nursing intervention for retained placental fragments

Cross matching and blood typing is necessary to replace the blood loss. This is a prostaglandin derivative that could help in promoting sustained uterine contractions.

Administration of Carboprost tromethamine.

If the uterus is unable to contract, the physician might prescribe Pitocin to maintain the tone of the uterus. These would be ordered to ensure the safety of the patient and restore her well-being. This may also indicate internal bleeding and possible external bleeding.Ĭompliance to these medical interventions is critical for the survival of the patient. Bleeding of more than 500 mL in a normal vaginal delivery and more than 1000 mL in a cesarean birth qualifies for a postpartum hemorrhage. You would not be able to miss out on the signs and symptoms of postpartum hemorrhage if you take a look at our list. Disseminated intravascular coagulation in a woman could cause heavy bleeding postpartum. Conditions such as deep anesthesia during cesarean delivery, advanced maternal age, and high parity could cause the uterus not to contract and therefore result in bleeding. Placenta previa and abruption placenta also cause heavy maternal bleeding.

Conditions with varied placental site attachment.

A woman who underwent operative birth or rapid birth could develop lacerations that would cause bleeding.

Conditions that could have caused cervical or uterine lacerations.

Multiple gestations, hydramnios, a large baby, and the presence of uterine myomas predispose to postpartum hemorrhage.

Conditions that distend the uterus beyond average capacity.These are the risk factors that you should watch out for in a postpartum woman.

If the uterus has retained placental fragments, it can also cause massive bleeding postpartum.Lacerations also cause bleeding after delivery.In uterine atony, the uterus stops contracting, which leads to bleeding because the placental sites have closed.There are different main causes of postpartum hemorrhage, and they cause bleeding in different ways.Postpartum hemorrhage occurs when a woman loses more than 500 mL of blood in a normal delivery and more than 1000mL of blood in a cesarean delivery within 24 hours.

Nursing intervention for retained placental fragments