, don't raise the dressing to see operation
immediately unless done by medical staff (P=0.000). Also significant differences are found in perineal care &
urinary system post cesarean in washing hand before & after using bathroom, wash perineum area water warm
water contains a antiseptics from front of the pubic bone to the anus, place sanitary pads from front to back to
protect the inner surface from contamination, do not hold on the urine when feel the desire to urinate,
practice kegel exercises 2-3 times per day, Do not have sexual intercourse during the first 6 weeks, preferred to
use the western bathroom (P= 0.000).
Recommendations: The study recommended the possibility of providing an educational overlap of self-care
after a cesarean delivery for all pregnant women attending antenatal care centers, primary health, construction
and application of the overlap of the mothers of the educational process to be holding them in the hospital to
increase their knowledge of self-care after a cesarean section