question archive Obstetric hemorrhage is the most common and dangerous complication of childbirth
Obstetric hemorrhage is the most common and dangerous complication of childbirth
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Obstetric hemorrhage is the most common and dangerous complication of childbirth. Traditionally, postpartum hemorrhage has been traditionally defined as greater than 500 mL estimated blood loss in a vaginal delivery or greater than 1000 mL estimated blood loss at the time of cesarean delivery. An obstetric hemorrhage may occur before or after delivery, but more than 80% of cases occur postpartum (Pillitteri & Silbert-Flagg, 2017). Severe postpartum hemorrhage is a leading cause of maternal mortality. The World Health Organization reports that the primary reason for maternal death is hemorrhage. Conditions such as home births, deliveries on the way to the emergency department, and excessive postpartum bleeding influence a woman to arrive at the hospital in a state of hypovolemic shock (Dillard, 2017).
Risk factors associated with postpartum Hemorrhage include: Lack of prenatal care, obesity, hypertension, advanced maternal age, African American, prolonged labor, precipitous delivery and uterine over distention (Dillard, 2017). There are many different causes of postpartum hemorrhage. Primary postpartum hemorrhage is frequently due to uterine atony, which is defined as failure of the uterine muscle to contract (Dillard, 2017). Other causes are trauma to birth canal during childbirth and retained tissue in the uterus. Tissue that remaining the uterus is severe because tissue in the uterus cause slow but steady and prolonged bleeding. If hemorrhage occurs soon after a delivery, abdominal palpation for uterine atony can steer decisions. Arrival at a rural hospital with limited or no obstetrical support increases the risk for poor outcomes because of lack of obstetric health care providers, equipment, and knowledge or experience to manage hemorrhaging (Dillard, 2017).
How will the evidence described would influence your choice of nursing interventions if you practiced in a setting where you cared for a client with the complication?
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How will the evidence described would influence your choice of nursing interventions if you practiced in a setting where you cared for a client with the complication?" ?
The complication is assumed as PPH
This description taught me about the severity and seriousness of PPH, which is the leading cause of maternal mortality according to WHO. With the new knowldege gained from the above description I will always prioritize a PATIENT WITH PPH under my care as someone who needs urgent care even though the patient's breathing pattern and respiration is normal. If hemorrhage occurs soon after a delivery, abdominal palpation for uterine atony is don0e
