Postpartum Hemorrhage Case Study

postpartum hemorrhage is defined as a blood loss of greater than 500ml(half quart) vaginal birth or more than 1000ml(quart) after a cesarean birth. first I would check vitals and weight pads etc. I would assess the perineal , mucous membrances for gingival bleeding or petechiae and ecchymoses, venipuncture sites for oozing or prolonged bleeding. I will also check the urinary output and help her restroom to void( a decrease in urine can be a sign of acute renal failure) I would assess for pain and odor. also look in her charts to see what type of delivery was it and if the doctor used anything to assist with the delivery. (check all baselines vital etc. and compare) I would want to know if she breast feeding because that can cause more
I'd also add to check her bladder for distention which can affecting her bleeding and location of the fundus.

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Jessica Betancourth

Jessica Betancourth

Sunday Feb 19 at 5:12pm

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Nursing interventions for this post partum patient would be:
◦VS every 30 minutes
◦document the amount of blood loss, color and odor
◦document that you were unable to palpate fundus
◦document and visually check the peri area
◦help patient up to void and document her output
◦help patient back to bed and place a new peri pad in
◦palpate the fundus again
◦If unable to find fundus again call the doctor to report your findings. At this point the doctor may order oxytocin which will make the uterus contract to help stop the bleeding.
◦Continue to monitor

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Lauren Bush

Lauren Bush

Sunday Feb 19 at 8:12pm

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Great bullet points - very simple and easy to follow! I believe vitals are taken q15 minutes for the first hour after birth.

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