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Objectives:
1. To be able to apply in practice the knowledge acquired in providing nursing care for a client with uterine atony.
2. To learn and improve our knowledge in giving nursing care to patient with postpartal hemorrhage.
3. To come up with health teaching necessary for patient with postpartal hemorrhage.
Case Scenario:
Mrs. Angela Simons, 36 years old, G8 P7, was rushed to the hospital because of active labor. She had a prolonged and difficult labor. During the first hour of her postpartum, she stated that "I was experiencing an excessive vaginal bleeding". Upon assessment, Mrs. Simons' vitals signs: T= 35.6 ; Heart rate= 130 bpm ; Respiratory Rate= 25 bpm ; BP= 80/40 mmHg, and vaginal bleeding of approximately 250 ml. She was diagnosed by the doctor of having uterine atony. As the nurse assigned to Mrs. Simons, what are your nursing interventions?

Mini Lecture
Postpartum Hemorrhage
Hemorrhage, one of the most important causes of maternal mortality associated with childbearing, poses a possible threat throughout pregnancy and is a major potential danger I in the immediate postpartal period. Traditionally, postpartal hemorrhage has been defined as any blood loss from the uterus greater than 500 ml within a 24 hour period. The greatest danger of hemorrhage is in the first 24 hours because of the grossly denuded and unprotected area left after detachment of the placenta

Uterine Atony
Uterine atony, or the relaxation of the uterus, is the most frequent cause of postpartal hemorrhage. The uterus must remain in a contracted state after birth to allow the open vessels at the placental site to seal. The myometrium fails to contract and the uterus fills with blood because of the lack of pressure on the open vessels of the placental site.
It is a condition in which the muscles of a woman's uterus lose their tone and their ability to contract after child birth. Severe hemorrhaging and low blood pressure can result, presenting a number of additional

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