The Postpartum Haemorrhage Causes and Nursing Management

The Postpartum Haemorrhage Causes & Nursing Management
Postpartum Haemorrhage Causes and Nursing Management : Primary postpartum
haemorrhage is defined as a loss of more than 500 ml of blood within 24 hours after
vaginal delivery or more than 1000 ml of blood after a caesarean section.Postpartum
haemorrhage can be atonic, traumatic or due to coagulation failure (tone, tissue,
trauma, thrombin).


Postpartum Haemorrhage Causes


Atonic Postpartum Haemorrhage

1. Placental abruption (uterine atony and coagulation failure.
2. Placenta previa
3. Grand multiparity (uterine atony due to the presence of more fibrous tissue)
4. Deep general anaesthesia (uterine atony due to halothane.
5. Submucous fibroids
6. Uterine abnormalities
7. Anaemia
8. Retained placenta or placental parts (tissue)
9. Multiple pregnancy (uterine atony due to over distension and a large placental
site)
10. Polyhydramnios (uterine atony due to over distension)
11. Prolonged labour (uterine atony)


Traumatic Postpartum Haemorrhage

1. Caesarean section
2. Episiotomy
3. Uterine rupture
4. Normal labour / precipitate labour
5. Instrumental delivery
6. Uterine inversion




Copies are from my handwritten notes and encoded for clarity of reading