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
Maternity
Concepts Covered:
- Pregnancy Risks
- Newborn Complications
- Newborn Care
- Male Reproductive Disorders
- Labor Complications
- Prenatal Concepts
- Labor and Delivery
- Postpartum Care
- Communication
- Medication Administration
- Postpartum Complications
- Terminology
Study Plan Lessons
Preeclampsia (45 min)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Magnesium Sulfate
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Gestational HTN (Hypertension)
Newborn Physical Exam
Newborn Reflexes
Nursing Care and Pathophysiology for Male Infertility
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
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
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Postpartum Interventions
Postpartum Hematoma
Postpartum Discomforts
Pregnancy Labs
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Reproductive Terminology