Bleeding Disorders

1. Name and discuss the various bleeding put outs of the postpartum mother. a. uterine atony lack of muscle tone in the womb resulting in failure to contract firmly well-nigh stock vessels when the placenta separates. Rapid bleeding falls from the endometrial arteries at the placental site. This disorder may be due to factors much(prenominal) as overdistention of the womb caused by multiple gestations, multiparity, birth of a macro infant, intrapartum factors such as prolonged push, or hydramnios. Clinical signs nuclear number 18 a soft boggy uterus, uterine fundus difficult to locate, uppity lochia on pad afterwards 15 minutes (especially bright red), and excessive clots expelled. Nurse should massage fundus, assistance mother to urinate if vesica effective, call for charge hold and doctor. A rapid IV infusion of diluted oxytocin is the drug of choice. b. Traumas such as vaginal, cervical or perineal lacerations and hematomas. The most common are the perineum, vagina and cervix and the area nearly the urethral meatus. Cervical lacerations legislate during first stage of labor when the cervix dilates rapidly. While vagina, perineum, and periurethral lacerations occur during the second stage of labor. due(p) to use of assistive devices or the fetal head descends rapidly. expel may be forbidding or dribbles of continuous blood. functional repair required.

c. Subinvolution is when the uterus does not return to its prepregnant size. Fragments of placenta remain addicted to the myometrium and clots form around the bear placenta fragments. Caused b y prematurely separating placenta from uteri! ne wall, manual removal, or placenta adhering to the uterine wall. Occurs 24 hours to 6 weeks after delivery. Mother is instructed to seek fast medical care if she experiences fever, pelvic pain or dogged lochia rubra. Treatment includes ultrasound to make out fragments, Pitocin, or D& adenosine monophosphate;C. d. * Placenta previa (discussed below) e. * Abruptio placentae (discussed below) 2....If you want to get a full essay, order it on our website: OrderCustomPaper.com

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