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

  1. Localized collection of blood in loose connective tissue beneath the skin of the vagina or c-section incision

Nursing Points

General

  1. Occurs from trauma
  2. Most often in assisted deliveries (vacuum, forceps)

Assessment

  1. Pain, pressure
  2. Cannot void due to hematoma obstructing flow
  3. Apparent bulging area, skin discolored
  4. Decreasing H/H due to bleeding
  5. Signs and symptoms of hypovolemic shock
    1. Hypotension
    2. Tachycardia
    3. Febrile
    4. Pallor

Therapeutic Management

  1. Prepare to administer IVF, pain meds,  blood products
  2. Monitor I&O, vitals
  3. May need to insert foley if urinary obstruction has occurred
  4. Medical management:
    1. Watch and let reabsorb
    2. Surgically drain

Nursing Concepts

  1. Perfusion
  2. Clotting
  3. Skin Integrity

Patient Education

  1. Perineal care after episiotomy
  2. Cold packs to reduce hematoma and swelling
  3. Report pain that doesn’t go away with meds

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labor nurse

Concepts Covered:

  • Postpartum Complications
  • Pregnancy Risks
  • Labor Complications
  • Prenatal Concepts
  • Medication Administration
  • Hematologic Disorders
  • Lower GI Disorders
  • Shock
  • Disorders of the Thyroid & Parathyroid Glands
  • Postpartum Care
  • Newborn Care
  • Labor and Delivery
  • Communication
  • Studying

Study Plan Lessons

Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Anemia in Pregnancy
Abruptio Placentae (Placental abruption)
Disseminated Intravascular Coagulation (DIC)
Fundal Height Assessment for Nurses
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maternal Risk Factors
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Process of Labor
Nursing Case Study for Maternal Newborn
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oxytocin (Pitocin) Nursing Considerations
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Subinvolution
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
Mechanisms of Labor