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Nursing Care 
for Abortion/ 
Pregnancy 
Loss
Pre-operative care for 
surgical abortion 
Instructions to be delivered to the client/ patients: 
1. For morning appointme...
4. Please dress comfortably; no make-up, jewelry, 
contact lenses, or high heel shoes. Bring a first 
morning urine sample...
 Nursing responsibilities: 
1. Check pt’s name, type of surgery, Hx 
2. Monitor V/S, blood test, bleeding and vaginal 
se...
Post-operative care 
 Monitor vital signs to identify any internal 
bleeding or infection. Blood pressure and 
pulse. 
 ...
 Assess the IV line and drip to make sure no 
kinking, no obstruction and in accurate rate 
flow. 
 Encourage fluid inta...
 Maintain healthy diet to provide the body 
with enough nutrition for fast recovery of 
the operated site and regaining o...
Nursing care for abortion
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Nursing care for abortion

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Nursing care for abortion

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Nursing care for abortion

  1. 1. Nursing Care for Abortion/ Pregnancy Loss
  2. 2. Pre-operative care for surgical abortion Instructions to be delivered to the client/ patients: 1. For morning appointments: NBM, no smoking, after 12:00 am (midnight) the day of the procedure. 2. For afternoon appointments: NBM, no smoking, after 8am the day of the procedure. You may have clear fluids (water, black coffee/tea, cranberry juice) until 10am, after then, nothing to drink. 3. No recreational drugs or alcoholic beverages for 48 hours prior to surgery.
  3. 3. 4. Please dress comfortably; no make-up, jewelry, contact lenses, or high heel shoes. Bring a first morning urine sample, a bathrobe or blanket, and a pair of slippers or socks. 5. Please do not bring children with you to the office. Make sure that you have a reliable escort to drive you home as it is illegal to drive after anesthesia. 6. Do not use aspirin, aspirin products, narcotics or street drugs for 48 hours prior to your appointment time. 7. If you are using insurance, please bring your insurance card and a valid state picture ID such as a motor vehicle ID or driver’s license. http://www.hartfordgyncenter.com/aborti on.aspx
  4. 4.  Nursing responsibilities: 1. Check pt’s name, type of surgery, Hx 2. Monitor V/S, blood test, bleeding and vaginal secretion ( character, colour & volume) 3. Strict aseptic technique 4. Strengthen the perineum care & maintain the vulva cleanliness 5. Psychological care: sympathizing, understanding & caring 6. To check/ trace ultrasound result 7. No SI 3 days before op. R: prevent infection 8. Empty the bladder. 9. Comfort the pt.
  5. 5. Post-operative care  Monitor vital signs to identify any internal bleeding or infection. Blood pressure and pulse.  Assess the client’s conscious level, the presence of malaise, cold clammy skin, pale or dizziness to rule out possibility of hypovolemic shock.  Assess for severity of pain using pain scale. Administer analgesics as prescribed and assess the effectiveness of the medication.  Check for any excessive vaginal bleeding or soakness of the sanitary pad and its characteristic. (vaginal bleeding normally stop within 3-5 days.
  6. 6.  Assess the IV line and drip to make sure no kinking, no obstruction and in accurate rate flow.  Encourage fluid intake to prevent dehydration due to blood loss during surgery.  Monitor and strict on intake and output.  Strictly aseptic technique to prevent cross infection and provide perineum care. Educate the client to maintain effective hand washing technique and perineal care.  Note any pus or foul smelling from the vaginal discharge to rule out possible infection.
  7. 7.  Maintain healthy diet to provide the body with enough nutrition for fast recovery of the operated site and regaining of energy  Provide emotional support encourage family support due to pregnancy loss.  Allow grieving and expression of her concerns over the loss pregnancy.  Refer the client to social support groups.

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