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
3500: Exam 3
Concepts Covered:
- Postpartum Complications
- Medication Administration
- Postpartum Care
- Studying
- Labor Complications
- Prenatal Concepts
- Pregnancy Risks
Study Plan Lessons
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
Postpartum Hematoma
Postpartum Thrombophlebitis
Nursing Care Plan (NCP) for Mastitis
Postpartum Physiological Maternal Changes
Postpartum Interventions
Postpartum Discomforts
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Oxytocin (Pitocin) Nursing Considerations
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
Subinvolution
Obstetrical Procedures
Maternal Risk Factors
Fundal Height Assessment for Nurses
Disseminated Intravascular Coagulation (DIC)
Abruptio Placentae (Placental abruption)
Anemia in Pregnancy
Mastitis
Breastfeeding
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Family Planning & Contraception
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care