Patient will demonstrate blood pressure, pulse, arterial blood gasses (ABGs), and Hematocrit/hemoglobin level within the expected range.Diminished arterial pulsations, cold extremities.Hypovolemia (a decreased volume of circulating blood in the body).Ineffective Tissue Perfusion: Decreased in the oxygen resulting in the failure to nourish the tissues at the capillary level. Assess condition of skin, urine output, and level of consciousness.Ģ.Keep an accurate pad count (100 mL per saturated pad).Massage the fundus gently, taking care to support the uterus with the hand just above the symphysis pubis.Notify the practitioner of abnormal assessment findings.Measure and record serial maternal vital signs after delivery- every 5 to 15 minutes until stable increase or decrease the frequency of assessment relative to baseline and amount of bleeding. Determine the presence of uterine firmness and location and amount of vaginal bleeding immediately after delivery.Assist with appropriate treatment to prevent complications. Excessive blood loss, which may produce hypotension, thread pulse, pallor, restlessness, dyspnea, and chills.ġ.The uterus is unable to contract effectively and maintain hemostasis.Predisposing factors include hypotonic contractions, overdistended uterus, multiparity, large newborn, forceps delivery, and cesarean delivery.Major causes of postpartum hemorrhage are uterine atony (responsible for at least 80% of all early postpartum hemorrhages) laceration of cervix, vagina, or perineum and retained placental fragments.Approximately 5% of women experience some type of postdelivery hemorrhage.Post partum hemorrhage is the leading cause of maternal death worldwide and a common cause of excessive blood loss during the early postpartum period.Early postpartum hemorrhage is defined as blood loss of 500 mL or more during the first 24 hours after delivery.
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