What is Post Partum
Causes Types of Post Partum
Hemorrhage ?
It is an excessive blood loss dur-
ing or after the third stage labor.
The most dangerous time at
which hemorrhage is likely oc-
cur during the first hour post par-
tum. Blood Loss more than 500
cc. Leading cause od maternal
mortality associated with
childbearing.
I am Dr. Mike. Here is the
Incidence and Cause of
Post Partum Hemorrhage.
Incidence
Vaginal delivery is associated with
3.9 % incidence of postpartum
hemorrhage.
Cesarean delivery is associated
with 6.4 % incidence of postpartum
hemorrhage.
GROUP 2
Hemorrhage
Early Post-partum Hemorrhage
The cause of postpartum hemorrhage can
Occurs during the first 24 hrs after delivery.
be remembered easily by using the mne-
monic 4T’s. Causes
1. Clotting Defect
2. Lacerations of birth canal
TONE refers to the failure of the urine my-
ometrial muscle fibers to contact and re- 3. Hypofibirinogemia
tract.
Late Postpartum Hemorrhage
Occurs from 24 hours after birthnto 4 weeks
TISSUE Presence of retained placental tis-
postpartum.
sues prevents full time contractions resulting
Causes
in failure to seal off bleeding vessels.
1. Infection
2. Subinvolution of the uterus
TRAUMA 20% of postpartum hemorrhage is
3. Retained Placental Fragments
due to trauma anywhere in the genital
tract.
Nursing Care Management
THROMBOSIS clot formation and fibrin dep- 1. Fundal massage
osition on the placental. Preexistent coagu- 2. Obtain vital signs frequently
lation disorder-thrombocytopenic purpura.
3. Supine position to allow adequate blood
flow to her brain and kidneys.
4. Offer a bedpan or assist with ambulating
to the bathroom, at least every 4 hours to
keep of the woman’s bladder empty.