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
Maternal Nursing
Concepts Covered:
- Prenatal Concepts
- Fetal Development
- Pregnancy Risks
- Postpartum Complications
- Labor and Delivery
- Labor Complications
- Postpartum Care
- Newborn Care
- Newborn Complications
Study Plan Lessons
Menstrual Cycle
Family Planning & Contraception
Fundal Height Assessment for Nurses
Maternal Risk Factors
Fetal Environment
Fetal Circulation
Physiological Changes
Discomforts of Pregnancy
Abortion in Nursing: Spontaneous, Induced, and Missed
Nutrition in Pregnancy
Antepartum Testing
Anemia in Pregnancy
Chorioamnionitis
Gestational Diabetes (GDM)
Disseminated Intravascular Coagulation (DIC)
Ectopic Pregnancy
Hydatidiform Mole (Molar pregnancy)
Gestational HTN (Hypertension)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Infections in Pregnancy
Fetal Development
Leopold Maneuvers
Process of Labor
Mechanisms of Labor
Fetal Heart Monitoring (FHM)
HELLP Syndrome
Incompetent Cervix
Prolapsed Umbilical Cord
Placenta Previa
Abruptio Placentae (Placental abruption)
Preterm Labor
Precipitous Labor
Dystocia
Breastfeeding
Initial Care of the Newborn (APGAR)
Newborn Physical Exam
Cardiac (Heart) Disease in Pregnancy
Signs of Pregnancy (Presumptive, Probable, Positive)
Hyperemesis Gravidarum
Newborn Reflexes
Postpartum Physiological Maternal Changes
Postpartum Discomforts
Body System Assessments
Meconium Aspiration
Transient Tachypnea of Newborn
Hyperbilirubinemia (Jaundice)
Newborn of HIV+ Mother
Mastitis
Postpartum Hematoma
Postpartum Thrombophlebitis
Addicted Newborn