![]() Deficient fluid volume related to excessive bleeding after birth.Assess maternal vital signs to establish baseline data.The data that the nurse would give would be essential in the care of the patient with hemorrhage. Nurses also need to intervene early or during the course of a hemorrhage to help the patient regain her strength and vitality. This is necessary for extreme uterine atony to stop the bleeding. In a worst case scenario, the uterus needs to be surgically removed to save the life of the mother. Surgical management is essential to remove the cause of bleeding and avoid further depletion of the body’s fluid stores. If the woman is experiencing respiratory distress, administration of oxygen at 4L/min via face mask could be prescribed by the physician. Cross matching and blood typing is necessary to replace the blood loss. This is a prostaglandin derivative that could help in promoting sustained uterine contractions. Administration of Carboprost tromethamine.If the uterus is unable to contract, the physician might prescribe Pitocin to maintain the tone of the uterus. These would be ordered to ensure the safety of the patient and restore her well-being. This may also indicate internal bleeding and possible external bleeding.Ĭompliance to these medical interventions is critical for the survival of the patient. Bleeding of more than 500 mL in a normal vaginal delivery and more than 1000 mL in a cesarean birth qualifies for a postpartum hemorrhage. You would not be able to miss out on the signs and symptoms of postpartum hemorrhage if you take a look at our list. Disseminated intravascular coagulation in a woman could cause heavy bleeding postpartum. Conditions such as deep anesthesia during cesarean delivery, advanced maternal age, and high parity could cause the uterus not to contract and therefore result in bleeding. Placenta previa and abruption placenta also cause heavy maternal bleeding. Conditions with varied placental site attachment.A woman who underwent operative birth or rapid birth could develop lacerations that would cause bleeding. Conditions that could have caused cervical or uterine lacerations.Multiple gestations, hydramnios, a large baby, and the presence of uterine myomas predispose to postpartum hemorrhage. Conditions that distend the uterus beyond average capacity.These are the risk factors that you should watch out for in a postpartum woman. If the uterus has retained placental fragments, it can also cause massive bleeding postpartum.Lacerations also cause bleeding after delivery.In uterine atony, the uterus stops contracting, which leads to bleeding because the placental sites have closed.There are different main causes of postpartum hemorrhage, and they cause bleeding in different ways. ![]() Postpartum hemorrhage occurs when a woman loses more than 500 mL of blood in a normal delivery and more than 1,000 mL of blood in a cesarean delivery within 24 hours.This article aims to serve as a comprehensive nursing guide to postpartum hemorrhage, delving into its causes, assessment techniques, and multidisciplinary management. As nursing professionals, understanding the risk factors, early signs, and evidence-based interventions for PPH is crucial in providing comprehensive care and support during this critical phase of the maternal journey. It accounts for the majority of the 14 million cases that occur each year. Postpartum hemorrhage is a significant and potentially life-threatening complication that requires prompt recognition, rapid intervention, and expert nursing care to ensure the well-being of the mother. The postpartum period, a time of joy and celebration, can also present unexpected challenges, one of which is postpartum hemorrhage (PPH).
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