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:
- Deficient Fluid Volume (isotonic)
- Risk for Excess Fluid Volume
- Risk For Infection
- Risk For Pain
- Risk for Altered Parent-Infant Attachment
- Anxiety
- Deficient Knowledge
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
- 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. |
See Also
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
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