High school
Essay
Health Sciences & Medicine
Pages 4 (1004 words)
Download 0
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…

Introduction

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. ...
Download paper
Not exactly what you need?

Related papers

Urinary incontinence. Effect of midwifery care for the bladder in labour.
On the other hand, postpartum UI is attributed to the changes in the pelvic floor anatomy after childbirth. This condition is believed to be persistent among women (O’Connell, Hannah, Bailey et al., 2002). In effect, there are sufficient studies supporting the claim that there is prevalence of UI among pregnant women and women, in general (O’Connell, et al., 2002; Peake & Menderson, 2003;…
The Use of Tranxamic Acid for Haemorrhage Vontrol in a pre-hospital environment
Dawkins and Deakin (2004 P.93) note that Kallikrein catalyzes activation rate of factor XII, which in turn activates factor XI, then factor IX. They also reveal that factor X speeds up the activation of prothrombin (Factor II) to thrombin. The thrombin form plays two major roles: it breaks the arginine-glycine bonds found in fibrinogen (factor I) to form fragment that polymerizes to form fibrin.…
How can Maternal Mortality from Postpartum Haemorrhage in the Developing World be most effectively reduced?
Decreasing the rates of maternal mortality has been set as one of the priorities of the United National Millennium Development Goals (MDGs). For MDG5, goals relating to the decrease of maternal mortality by three quarters from 1990 to 2015 have been set, and since 1990, rates of maternal deaths have been decreased by 47%. Women in developing countries also have a higher rate of pregnancy as…
Post Partum Depression
nnmark & Van Straten, 2008, p.104). This shows that PPD is not a short term psychological problem limited to the period around child birth, but is a long term problem that can cause severe harm to the psychological, emotional and social aspect of mother and infant. Hence, it is necessary to understand how it can be treated so that it does not affect the mother and her child negatively. This paper…
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:…
Breastfeeding
With the proper and important nutrients that a baby gets from breastfeeding, breastfed babies are also less prone to become overweight not only during infancy but also as they grow old as teenagers and adults (Benefits of Breastfeeding n.d.). Nutrients that balance hormonal secretions and other bodily functions lessen the proneness of infants to diabetes, heart diseases, eczema, asthma and other…
Post-cardiac Surgery Physiotherapy Management
The complications may range from sub-clinical functional changes to full-blown ARDS (acute respiratory distress syndrome) with the latter occurring in less than 2% of the cases post CPB (Ng et al. 2002). ARDS leads to prolonged hospital stays and recoveries, and in more than half the cases, death.…