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    Perineal Cleansing Before Delivery

    Presented By : Joanna Marie McPherson De Guzman RN


    •The perineal region should be thoroughly cleansed prior
    to delivery. This procedure is called “sterile prep.”
    •The sterile prep is done primarily to prevent infection
    and secondarily to increase the visibility of the area by
    removing the bloody discharge that is present prior to
    delivery. Needless to say, providing thorough perineal
    cleansing promotes comfort.
    •The sterile prep can be carried out in different ways
    depending on the institutional policies. In some
    hospital, sterile gloves are used while in others, the
    use of sponge sticks/holders is sufficient. But the
    principles are the same: the sterile prep is done to
    help prevent infection and care should be observed
    during the sterile prep so that the birth canal is not
    contaminated.
    •With the woman positioned
    for delivery the health
    care provider proceeds to
    cleansing the vulvar and
    perineal areas observing
    strict aseptic techniques.
    PERINEAL STERILE PREP

    • Wash hands thoroughly.


    • Depending on the hospital policies,
    wear sterile gloves or use sponge
    holder.
    • Using a cleansing solution and the
    first sterile sponge, begin
    cleansing from side to side
    beginning from the mons
    veneris/symphysis pubis up to the
    umbilicus. Discard sponge.
    •With the second and third sponges, clean the area from
    the labia to midthigh of each leg using up-and-down
    motion using one sponge per leg. Each sponge is
    discarded after use.
    •The movement of sponge is from inward (vulvar region)
    to outward (thigh region) to prevent soil carrying
    soil/discharge from surrounding areas to the vaginal
    outlet.
    •The fourth and fifth sponges are used to cleanse the
    labia (left and right) with one downward sweep avoiding
    the rectum.
    •The sixth sponge is used to cleanse the vestibule with
    one down ward sweep from the clitoris to the vaginal
    os.
    • The seventh sponge (optional in some) sweeps the area from the
    fourchette down to the anus.
    ✔ The direction of stroking the areas to be prepared are:
    ✔ Anterior to posterior (symphysis pubis to anal region).
    ✔ Center to periphery (from inner inguinal region to midthigh).
    • Finally wash the vulvar, perineal and thigh areas with sterile
    water.

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