Medical Interventions

Compliance to these medical interventions is critical for the survival of the patient. These would be ordered to ensure the safety of the
patient and restore her well-being.

 Administration of Pitocin. If the uterus is unable to contract, the physician might prescribe Pitocin to maintain the tone of the
uterus.
 Administration of Carboprost tromethamine. This is a prostaglandin derivative that could help in promoting sustained
uterine contractions.
 Blood transfusion. Cross matching and blood typing is necessary to replace the blood loss.
 Administration of oxygen. If the woman is experiencing respiratory distress, administration of oxygen at 4L/min via face
mask could be prescribed by the physician.
 Surgical Management

Surgical management is essential to remove the cause of bleeding and avoid further depletion of the body’s fluid stores.

 Hysterectomy. In a worst case scenario, the uterus needs to be surgically removed to save the life of the mother.
 Suturing. This is necessary for extreme uterine atony to stop the bleeding.
 Nursing Management

Nurses also need to intervene early or during the course of a hemorrhage to help the patient regain her strength and vitality. The data
that the nurse would give would be essential in the care of the patient with hemorrhage.

Nursing Assessment

Assess the amount of bleeding.

Assess maternal vital signs to establish baseline data.

Assess for signs of shock.

Assess the condition of the uterus.

Nursing Diagnosis

Deficient fluid volume related to excessive bleeding after birth.

Nursing Interventions

Save all perineal pads used during bleeding and weigh them to determine the amount of blood loss.

Place the woman in a side lying position to make sure that no blood is pooling underneath her.

Assess lochia frequently to determine if the amount discharged is still within the normal limits.

Assess vital signs, especially the blood pressure

Evaluation

Maternal blood pressure is higher than 100/60 mmHg.

Pulse rate is within the normal range of 60-100 beats per minute.

Flow of lochia is less than a saturated pad per hour.

Now that the new member of the family has arrived, the lives of those around him are certain to change. The best events are
yet to come, but the safety and health of both the mother and the baby should still be monitored. Education from the health care
providers is most important so their lives would go on sailing smoothly and happy memories would be made together.