Nursing Diagnosis: Pain related to uterine cramping (after pains or perineal sutures).
 INTERVENTION
 Assure the client that this type of
discomfort is normal and rarely last
longer than three days
 Caution client to avoid application of
heat to the abdomen.
 Applying an ice or cold pack to the
perineal during the first 24 hours.
 Advice woman to carry out perineal
exercises, which consist of
contracting and relaxing the
muscles of the perineum 5 to 10
times in succession as trying to stop
voiding 3 or 4 times a day.
 Administration of analgesics such
as Acetaminophen as prescribed by
the physician.
 RATIONALE
 To ally patient’s fear and
reassurance helps to minimize
anxiety and increase motivation and
hope.
 It could cause relaxation of the
uterus and subsequently uterine
hemorrhage.
 To reduce perineal edema and the
possibility of hematoma formation,
thereby promoting healing and
comfort.
 This greatly relieves episiotomy
discomfort by improving circulation
to the area and decreasing edema.
 To relieve pain.
S “Medyo sakit gyud ako kinatawan maam”
O - Patient with lumbar pain evidenced by guarding; pain scale
6/10
- Patient with episiorrhapy noted

- Patient at bed rest most of the time

A Acute pain related to tissue trauma secondary to Normal
Spontaneous Vaginal Delivery.
P Short term: At the end of 30 minutes to 1 hour the client will be
able to show signs of comfort and alleviation from pain.
I Independent:

 Assessed pain reports, noting location, and pain scale.

• Indicates effectiveness of interventions and may

signal development of complications.

 Encouraged patient to verbalize or report pain as it

develops.

• Efficacy of comfort measures and medications is

improved with timely intervention.

 Encouraged patient of verbalization of feelings

• Can reduce anxiety and fear thereby reduce

perception of intensity of pain.

 Assisted the significant other to perform palliative

measures such as back rub, or assist the patient to
reposition to her comfortable position to lessen the pain
felt.
 • Promotes relaxation thus reducing pain.

Collaborative:

 Administered Mefenamic acid 500mg cap, PO q8 PRN.

• Provides relief of pain and discomfort.

E After the interventions given within 30 minutes to 1 hour, the client

verbalized that there is still pain, scaled 2/10.