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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
