Question

5. Postpartum Hemorrhage Complete the chart below in comparing 2 causes of postpartum hemorrhage. Cause of PPH Uterine atony Description Lack of muscle tone in the uterine muscle preventing the ability to contract and occlude blood vessels at placenta site. Cause by over distension of the uterus or over use of oxytocin. Assessment Data Boggy uterus Heavy bleeding Hypotension Tachycardia Pallor Cool Clammy Treatment Fundal massage Oxytocin Methergine Hemabaite Mistoprostol

Answer 1

5.Postpartum Hemorrhage

Causes of PPH	Description	Assessment Data	Treatment
Injury	The trauma occurs to the uterus, birthcanal or cervix during the process of labour manually by use of equipments or the position of the fetus firing delivery via the birth canal	Active bleeding Severe pain Hypotension due to blood loss because of injury Breathing difficulties in case of pulmonary embolism caused by a clot Inflammation	Application of direct pressure to stop bleeding Placement 9f Blachmore balloon in the uterus Monitor the level of hematocrit and hemoglobin Blood transfusion if there is a severe loss Antibiotics to prevent infection
Retained placenta	The placenta remains in the uterus partially after delivery of the baby	Continious pain Poor or no contractions Bleeding Foul smelling discharge Elevated body temperature	Oxytocin to induce contractions Controlled cord traction can fine to remove te product Manual evacuation is done at the last Suctioning by a surgeon in the operation theater