from uterine atony‚ failure of the uterus to contract and retract after birth (Ricci & Kyle‚ 2009). Uterine atony is the most common cause of PPH‚ accounting for 70% of cases (Sheiner‚ 2011)‚ and it is usually delineated by a marked hypotonia of the uterus (Simpson & Creehan‚ 2008). In addition‚ uterine atony is likely to occur when the uterus is over distended‚ depicted through polyhydramnios‚ multiple gestations‚ and macrosomia (Simpson & Creehan‚ 2008). Other factors that induce uterine atony
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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
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associated with postpartum hemorrhaging. Postpartum hemorrhage is an issue that currently accounts for approximately 25-35% of maternal deaths worldwide (Altenstadt‚ Hukkelhoven‚ Roosmalen‚ & Bloemenkamp‚ 2013). Recent research has indicated that uterine atony is the leading cause of postpartum hemorrhage. Postpartum hemorrhage can result in severe maternal morbidity such as hysterectomy‚ hypovolemic shock‚ disseminated intravascular coagulation‚ and Sheehan’s syndrome. Ongoing research is being conducted
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PLACENTAL STAGE Stage 3 refers to the delivery of the placenta. At stage 3‚ the baby has already been born however‚ contractions will continue until the placenta is delivered. The placenta separates from the wall and natural removal occurs by uterine contractions. The birth of the placenta takes place 5 – 30 minutes after the birth of the baby. The placental stage is crucial because of the possibility of maternal hemorrhage. Signs of the placental separation are as follows: a. The uterus
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Side Effects Maternal: hyperstimulation of uterus can cause the following – water intoxication‚ rapid labor (uterine rupture)‚ impaired uterine blood flow leading to hypoxia of fetus. Side effects fetal: hyperbilirubinemia for augmentation of labor/hypoxia related to over contraction. Nursing implications: explain to pt how it works/apply fetal monitor and obtain 15-20 min
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Dysfunctional Labor. Ineffective Uterine Force -abnormal or ineffective labor A. HYPOTONIC CONTRACTIONS - Number of contraction is unusually low or infrequent (not more than 2 0r 3 occurring in a 10min. Period) -Resting tone of the uterus remains less than 10mmHg and the strength of contractions does not rise above 25mmHg -Contractions are not exceedingly painful‚ because of their lack of intensity -Increase length of labor because it requires more uterine contractions - Can cause the uterus
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Study Guide for Exam 1 * What are the risk factors for uterine atony? Loss of uterine tone Overdistention of the uterus (multiple gestation‚ polyhydramnios‚ macrosomia‚ fibroid tumors‚ distention with clots)‚ bladder distention‚ grand multiparity‚ uterine trauma (forceps vacuum‚ c-section‚ cervical biopsy)‚ bottle feeding‚ length of labor (precipitous or prolonged)‚ Hx of PPH‚ medications (anesthesia‚ recent tocolysis‚ magnesium sulfate‚ induction greater than 15 hours)‚ abruptio placenta
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Chapter 28: Care of the High-Risk Mother‚ Newborn‚ and Family with Special Needs High-risk pregnancy One in which the life or health of the mother or the infant is jeopardized by a d/o that is associated with or exists at the same Morbidity State of being diseased Mortality Quality or state of being subject to death Classifications of high-risk factors of pregnancy Biophysical‚ Psychosocial‚ Sociodemographic‚ Environmental Biophysical Genetic considerations‚ nutritional status‚ medical
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using an intrauterine pressure catheter (IUPC). It is inserted into the uterine cavity through the cervical os. It reflects the pressure inside the uterine cavity. As the pressure changes‚ it traces on the graph paper. The IUPC can measure the resting tone of the uterus between contractions‚ referred to as intensity. An advantage of an IUPC is that it provides a near-exact pressure measurement for contraction intensity and uterine resting tone. The sensitivity of the IUPC allows for very accurate timing
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Intrapartum Care (Vol. II pg. 1255-1325) Key Concept Link ! Reproduction Pathophysiology‚ etiology and direct and indirect causes in your own words Pathophysiology: Both mother and baby begin to prepare for birth in the final weeks of pregnancy. The mother is instructed to call the health care provider and come into the birthing unit if any of the following occur. Rupture of membranes‚ regular‚ frequent uterine contractions (nulliparas‚ 5 minutes apart for one hour; multiparas‚ 6-8 minutes
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