What are the nursing measures for postpartum hemorrhage?

Postpartum hemorrhage is a very serious problem, which will cause women to bleed profusely, so first aid methods must be taken in time. Bleeding can be stopped quickly by massaging the uterus, and uterine contraction injections can also be given. In short, correct treatment must be received at this time. It is very important to stop bleeding in time, otherwise it may endanger life safety. On this basis, the following care measures must also be taken.

Nursing for postpartum hemorrhage:

urgent Care

(1) Instruct the mother to rest in bed and closely monitor her vital signs and mental status. Observe the color of the skin, mucous membranes, lips, nails, the temperature and humidity of the limbs, and the urine volume to detect early signs of shock. Pay close attention to uterine involution.

(2) Quickly establish a good intravenous access, make preparations before blood transfusion, speed up the infusion rate, and follow the doctor's instructions to infuse and transfuse blood to maintain adequate circulating blood volume.

(3) Accurately collect and measure the amount of bleeding, color, odor, and the presence of blood clots. When postpartum hemorrhage occurs, accurately collecting and measuring the amount of bleeding is of great significance for actively correcting shock, reducing complications of postpartum hemorrhage, and lowering mortality.

(4) Use hemostatic drugs or uterotonic agents as prescribed by the doctor.

(5) Closely cooperate with doctors to actively find the cause of bleeding and carry out rescue work every minute.

Psychological care

(1) Listen patiently to the patient's narration and provide psychological support.

(2) Appropriately inform the mother of the relevant condition to increase her understanding of the condition and enhance her sense of security.

(3) Teach mothers some relaxation therapies: participate in caring for the baby, communicate with the baby, listen to music, etc., to distract their attention.

(4) During the diagnosis, treatment and nursing process, medical staff win the trust of mothers and their families with their superb professional skills, strong sense of responsibility and compassion, and good service attitude, and enhance their confidence in overcoming the disease.

Nursing to prevent infection

(1) Keep the environment clean, ventilate the room for 30 minutes twice a day, and disinfect regularly.

(2) Keep the bed sheets clean, flat and dry, and change the sanitary pads frequently to reduce the breeding ground for bacteria.

(3) Keep the perineum clean by wiping it with 1‰ Sanisol twice a day.

(4) Take antibiotics as directed by your doctor.

General care

(1) Ensure that the mother gets enough sleep, strengthens nutrition, provides a high-calorie diet, eats more iron-rich foods, and eats small meals frequently.

(2) After the condition stabilizes, the patient is encouraged to get out of bed and move around, and the amount of activity should be gradually increased.

(3) Early guidance and assistance to mothers in breastfeeding can stimulate uterine contractions and facilitate the discharge of lochia.