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19. The use of binders, if the mother has been instructed to use them by her physician/practitioner.

a. Purpose: Binders are wide cloth bandages or cloth wrappings, usually of cotton, that may be worn for various purposes.

1) Binders may be used postoperatively or after childbirth to give support to a weakened body part.   2) They may be used to hold dressings and bandages in place.   3) Binders may put pressure on parts of the body as a comfort measure. They could possibly be used for a nonbreastfeeding mother or a mother who must stop breastfeeding suddenly. Binders may also be used to keep pressure against an incision to assist with greater movement. b. Procedure 1) The binder must be wrinkle-free, dry, and clean for comfort and to prevent irritated areas or bedsores.   2) An abdominal binder is usually applied from the bottom up and may be pinned (use caution) or fastened with Velcro.   3) Breast binder   (a) A breast binder may be fastened with pins (use caution) or Velcro.   (b) Fasten at the shoulders.   (c) Work from the middle then to top and bottom.
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4) If the physician/practitioner has instructed the mother to use a binder and she cannot obtain one, she may substitute a sheet, pillowcase, etc.
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