Perineal care involves washing the external genitalia and surrounding with soap and water or with water alone or in combination with any commercially prepared peri-wash.

1. PRESENTATION
ON
PERINEAL CARE
Presented By:
Miss Anjum Bano
BSc Nursing 4TH Year
Era college of nursing
Guided By:
Dr.Anjalatchi
Vice Principal
Era College of nursing

2. OBJECTIVES
In this session, you will learn :-
 What is perineal care?
 What are the purpose of perineal care
?
 What are the indications &
contraindications?
 What is the procedure of perineal

3. CONTENTS
 Introduction
 Definition
 Purpose
 Principles
 Indication &Contraindications

4. CONTI……
 Prepare the patient
 Prepare the environment
 Procedure
 Summary
 Conclusion
 Bibliography

5. INTRODUCTION
 It is also called as perineal genital
care, involves cleaning the private
areas of a patient.
 Because this area is prone to
infections, it must be cleaned at
least daily ,and more if a person is
suffering from incontinence

6. EXTERNAL GENITALIA

7. DEFINITION
 It can be defined as washing the external
genitalia and it’s surroundings with soap and
water or water alone or in combination with
any commercially prepared peri wash.

8. PURPOSE
 To prevent or eliminate infection,
odor,and promote healing
 Remove secretion and
 To provide comfort

9. PRINCIPLES
To clean the perineum from the cleanest
to the less clean area.
Follow standard precautions.
Maintain patient’s privacy.
Proximal level of functioning

10. INDICATIONS
 Patient who are unable to do self care.
 Patient with genito- urinary infection.
 Patient with incontinence of urine and stool.
 Patient with indwelling catheter.
 Post partum patients.
 Patient with injury, ulcer or surgery.

11. CONTRAINDICATIONS
 Perineal malformation.
 Inflammatory bowel disease

12. ARTICLES
A tray containing -
-Mackintosh
-a bowl with cotton swab
& gauze piece
-A jug with warm water
or antiseptic solutions
-Long artery forcep
-Kidney tray
 To protect the bed
 To clean the perineum
To wash the dirty
area
-To hold the swab
-To receive wet waste
Articles Purpose

13. CONT..
 Paper bag
 Clean
linen,pad,dressing
etc.as needed
 Bed pan
 To keep dry waste
 To keep the patient
clean
 It the wants to pass
stool
Articles Purpose

15. PREPARE THE PATIENT
 Explain procedure to the patient
 Provide privacy by screening
 Remove all articles which interfere the
procedure
 Give extra pillows to raise head
 Roll the draw sheet to opposite side to
prevent soiling

16. CONTI…
 Offer bed pan
 Provide dorsal recumbent position
 Remove the pad if any
 Leave the patient alone so that she may pass
stool
 Arrange articles on bed side table

17. PREPARE THE ENVIRONMENT
Good lightening
Screening
Close the windows and doors as well
Switch off the fans
Provide cool and comfortable
environment

18. PROCEDURE
- Wash hand
- Pour water over
perineum
- Hold the swab with
forceps& Clean the
perineum using the wet
 To prevent cross
infection
 To wash off the
discharge from the
perineal are
 To prevent the entrance
of bacteria from the
urinary tract
STEPS RATIONALE

19. …
 Hold the swab with
forceps & clean
perineum the midline
outward like wise the
vulva, the labia both
inside & outside
 To keep the patient
clean & prevent from
further injuries
STEPS RATIONALE

20.  Clean the perineal
region and anus
thoroughly
 Dry that area
 To remove the waste
 Prevent from skin
integrity
STEPS
RATIONALE

21. AFTER CARE
 Apply the medicine and pad if necessary
 Remove the Mackintosh
 Change the linen
 Make the patient comfortable
 Clean all articles
 Boil forceps

22. CONTI….
 Replace article
 Remove screen and tidy up the unit
 Wash hand
 Record the procedure with date and the
observation made.

25. CONCLUSION
Maternal and health care related factors were
associated to the prevalence and degree of
spontaneous perineal tear.
First degree spontaneous perineal tears were
prevalent and suture in a low no.of women

26. BIBLIOGRAPHY
 ESSENTIAL OF DC DUTTA’ A TEXTBOOK OF
OBSTETRICS 9TH EDITION PUBLISHED BY JAYPEE
BROTHERS
 SANDEEP KAUR A TEXTBOOK OF MIDWIFERY AND
OBSTETRICS PUBLISHED BY DR.SUNITA LAWRENCE
 KAMIN RAO THE TEXTBOOK OF MIDWIFERY &
OBSTETRICAL NURSING PUBLISHED BY ELSEVIER
 https//www.mobile slideshare .com
 https//www.hidawii.com