8 Postpartum Hemorrhage Nursing Care Plans

By
Paul Martin, BSN, R.N.
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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

5. Risk for Altered Parent-Infant Attachment

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Risk for Altered Parent-Infant Attachment

  • Risk for Altered Parent-Infant Attachment

May be related to

  • Anxiety associated with the parent role.
  • Inability of parents to meet personal needs.
  • Interruption in the bonding process.
  • Physical barriers.
  • Perceived threat to own survival.

Possibly evidenced by

  • [not applicable]

Desired Outcomes

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  • Parent will express comfort with the parenting role.
  • Parent will assume responsibility for the physical and emotional well-being of the infant.
  • Parent will demonstrate appropriate behaviors associated with positive attachment to the infant.
  • Parent will engage in mutually satisfying interaction with the child.
Nursing Interventions Rationale
Discuss client’s view of infant care responsibilities and parenting role. To provide information about how a client perceive these role changes that will help in identifying areas of learning need.
Explain the factors that lead to the separation of mother and infant brought about by the postpartum hemorrhage. To minimize anxiety and feelings of helplessness related to the mother’s inability to assume the role expected to her.
Provide information regarding the use of community resources and with follow-up health care referrals such as well-baby clinics, parenting classes. To reduce anxiety and reinforce positive information previously given by the health team. Promotes self-sufficiency and personal growth.
Encourage contact with infant (e.g.,photos, information from the other people who have seen the infant) until the client can see and start to care for the infant. To reassure the mother of the health status of the infant and of the proper care being given to the infant.
Evaluate the attachment process, bonding behaviors, and parenting capability once client assumes care of her infant. To provide information on the physical, psychological and physiological capabilities of the parent.
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5. Risk for Altered Parent-Infant Attachment

See Also

You may also like the following posts and care plans:

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:

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