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complications of labor.pptx - Complications of Post Partum...

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Complications ofPost Partum
Postpartum HemorrhageEarly Postpartum HemorrhageCummulative blood loss of _> 1000mL or blood lossaccompanied by sign/symptoms of hypovolemia within 24hours following the birthprocess.EarlyHemorrhage in the first 24 hours after childbirthLateHemorrhage after 24 hours for up to 12 weeks afterbirth
Uterine Atony**The myometrium fails to contractandthe uterusfills with blood becauseofthe lack ofpressure onthe openvessels of the placentalsiteThe myometrium fails to contract andthe uterus fills with blood because ofthe lack of pressure on the open bloodvessels of the placental site.
Uterine AtonyPredisposing FactorsProlongedlaborOverdistentionof theUterusGrandmultiparityExcessive use ofAnalgesia / AnesthesiaIntrapartumStimulationwith PitocinTrauma dueto ObstetricalProcedures
Uterine AtonyMost common cause of HemorrhageKey to successful management is:PREVENTION!Nurse many times can predict whichwomen are at risk for hemorrhaging.
Uterine AtonySignsandSymptomsExcessiveorBright RedBleedingAbnormalClotsA boggy uterus that does notrespond to massageFundus difficult to locate
Nursing Care of UterineAtonyDocumentVaginal BleedingFundal massage/BimanualCompressionEmpty the BladderAssessVital Signs (shock)Give medications--Pitocin, Methergine, HemabateD & C,Hysterotomy/ectomy,Replace blood / fluids
Post Partum HemorrhageLacerationsPREDISPOSINGFACTORS1. Spontaneous orPrecipitous delivery2.Size, Presentation, and Position ofbaby3.Induction and Augmentation of Labor4. Assistive devices such as Vacuum extractor orForcepsSigns and Symptoms1. Bright red bleeding where there is asteadytrickleofbloodandtheuterus remainsfirm.2.Hypovolemia
POSTPARTUMHEMORRHAGE*LACERATIONS*Treatment and Nursing Care1.Meticulousinspectionoftheentirelowerbirthcanal2.Sutureanybleeders3.Ice4.Heat5.Numbness6.Avoid straining
Test Yourself !You are assigned to Mrs. B. who delivered vaginally.Asyou do your post-partum assessment, you notice thatshe has a large amount of lochia rubra.

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Term
Fall
Professor
NoProfessor
Tags
Postpartum hemorrhage, breast abscess

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