chapter 22

Most common cause of PPh

uterine atony (failure of the uterus to retract after birth)

five Ts of postpartum hemorrhage

tone: uterine atony, distended bladder

Tissue: retained placenta and clots, uterine subinvolution

Trauma: lacerations; hematoma, inversion, ruptire

thrombin: coagulopathy

traction: too much pulling on umbilical cord

Von willebrand disease

Congenital bleeding dissorder that is an autosomal dominant trait

Characterized by prolonged bleeding time

Common symptoms: bleeding gums, easy bruising, menorrhea, blood in urine and stools, nose bleeds, and hematomas, prolonged bleeding

Priority intervention for uterine atony

Before initiating fundal massage, nurse must first place a hand over the symphysis pubis to anchor the uterus and prevent possible uterine inversion

Never give pitocin as this

It is undilated as a bolus injection intravenously

Cytotec contraindication

Allergy, active cardiovascular disease, pulmonary, renal, or hepatic disease

Methergine contraindication

If women is hypertensive do not adminsiter

Hemabate contraindicated with ___ due to risk of

Asthma due to risk of bronchial spasm

Prepare women with idiopathic thrombocytopenic outputs to administer these and this surgery if the treatment doesnt work

Administer glucosteroids, iv immunoglobulin, iv anti RHOD, and platelets infusion

Splenectomy if the bleeding tissues do not respond to medical management

Endometritis is a

Uterine infection that develops within 2-4 days postpartum.

Mastitis and symptoms

Define as inflammation of mamary gland

Within 2 days

Red red and tender and hot to touch

REEDA

Redness

Edema

Ecchymosis

Discharge

Approximation of skin edges

Postpartum Blues end up day

Day 10

It starts 4-5

Post partum depression last a minimum

Of six months interested