8 Postpartum Hemorrhage Nursing Care Plans

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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.

Here are eight (8) nursing care plans and nursing diagnosis for postpartum hemorrhage:

  1. Deficient Fluid Volume (isotonic)
  2. Risk for Excess Fluid Volume
  3. Risk For Infection
  4. Risk For Pain
  5. Risk for Altered Parent-Infant Attachment
  6. Anxiety
  7. Deficient Knowledge
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Risk For Pain

  • Risk For Pain

Risk factors

  • Tissue damage.

Possibly evidenced by

  • [Not applicable]

Desired Outcomes

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  • 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.
Nursing Interventions Rationale
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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See Also

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Maternal and Newborn Care Plans

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