Final answer:
To prevent abdominal distension after a cesarean birth, early ambulation, proper pain management, managing post-operative ileus, encouraging breastfeeding, and a high-fiber diet are all effective strategies. Regular monitoring and the use of abdominal support can further assist in reducing the risk of distension.
Step-by-step explanation:
To prevent abdominal distension following a cesarean birth, it is important to encourage early ambulation as soon as it is safe for the new mother. This means helping her to get up and move around to facilitate gas passage and alleviate abdominal distension. Additionally, the nurse should ensure that the mother is implementing proper pain management techniques, as pain can lead to decreased mobility and increased risk of gas buildup.
Another important aspect is the management of post-operative ileus, which is a common condition after any abdominal surgery, including a cesarean section. The use of simethicone and maintaining adequate hydration can help. The nurse should also provide education on the importance of a proper diet, rich in fiber, which can help promote bowel movements and prevent constipation, further reducing the risk of abdominal distension.
Breastfeeding can also help with uterine contractions and speeding up the process of involution, which helps the uterus and abdominal organs return to their pre-pregnancy state faster, contributing to the reduction of abdominal distension. Monitoring and assessing the mother's abdominal distention regularly and advising on the use of abdominal support garments may also be beneficial.