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 about 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 adult infant, intrapartum factors such as prolonged tire, or hydramnios. Clinical signs atomic number 18 a soft boggy uterus, uterine fundus difficult to locate, uppity lochia on pad subsequently 15 minutes (especially bright red), and excessive clots expelled. Nurse should massage fundus, service mother to urinate if vesica right, call for charge wet-nurse 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 some 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. collectible to use of assistive devices or the fetal head descends rapidly. exhaust 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 accustomed to the myometrium and clots form around the bear placenta fragments. Caus ed by prematurely separating placenta from u! terine 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 fall upon 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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