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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Anxiety

  • Anxiety

May be related to

  • Situational/maturational crisis.
  • Interpersonal transmission.
  • Threat of change in the health status.
  • Physiological factors (release of catecholamines, drug therapy).
  • Unmet needs.

Possibly evidenced by

  • Increased apprehension, uncertainty, feelings of helplessness.
  • Expressed concerns due to the changes in the life events.
  • Sympathetic stimulation.
  • Restlessness and distressed.
  • Preoccupation; impaired attention.

Desired Outcomes

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  • Patient will verbalizes awareness of feelings of anxiety.
  • Patient will identify health ways to deal with and express anxiety.
  • Patient will appear relaxed, and can able to sleep appropriately.
  • Patient will report decreased anxiety episodes.
Nursing Interventions Rationale
Encourage the client and or the family to identify feelings of anxiety. Verbalization of anxiety provides an opportunity to clarify information, correct misconceptions and gain perspective, facilitating the problem-solving process.
Stay with the client by providing a calm, empathic and supportive attitude. To help in maintaining emotional control in response to the changing physiological status. Helps in lessening interpersonal transmission of feelings.
Provide information about the treatment regimen and effectiveness of the interventions. Giving accurate information can lessen the anxiety and to identify what is reality based.
Assist in developing skills (e.g.,awareness of negative thoughts, saying “Stop” and replacing it with a positive thought). To eliminate negative thoughts and to promote wellness.
Evaluate physiological response to postpartum hemorrhage (e.g. restlessness, irritability, tachypnea, tachycardia, hypotension) Changes in the vital signs may be due to physiologic responses, but they can be aggravated by psychological factors.
Evaluate the psychological response of the client to the postpartum hemorrhage and perception of the events happening. This can help in determining the plan of care. Client’s view of the event may be twisted, aggravating her levels of anxiety.
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See Also

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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:

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