OB Postpartum hemorrhage/ fundas

What is Methergine (brand: methylergonovine) ?

used to prevent and treat postpartum hemorrhage caused by uterine atony (relaxation of the uterus after delivery). 

-increases uterine contractions and tightening blood vessels to reduce bleeding.

• contraindicated with people with HTN

What is hemabate ?

A brand name for carboprost tromethamine, used to treat severe postpartum bleeding by stimulating uterine contractions.

• contraindicated with people with Asthma

What is uterine atony ?

A condition where the uterus fails to contract effectively after childbirth, leading to excessive bleeding.

what is fetal macrosomia ?

when a fetus is significantly larger than average

• 4,000 grams (8 pounds, 13 ounces)

What is a abnormal assessment for postpartum?

• Heavy bleeding - >1000mL loss

• Large clots

• Soaking 1 or more pads per hour

• Dizzy or lightheaded

• boggy uterus - soft

What are the interventions postpartum hemorrhaging ?

• MASSAGE THE FUNDAS * to stimulate uterine contraction

• “i NEED A LITTLE HELP IN HERE “

• fluid replacement - to increase vL to increase perfusion

• methergine and hemabate meds - promote uterine contraction and decrease bleeding.

• blood transfusion

how do you assess fundal height ?

he distance from the pubic bone to the top of the uterus.

Where should the fundus be postpartum ?

The fundus should be at or below the level of the navel (umbilicus) within the first few days postpartum and gradually descend into the pelvis.

• the fundus will not go down if there is a lot of blood there.