Postpartum Hematoma
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Study Tools For Postpartum Hematoma
Episiotomy – Evaluation of Healing (Mnemonic)
Vacuum Assisted Delivery (Image)
Forceps Assisted Delivery (Image)
Episiotomy (Image)
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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
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ADPIE Related Lessons
Related Nursing Process (ADPIE) Lessons for Postpartum Hematoma
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Knight NURS 2010
Concepts Covered:
- Prenatal Concepts
- Pregnancy Risks
- Postpartum Complications
- Fetal Development
- Labor and Delivery
- Labor Complications
- Postpartum Care
- Newborn Care
- Newborn Complications
- Integumentary Disorders
- Liver & Gallbladder Disorders
- Microbiology
Study Plan Lessons
OB Course Introduction
OB Course Introduction
OB Course Introduction
Gestation & Nägele’s Rule: Estimating Due Dates
Gestation & Nägele’s Rule: Estimating Due Dates
Gestation & Nägele’s Rule: Estimating Due Dates
Fundal Height Assessment for Nurses
Fundal Height Assessment for Nurses
Fundal Height Assessment for Nurses
Physiological Changes
Physiological Changes
Physiological Changes
Discomforts of Pregnancy
Discomforts of Pregnancy
Discomforts of Pregnancy
Nutrition in Pregnancy
Nutrition in Pregnancy
Nutrition in Pregnancy
Abortion in Nursing: Spontaneous, Induced, and Missed
Abortion in Nursing: Spontaneous, Induced, and Missed
Abortion in Nursing: Spontaneous, Induced, and Missed
Anemia in Pregnancy
Anemia in Pregnancy
Anemia in Pregnancy
Cardiac (Heart) Disease in Pregnancy
Cardiac (Heart) Disease in Pregnancy
Cardiac (Heart) Disease in Pregnancy
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hydatidiform Mole (Molar pregnancy)
Hydatidiform Mole (Molar pregnancy)
Hydatidiform Mole (Molar pregnancy)
Gestational HTN (Hypertension)
Gestational HTN (Hypertension)
Gestational HTN (Hypertension)
Infections in Pregnancy
Infections in Pregnancy
Infections in Pregnancy
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
HELLP Syndrome
HELLP Syndrome
HELLP Syndrome
Fertilization and Implantation
Fertilization and Implantation
Fertilization and Implantation
Fetal Development
Fetal Development
Fetal Development
Fetal Environment
Fetal Environment
Fetal Environment
Fetal Circulation
Fetal Circulation
Fetal Circulation
Process of Labor
Process of Labor
Process of Labor
Mechanisms of Labor
Mechanisms of Labor
Mechanisms of Labor
Leopold Maneuvers
Leopold Maneuvers
Leopold Maneuvers
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring (FHM)
Obstetrical Procedures
Obstetrical Procedures
Obstetrical Procedures
Prolapsed Umbilical Cord
Prolapsed Umbilical Cord
Prolapsed Umbilical Cord
Placenta Previa
Placenta Previa
Placenta Previa
Abruptio Placentae (Placental abruption)
Abruptio Placentae (Placental abruption)
Abruptio Placentae (Placental abruption)
Precipitous Labor
Precipitous Labor
Precipitous Labor
Dystocia
Dystocia
Dystocia
Postpartum Physiological Maternal Changes
Postpartum Physiological Maternal Changes
Postpartum Physiological Maternal Changes
Postpartum Interventions
Postpartum Interventions
Postpartum Interventions
Postpartum Discomforts
Postpartum Discomforts
Postpartum Discomforts
Breastfeeding
Breastfeeding
Breastfeeding
Postpartum Hematoma
Postpartum Hematoma
Postpartum Hematoma
Subinvolution
Subinvolution
Subinvolution
Postpartum Thrombophlebitis
Postpartum Thrombophlebitis
Postpartum Thrombophlebitis
Initial Care of the Newborn (APGAR)
Initial Care of the Newborn (APGAR)
Initial Care of the Newborn (APGAR)
Newborn Physical Exam
Newborn Physical Exam
Newborn Physical Exam
Body System Assessments
Body System Assessments
Body System Assessments
Newborn Reflexes
Newborn Reflexes
Newborn Reflexes
Babies by Term
Babies by Term
Babies by Term
Transient Tachypnea of Newborn
Transient Tachypnea of Newborn
Transient Tachypnea of Newborn
Retinopathy of Prematurity (ROP)
Retinopathy of Prematurity (ROP)
Retinopathy of Prematurity (ROP)
Erythroblastosis Fetalis
Erythroblastosis Fetalis
Erythroblastosis Fetalis
Addicted Newborn
Addicted Newborn
Addicted Newborn
Newborn of HIV+ Mother
Newborn of HIV+ Mother
Newborn of HIV+ Mother
Tocolytics
Tocolytics
Tocolytics
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate
Opioid Analgesics
Opioid Analgesics
Opioid Analgesics
Prostaglandins
Prostaglandins
Prostaglandins
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin)
Meds for PPH (postpartum hemorrhage)
Meds for PPH (postpartum hemorrhage)
Meds for PPH (postpartum hemorrhage)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin (Rhogam)
Lung Surfactant
Lung Surfactant
Lung Surfactant
Eye Prophylaxis for Newborn (Erythromycin)
Eye Prophylaxis for Newborn (Erythromycin)
Eye Prophylaxis for Newborn (Erythromycin)
Phytonadione (Vitamin K)
Phytonadione (Vitamin K)
Phytonadione (Vitamin K)
Hb (Hepatitis) Vaccine
Hb (Hepatitis) Vaccine
Hb (Hepatitis) Vaccine
Antepartum Testing
Antepartum Testing
Antepartum Testing
Chorioamnionitis
Chorioamnionitis
Chorioamnionitis
Disseminated Intravascular Coagulation (DIC)
Disseminated Intravascular Coagulation (DIC)
Disseminated Intravascular Coagulation (DIC)
Ectopic Pregnancy
Ectopic Pregnancy
Ectopic Pregnancy
Family Planning & Contraception
Family Planning & Contraception
Family Planning & Contraception
Fetal Alcohol Syndrome (FAS)
Fetal Alcohol Syndrome (FAS)
Fetal Alcohol Syndrome (FAS)
Gestational Diabetes (GDM)
Gestational Diabetes (GDM)
Gestational Diabetes (GDM)
Gravidity and Parity (G&Ps, GTPAL)
Gravidity and Parity (G&Ps, GTPAL)
Gravidity and Parity (G&Ps, GTPAL)
Hyperbilirubinemia (Jaundice)
Hyperbilirubinemia (Jaundice)
Hyperbilirubinemia (Jaundice)
Hyperemesis Gravidarum
Hyperemesis Gravidarum
Hyperemesis Gravidarum
Incompetent Cervix
Incompetent Cervix
Incompetent Cervix
Mastitis
Mastitis
Mastitis
Maternal Risk Factors
Maternal Risk Factors
Maternal Risk Factors
Meconium Aspiration
Meconium Aspiration
Meconium Aspiration
Menstrual Cycle
Menstrual Cycle
Menstrual Cycle
Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Premature Rupture of the Membranes (PROM)
Premature Rupture of the Membranes (PROM)
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor
Preterm Labor
Signs of Pregnancy (Presumptive, Probable, Positive)
Signs of Pregnancy (Presumptive, Probable, Positive)
Signs of Pregnancy (Presumptive, Probable, Positive)