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
OB Unit 3
Concepts Covered:
- Perioperative Nursing Roles
- Neonatal
- Prenatal Concepts
- Labor and Delivery
- Labor Complications
- Postpartum Care
- Respiratory Disorders
- Postpartum Complications
- Newborn Complications
- Newborn Care
- Musculoskeletal Disorders
Study Plan Lessons
Perioperative Nursing Roles
Neonatal Resuscitation Program (NRP)
Gravidity and Parity (G&Ps, GTPAL)
Certified Nurse Midwife
Process of Labor
Mechanisms of Labor
Fetal Heart Monitoring (FHM)
Prolapsed Umbilical Cord
Prolapsed Umbilical Cord
Placenta Previa
Abruptio Placentae (Placental abruption)
Precipitous Labor
Dystocia
Postpartum Physiological Maternal Changes
Postpartum Physiological Maternal Changes
Postpartum Interventions
Postpartum Discomforts
Breastfeeding
Sudden Infant Death Syndrome (SIDS)
Postpartum Hematoma
Subinvolution
Postpartum Thrombophlebitis
Hyperbilirubinemia (Jaundice)
Erythroblastosis Fetalis
Phytonadione (Vitamin K)
Clubfoot
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Premature Rupture of the Membranes (PROM)
Preterm Labor