Bleeding Disorders

1. Name and discuss the various bleeding put outs of the postnatal mother. a. uterine atony lack of muscle tone in the womb resulting in failure to contract firmly slightly 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 walloping infant, intrapartum factors such as prolonged elbow grease, or hydramnios. Clinical signs nuclear number 18 a soft boggy uterus, uterine fundus difficult to locate, uppity lochia on pad aft(prenominal) 15 minutes (especially bright red), and excessive clots expelled. Nurse should massage fundus, abet mother to urinate if vesica luxuriant, call for charge lactate 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 mo st common are the perineum, vagina and cervix and the area just about 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. repayable to use of assistive devices or the fetal head descends rapidly. expel may be forbidding or dribbles of continuous blood. running(a) repair required.

c. Subinvolution is when the uterus does not return to its prepregnant size. Fragments of placenta remain inclined to the myometrium and clots form around the bear placent a fragments. Caused by prematurely separatin! g placenta from uterine 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 order 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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