StudentShare solutions
Triangle menu

Management of Post-Partum Haemorrhage - Essay Example

Not dowloaded yet

Extract of sample
Management of Post-Partum Haemorrhage

Statistically, haemorrhage of more than 500ml is defined as Postpartum Haemorrhage." Post partum haemorrhage can be clinically classified into following three types:
According to Jones the placental remains in the uterus and poor retraction of muscle may lead to inefficient constriction of vessels resulting into bleeding. An important point to remember is that an "empty contracted uninjured uterus does not bleed."(1990)
First step would be calling a doctor immediately or summon the emergency obstetric unit on observation of postpartum haemorrhage. Under no circumstances should a collapsed patient be moved without resuscitation.
A skilled midwife is expected to feel the fundus with finger tips which if found to be soft and relaxed is massaged with a smooth, circular motion applying no undue pressure resulting into contraction. Once the contraction occurs the hand is held still. To sustain the contraction an oxytocic agent such as Syntometrine 1 ml is administered. Intravenously 0.25 to 0.5 mg Ergometrine is also injected as an alternative which is effective in 45 seconds time. Utmost care should be exercised in limiting the dosage of Ergometrine to two, including any dosage of Syntometrine to avoid pulmonary hypertension. A very important point to be noted is that "Physiological secretion of oxytocin from the posterior lobe of the pituitary gland" may be enhanced by putting the baby to the breast of the patient. It is the duty of midwife to ensure that the uterus is emptied or the placenta has to be delivered. Then the clots if any may be expelled by applying firm and gentle pressure on the fundus.
In emergency cases the patient's legs should be lifted to allow the blood to drain from them into central circulation, but the foot of the bed should not be raised to avoid the pooling of blood into uterus, thus preventing its contraction.
If the bleeding stops with the above measures, 10 ml blood may be collected for haemoglobin estimation and for cross-matching compatible blood. Then 40units of Syntocinon in one litre of dextrose/saline may be infused over a period of 8-12 hours to ensure continued uterine contraction and minimise the risk of recurrence.
If the placenta remains undelivered manual removal of placenta may be performed with full ...Show more

Summary

The article Management of Post-Partum Haemorrhage starts off defining postpartum haemorrhage followed by a brief description of third stage haemorrhage, primary postpartum haemorrhage and secondary postpartum haemorrhage. The article describes the steps to be taken for management of postpartum haemorrhage…
Author : marlene56
Management of Post-Partum Haemorrhage essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the essay on your topic
"Management of Post-Partum Haemorrhage"
with a personal 20% discount.
Grab the best paper

Related Essays

Postpartum Haemorrhage, Hypovolaemic Shock, Post-Traumatic Stress Disorder
A pseudonym Mrs. H has been used to comply with Nursing and Midwifery Council (NMC), (2008) rules of confidentiality. It examines pathophysiology of postpartum haemorrhage; a major cause of maternal death in developing and developed countries (Lombard and Pattinson, 2009).
8 pages (2000 words) Essay
Post Partum Depression
A meta-analysis of 28 studies by Gavin et al. (2005) found that around 15% new mothers suffer from postpartum depression (PPD) (Letourneau et al., 2011, p.345). Researchers have revealed that problems like marital stress, divorce, child abuse and neglect, suicide and infanticide result from the PPD in women (Cuijper, Bra?
4 pages (1000 words) Essay
Delayed ischemia due to cerebral vaso spasm post operate subarachnoid haemorrhage clipping
Intracranial hemorrhage comprises 20% of all strokes that is because the extravasation of the blood in the subarachnoid space between the pile and arachnoid membrane. This hemorrhage has a detrimental effect on the brain function that’s results in high morbidity rate and mortality rate.
8 pages (2000 words) Essay
Breastfeeding
It also has colostrum, a nutrient that provides resistance to infants from different diseases and infections (Dermer & Montgomery 2003). Studies show that breastfed children have a higher IQ than children fed with infant formulas (Your Child will have a higher IQ 2005).
4 pages (1000 words) Essay
Post-cardiac Surgery Physiotherapy Management
Advanced age can complicate prolonged mechanical ventilation, thus complicating the pulmonary dysfunction post cardiac surgical treatment. Postoperative pulmonary dysfunction is a significant clinical complication in patients undergoing cardiopulmonary bypass (CPB).
8 pages (2000 words) Essay
Early Post Partum Haemorrhage
Several hours later, she was back on her room with her baby sleeping quietly. Upon checking on her, the nurse finds her quite pale. When she got her vital signs, her pulse was at 98 beats per minute and her blood pressure at 90/50. When her sheets were checked,
8 pages (2000 words) Essay
Prenatal and Post-Partum Scenario
While malnourishment in the mother can lead to malformation in children, obesity in the mothers can contribute to neonatal death, still birth and developmental defects in the central nervous system (Santrock, 2004). 2. The pregnant woman must avoid stress and stressful
2 pages (500 words) Essay
Post-operative pain management
The operation can be major or minor and it requires careful post operation care to relieve pain and extensive physical therapy to increase mobility of the knee and facilitate complete recovery and mobility of the patients. Most patients decide to undergo total knee
6 pages (1500 words) Essay
Postpartum Haemorrhage, Hypovolaemic Shock, Post-Traumatic Stress Disorder
This essay will also explore the effects of postpartum haemorrhage in relationship to the case study of Mrs. H, focusing on the physical range
8 pages (2000 words) Essay
How can maternal mortality from Post Partum Hoemorhage in the developing world be most effectively reduced
Women in developing countries also have a higher rate of pregnancy as compared to women in developed countries. As such, their risk of pregnancy-related death is higher.
29 pages (7250 words) Essay
Get a custom paper written
by a pro under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Rate this paper:
Thank you! Your comment has been sent and will be posted after moderation