Postpartum hemorrhage is defined as any blood loss from the uterus of more than 500ml during or after delivery. It may occur either early (within the first 24 hours after delivery), or late (anytime after the 24 hours during the remaining days of the six-week puerperium).
Nursing Care Plans
The primary role of the nurses is to assess and intervene early or during a hemorrhage to help the patient regain her strength and to prevent complications. Data such as the amount of bleeding, the condition of the uterus, checking of the maternal vital signs and observing for signs of shock would play a vital role in the care of the patient with hemorrhage.
- Deficient Fluid Volume (isotonic)
- Risk for Excess Fluid Volume
- Risk For Infection
- Risk For Pain
- Risk for Altered Parent-Infant Attachment
- Deficient Knowledge
Risk For Pain
- Risk For Pain
- Tissue damage.
Possibly evidenced by
- [Not applicable]
- Patient will identify appropriate methods to provide relief from pain.
- Patient will demonstrate use of relaxation skills and diversional activities as indicated.
- Patient will verbalize relief from pain and discomfort.
|Assess psychological causes of pain and discomfort.||Emergency situations may precipitate fear, anxiety which can raise perception of pain and discomfort.|
|Perform pain assessment by identifying the type, location, characteristic, severity, and duration of the pain. Use a pain scale of 0-10;||This will help in differential diagnosis and in determining the applicable treatment method.|
|Encourage the use of relaxation techniques (e.g., deep breathing exercise) and diversional activities (e.g., watching TV).||To assist the client in exploring methods for the control of pain.|
|Provide comfort measures such as application of ice pack into the perineum, use of sitz bath or heat lamp to episiotomy extension.||Ice compress decreases edema and minimizes hematoma and pain sensation while heat promotes vasodilation which facilitates resorption of hematoma.|
|Administer pain medication (analgesic, narcotic or sedative) as prescribed.||Decreases pain and anxiety; Helps promote relaxation.|
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Maternal and Newborn Care Plans
Nursing care plans related to the care of the pregnant mother and her infant. See care plans for maternity and obstetric nursing:
- Abruptio Placenta| 3 Care Plan
- Cesarean Birth | 10 Care Plans
- Cleft Palate and Cleft Lip | 6 Care Plans
- Dysfunctional Labor (Dystocia) | 4 Care Plans
- Elective Termination | 6 Care Plans
- Gestational Diabetes Mellitus | 4 Care Plans
- Hyperbilirubinemia | 4 Care Plans
- Labor Stages, Induced and Augmented Labor | 36 Care Plans
- Neonatal Sepsis | 5 Care Plans
- Perinatal Loss | 5 Care Plans
- Placenta Previa | 3 Care Plans
- Postpartum Hemorrhage | 8 Care Plans
- Postpartum Thrombophlebitis | 4 Care Plans
- Prenatal Hemorrhage | 7 Care Plans
- Prenatal Substance Dependence/Abuse | 6 Care Plans
- Precipitous Labor | 3 Care Plans
- Pregnancy Induced Hypertension | 6 Care Plans
- Premature Dilation of the Cervix | 3 Care Plans
- Prenatal Infection | 3 Care Plans
- Preterm Labor | 6 Care Plans
- Puerperal Infection | 4 Care Plans