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PostpartumHemorrhage
产后出血TheThirdAffiliatedHospitalofSunYat-senUniversityXuyaoLiPostpartumHemorrhage
产后出血The《ObstetricsandGynecologyNursing》ThefirstsectionoftheeleventhchapterMasterUnderstandKnow《ObstetricsandGynecologyNuWhat？——DefinitionWhy？——EtiologiesHow？——TreatmentPreventionLearning
Goals
What？——DefinitionLearning
GoaDefinitionBloodlossof500mlormorewithin24hoursafterdeliveryDefinitionBloodlossof500mlEtiologiesUterineatonyPlacentalfactorsSoftbirthcanallacerationCoagulationdisorders
EtiologiesUterineatonyPlacenuterineatonySystemicfactorsLocalfactors〔70%-80%〕
psychentoniaweaknesschronic
diseasemultifetationgiantbabyfibroiduterineatonySystemicfactorsLImplantationplacentalfactorsAdhesionIncompleteseparationResidual〔10%〕ImplantationplacentalfactorsACompletelystrippingExclude
blockedIncarcerationRetention
spasmofinternalcervicalosplacentalfactorsUnableto
excludefillingofbladder〔10%〕CompletelyExclude
IncarceratiPerineumVaginaCervicalsoftbirthcanallacerationPerineumVaginaCervicalsoftbirHemostasisIncreasedbloodvolumePreventionofinfectionPrescribedmedicationTreatmentHemostasisIncreasedbloodvoluTheweaknessofuterinecontraction
massagemethoduterinecontraction
drugsTostrengthenthecontractionotherballoon
tamponadeoppressed
arteryligationorembolizationofpelvicarteries.hysterectomySuture
ofsoftbirthcanalRemovetheresidual
ofplacentaandfetalmembraneAccordingtotheetiologyhemostasisTheweaknessofuterinecontraPrevention1.
Shouldpayattentionto
prenatalcare：Earlytreatmentrelateddiseases,timelyterminationofpregnancyMakecontraceptionwork,
reducethe
timesof
artificialabortionoperationForhighrisk
pregnantwomenwith
postpartumhemorrhage,
strengthen
inspectionandto
deliveryinhospitalPrevention1.Shouldpayattent2.CorrectlydealwiththelaborprocessFirststage：Payattentionto
restanddiet,
topreventfatigueandextendtheproductionprocess,
thereasonableapplicationof
oxytocin
andSedativesSecondstage：Payattentiontotheprotectionofperrineum,gentleoperation
specification,
using
therightabdominal
pressure
Prevention2.Correctlydealwiththelabprevention2.Correctlydealwiththelaborprocess
Thirdstage：(key)
correct
extractionoftheplacenta
andcarefullycheck;
ifbleeding,
should
findoutthecauseand
timely
treatment;
check
thesoftbirthcanalprevention2.Correctlydealwi3.
Strengthening
postpartum
observation
Carefullyobserve2H
Time
toemptythebladder
Theearlylactationprevention3.Strengthening
postpartum
obWhy？What？Nowdoyouhavetheanswer?How？SummaryWhy？What？NowdoyouhavetheQuestionsDefinition：Bloodlossoformorewithin24hoursafterdelivery2.Treatmentprincipleis：、increasedbloodvolume、preventionofinfection500mlhemostasisQuestionsDefinition：BloodlossNextclassNursingassessmentNursingdiagnosisMentalnursingHealtheducationPreviewClinicalmanifestationNextclassNursingassessmentNuThankyouThankyouMassagemethodMassageErgometrineOxytocinProstaglandinuterinecontraction
drugsErgometrineOxytocinProstagland产后出血英文课件LigationofinternaliliacarteriesLigationofuterinearteriesLigationofinternaliliacartClosedead
cavityOverthetopSuture
ofsoftbirthcanalpCloseOverthetopSuture
ofsofManualremovalof
placentaManualremovalof
placentaThe
I
degreeSkinandmucousmembraneinjuryTheIIdegreeMuscle
layerdamageTheIIIdegreeFracture
ofexternalanalsphincterTheⅣdegree
:Analrectum
vaginacompletely
throughPerineallacerationTheIdegreeTheIIdegreeTheIPostpartumHemorrhage
产后出血TheThirdAffiliatedHospitalofSunYat-senUniversityXuyaoLiPostpartumHemorrhage
产后出血The《ObstetricsandGynecologyNursing》ThefirstsectionoftheeleventhchapterMasterUnderstandKnow《ObstetricsandGynecologyNuWhat？——DefinitionWhy？——EtiologiesHow？——TreatmentPreventionLearning
Goals
What？——DefinitionLearning
GoaDefinitionBloodlossof500mlormorewithin24hoursafterdeliveryDefinitionBloodlossof500mlEtiologiesUterineatonyPlacentalfactorsSoftbirthcanallacerationCoagulationdisorders
EtiologiesUterineatonyPlacenuterineatonySystemicfactorsLocalfactors〔70%-80%〕
psychentoniaweaknesschronic
diseasemultifetationgiantbabyfibroiduterineatonySystemicfactorsLImplantationplacentalfactorsAdhesionIncompleteseparationResidual〔10%〕ImplantationplacentalfactorsACompletelystrippingExclude
blockedIncarcerationRetention
spasmofinternalcervicalosplacentalfactorsUnableto
excludefillingofbladder〔10%〕CompletelyExclude
IncarceratiPerineumVaginaCervicalsoftbirthcanallacerationPerineumVaginaCervicalsoftbirHemostasisIncreasedbloodvolumePreventionofinfectionPrescribedmedicationTreatmentHemostasisIncreasedbloodvoluTheweaknessofuterinecontraction
massagemethoduterinecontraction
drugsTostrengthenthecontractionotherballoon
tamponadeoppressed
arteryligationorembolizationofpelvicarteries.hysterectomySuture
ofsoftbirthcanalRemovetheresidual
ofplacentaandfetalmembraneAccordingtotheetiologyhemostasisTheweaknessofuterinecontraPrevention1.
Shouldpayattentionto
prenatalcare：Earlytreatmentrelateddiseases,timelyterminationofpregnancyMakecontraceptionwork,
reducethe
timesof
artificialabortionoperationForhighrisk
pregnantwomenwith
postpartumhemorrhage,
strengthen
inspectionandto
deliveryinhospitalPrevention1.Shouldpayattent2.CorrectlydealwiththelaborprocessFirststage：Payattentionto
restanddiet,
topreventfatigueandextendtheproductionprocess,
thereasonableapplicationof
oxytocin
andSedativesSecondstage：Payattentiontotheprotectionofperrineum,gentleoperation
specification,
using
therightabdominal
pressure
Prevention2.Correctlydealwiththelabprevention2.Correctlydealwiththelaborprocess
Thirdstage：(key)
correct
extractionoftheplacenta
andcarefullycheck;
ifbleeding,
should
findoutthecauseand
timely
treatment;
check
thesoftbirthcanalprevention2.Correctlydealwi3.
Strengthening
postpartum
observation
Carefullyobserve2H
Time
toemptythebladder
Theearlylactationprevention3.Strengthening
postpartum
obWhy？What？Nowdoyouhavetheanswer?How？SummaryWhy？What？NowdoyouhavetheQuestionsDefinition：Bloodlossoformorewithin24hoursafterdelivery2.Treatmentprincipleis：、increasedbloodvolume、preventionofinfection500mlhemostasisQuestionsDefini
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