CASE SCENARIO

POSTPARTUM HEMORRHAGE
SLIDESMANIA
 Patient S.J was admitted to the hospital last July 17, 2022 at
around 4:50 in the morning because of labor pains. According to
the patient, few hours prior to admission, she was asleep and
suddenly felt
some abdominal cramping, since the pain is not that really
intense, she ignored it and
went back to sleep. At around 3 am she was awakened by an
intense abdominal pain which was
accompanied by flank pain and some vaginal discharge. She told
this to her husband and then she was rushed to the hospital.
SLIDESMANIA
 The vital signs upon admission of Patient SJ were the
following;
BP- 100/70, PR-90, RR- 20, TEMP-36.8deg.cel. She was
assessed by the resident on duty and found out she is already in
labor. Internal examination was made and the results were: 6cm,
50% effaced. (+) BOW, FHT-140 beats/minute. Her attending
physician was then notified and ordered the following; Place on
NPO, IVF: D5LRS 1L + 1 ampule syntocinon, 1 ampule
buscopan IV, Monitor FHT and progress of labor.
SLIDESMANIA
 In the course of labor induction, the cervix was not able to dilate in
spite of uterine contraction, so her doctors ordered for her to give
birth via cesarean section. She was transferred to the operating
room from the delivery room. After the delivery of the
baby and placenta, the uterus was noticed to be relaxed and the
bleeding did not stop. In
spite of the intervention mades, which included bimanual uterine
massage, injection of methergine to the uterine muscle, and uterine
artery ligation, nothing happened. The bleeding was not controlled.
So, Patient SJ had to undergo hysterectomy.
SLIDESMANIA
 Upon interview, one day post operatively, Patient
SJ slightly looked pale, seemed tired, with labored
breathing, was complaining of intense pain, she
was also quite irritable but was cooperative all
throughout . Her Vital signs upon assessment were
as follows: BP- 100/70 mmHG, PR-105, RR-20,
Temp- 37 C.
SLIDESMANIA