NURS 3334 Lecture Notes - Lecture 7: Autoimmune Disease, Insomnia, Urinary Retention
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Complications overview: postpartum bleeding, uterine inversion, coagulopathies, svt dvt, pulmonary embolism, postpartum infections, postpartum psychiatric disorders. Postpartum hemorrhage: def, loss >500 ml blood post vaginal birth, loss > 1000 ml blood post c/s birth, and/or, 10% change in hct btw. Admission/postpartum: subjective observations, two types, early: within 24h. of birth, uterine atony, late (secondary): more than 24h. Less than 6 weeks postpartum: retained placenta segment. Clinical therapy: side effects = diarrhea, abdominal pain, headache. Misoprostol (cytotec) 800mcg 1000mcg rectally used to prevent uterine atony: uterine tamponade bakri balloon, uterine artery embolization, worst case: hysterectomy. Mediolateral is preferred over for median, may extend to the anal sphincter: this is one of those occurrences that is closely watched for quality intercourse. Non-adherent retained placenta: placenta only partially separates/ doesn"t deliver, 2. Management: manual separation/ removal required back to slide 8 illustration: attachment abnormal (no zone of separation between placenta and decidua)
