What are the nursing measures for postpartum vaginal bleeding?

Giving birth is a very important thing for women. Many women have a smooth delivery process, but they will experience postpartum vaginal bleeding. Although the child is healthy, this abnormal condition of the pregnant woman still makes the family members worried and they are more concerned about the nursing measures. So, what are the care measures for postpartum vaginal bleeding? Let’s take a closer look below.

Postpartum hemorrhage includes three periods: from fetal delivery to placental delivery, from placental delivery to 2 hours after delivery, and from 2 hours to 24 hours after delivery. It mostly occurs in the first two periods. Postpartum hemorrhage is one of the important causes of maternal mortality and ranks first in my country. Once a parturient has postpartum hemorrhage, the prognosis is serious. If the shock is severe and lasts for a long time, even if she is rescued, she may still develop serious sequelae of secondary anterior pituitary dysfunction (Sheehan syndrome), so special attention should be paid to prevention and treatment.

(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.

The above is an introduction to the nursing measures for postpartum vaginal bleeding. I hope it will be helpful to everyone’s understanding. After a woman gives birth, if she experiences heavy bleeding, she should pay enough attention and take effective measures to care for her in time to avoid infection and threat to her life.