What is the first line management of postpartum hemorrhage?
Oxytocin (Pitocin) is the first choice for prevention of postpartum hemorrhage because it is as effective or more effective than ergot alkaloids or prostaglandins and has fewer side effects.
What interventions does the nurse do for postpartum hemorrhage?
Nursing Interventions Save all perineal pads used during bleeding and weigh them to determine the amount of blood loss. Place the woman in a side lying position to make sure that no blood is pooling underneath her. Assess lochia frequently to determine if the amount discharged is still within the normal limits.
What do you do if oxytocin is ineffective?
– In settings where oxytocin is unavailable, the use of other injectable uterotonics (if appropriate, ergometrine/methylergometrine or the fixed-dose combination of oxytocin and ergometrine) or oral misoprostol (600 μg) is recommended.
What are the complications of postpartum hemorrhage?
Complications include sterility, uterine perforation, uterine synechiae (Asherman syndrome), urinary tract injury and genitourinary fistula, bowel injury and genitointestinal fistula, vascular injury, pelvic hematoma, and sepsis.
Which of the following management should be performed in the setting of postpartum hemorrhage following a vaginal delivery?
Procedures used in PPH management include manual removal of the placenta, manual removal of clots, uterine tamponade, and uterine artery embolization. Laceration repair is indicated when PPH is a result of genital tract trauma.
How do you respond to postpartum hemorrhage?
Oxytocin is the most effective treatment for postpartum hemorrhage, even if already used for labor induction or augmentation or as part of active management of the third stage of labor.
When caring for a patient who has experienced a postpartum hemorrhage what laboratory values are of most interest?
Laboratory studies that may be helpful include the following: Complete blood count (CBC) with hemoglobin and hematocrit. Coagulation studies.
What assessments are vital for the nurse to perform on the postpartum patient?
BREASTS. The breasts are assessed for:
How does oxytocin cause postpartum hemorrhage?
Prolonged exposure to oxytocin during augmentation of labour is associated with uterine atony and an increased risk of postpartum hemorrhage (PPH) due to oxytocin receptor desensitization.
How does oxytocin help with postpartum hemorrhage?
Oxytocin prevents excessive postpartum bleeding by helping the uterus to contract. It is given to the mother by injection into a vein or into muscle during or immediately after the birth of her baby.
Why is the nursing assessment vital to caring for the postpartum woman?
The postpartum nursing assessment is an important aspect of care in order to identify early signs of complications in the woman who has just given birth. Following pregnancy, the woman is at risk for infection, hemorrhage, and the development of a Deep Vein Thrombosis (DVT).
How do you care for postpartum?
Adjusting to motherhood
- Get plenty of rest. Get as much sleep as possible to cope with tiredness and fatigue.
- Seek help. Don’t hesitate to accept help from family and friends during the postpartum period, as well as after this period.
- Eat healthy meals. Maintain a healthy diet to promote healing.
- Exercise.
https://www.youtube.com/watch?v=SEQPKTceWp4