The management for hypovolemic shock (reduced blood volume) resulting from postpartum hemorrhage includes: A collaborative effort by the health care team is necessary to provide prompt care. As the blood loss continues, blood flow to the brain decreases and the woman becomes restless, confused, anxious, and lethargic. A decrease in blood volume causes the woman’s skin and mucous membranes to become pale, cold, and moist (clammy). These reactions increase the oxygen content of circulating erythrocytes (red blood cells). The body responds to hypovolemia (reduced blood volume) with increased heart and respiratory rates. Women at greatest risk for postpartum hemorrhage include those who have labor induction or augmentation, multiple fetuses (twins, etc.), macrosomia, preeclampsia, operative deliveries, and chorioamnionitis. Coagulation defects and infection can also result in postpartum hemorrhage (Rice-Simpson, 2010). Late postpartum hemorrhage (secondary postpartum hemorrhage) is caused by retained placental fragments or subinvolution. The most common causes of early postpartum hemorrhage are uterine atony and laceration. Many problems can occur during the postpartum period, but most problems fall into the following five categories: Before discharge, the nurse teaches preventive measures to avoid common postpartum complications. Consequently, hospital-based nurses are challenged to perform a risk assessment and attempt to recognize subtle signs of complications that may require a delay in discharge. Women are often discharged after childbirth before clinical signs of puerperal infection and other postpartum disorders are evident. Shortened inpatient (postpartum) stays are common in maternity care. Thrombophlebitis (thrŏm-bō-fle˘ BĪ-tŭs, p. Compare postpartum blues with postpartum psychosis.Įndometritis (e˘n-dō-me˘ -TRĪ-tĭs, p. Discuss the nursing care of a woman who has an infected episiotomy.Ĩ. ![]() Describe predisposing factors for infections of the reproductive system.ħ. List four common sites for puerperal infection.Ħ. ![]() Explain the nursing care of a woman who has a thromboembolism.ĥ. Describe the dangers that deep vein thrombosis presents.ĥ. Identify nursing interventions in the care of the woman with postpartum hemorrhage.Ĥ. Summarize major causes of postpartum hemorrhage.ģ.
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