Postpartum Hematoma
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Included In This Lesson
Study Tools For Postpartum Hematoma
Episiotomy – Evaluation of Healing (Mnemonic)
Vacuum Assisted Delivery (Image)
Forceps Assisted Delivery (Image)
Episiotomy (Image)
Outline
Overview
- Localized collection of blood in loose connective tissue beneath the skin of the vagina or c-section incision
Nursing Points
General
- Occurs from trauma
- Most often in assisted deliveries (vacuum, forceps)
Assessment
- Pain, pressure
- Cannot void due to hematoma obstructing flow
- Apparent bulging area, skin discolored
- Decreasing H/H due to bleeding
- Signs and symptoms of hypovolemic shock
- Hypotension
- Tachycardia
- Febrile
- Pallor
Therapeutic Management
- Prepare to administer IVF, pain meds, blood products
- Monitor I&O, vitals
- May need to insert foley if urinary obstruction has occurred
- Medical management:
- Watch and let reabsorb
- Surgically drain
Nursing Concepts
- Perfusion
- Clotting
- Skin Integrity
Patient Education
- Perineal care after episiotomy
- Cold packs to reduce hematoma and swelling
- Report pain that doesn’t go away with meds
ADPIE Related Lessons
Related Nursing Process (ADPIE) Lessons for Postpartum Hematoma
Term 3 Maternity – Dr Bel
Concepts Covered:
- Prenatal Concepts
- Postpartum Care
- Postpartum Complications
- Labor Complications
- Newborn Care
- Labor and Delivery
- Medication Administration
- Respiratory Disorders
- Newborn Complications
Study Plan Lessons
Fundal Height Assessment for Nurses
Mastitis
Subinvolution
Uterine Stimulants (Oxytocin, Pitocin)
Phytonadione (Vitamin K)
Postpartum Hematoma
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Leopold Maneuvers
Lung Surfactant
Fetal Heart Monitoring (FHM)
Gestation & Nägele’s Rule: Estimating Due Dates
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Methylergonovine (Methergine) Nursing Considerations
Sudden Infant Death Syndrome (SIDS)
Meds for Postpartum Hemorrhage (PPH)
Disseminated Intravascular Coagulation (DIC)
Postpartum Hemorrhage (PPH)
Hyperbilirubinemia (Jaundice)
Eye Prophylaxis for Newborn (Erythromycin)
Process of Labor 2 – Live Tutoring Archive
Terbutaline (Brethine) Nursing Considerations
Dystocia
Hemoglobin (Hbg) Lab Values