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Bleeding Reduction: Antepartum Uterus - Definition and Activities


Bleeding Reduction: Antepartum Uterus

Definition : Limitations amount of blood loss from uterine pregnancy, during the three trimesters of pregnancy.

Interventions:

  • Obtain the patient's history of blood loss (which, early bleeding, the amount, the presence of pain, and the presence of freezing).
  • Review of risk factors associated with pregnancy bleeding are inhibited (eg, abruption, cigarettes, cocaine users, which causes hypertension of pregnancy and placenta previa).
  • Obtain the expected life of the fetus with the right of the last menstrual period, before determining the date of the report ultrasound, or a history of giving birth right.
  • Check the number and characteristics of perineal bleeding.
  • Monitor vital signs mother needed based on the amount of blood loss.
  • Fetal heart rate monitor.
  • Palpation of uterine contractions. Increased uterine sound.
  • Observations electronic fetal images for evidence of uteroplacental insufficiency (eg, late deceleration, decrease in long-term variability and absent acceleration).
  • Initiate resuscitation for abnormal fetal appropriately (not appease) the sign of uteroplacental insufficiency
  • Delaying digital cervical examination to check the location of the placenta (eg, ultrasound report).
  • Perform ultrasound for the location of the placenta.
  • Do / help with speculum examination to obtain blood loss and cervical status.
  • Weight check / fill accurately estimate blood loss.
  • Inspection of clothes, bed sheets, mattress pads on bleeding time.
  • Initiate emergency procedures for the proper antepartum hemorrhage (eg, oxygen therapy, IV therapy, and recurrent type).
  • Blood diagnostic test, as appropriate (eg, Kleihauer-Betke, ABO, Rh, CBC and doing research).
  • Take care of Rho (D) immunoglobulin as needed.
  • Noting intake and output.
  • Elevation to lower extremities to increase perfusion of vital organs and fetuses.
  • Take care of the production of blood as needed
  • Start safety measurements (eg, the right break and lateral position).
  • Teach the client about the result of an increase in vaginal bleeding (eg, beam, cloth and small streams) during hospitalization.
  • Teach clients about the differences between the old bleeding and the new bleeding.
  • Teach clients about lifestyle changes to reduce bleeding more accurately (eg, smoking cessation, sexual abstinence, treatment breaks, constipation management, nutrient management, and improved coping).
  • Provide implementation plans including the delivery of home care by nurses.
  • Plan further action antepartum fetal surveillance.
  • Discuss the reasons returned to the hospital.
  • Discuss how to use the system for transportation with proper treatment.


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Demo Blog NJW V2 Updated at: October 27, 2015

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