Quantcast Retained Placental Fragments in the Uterus - Obstetrics and Newborn Care II

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
c. Retained Placental Fragments in the Uterus. These fragments are the
major cause of late postpartum hemorrhage.
(1)
Signs and symptoms.
(a)
Large amount of bright red bleeding or persistent trickle type
bleeding.
(b) Uterus may be boggy due to its inability to contract properly.
(c)
Signs of shock.
(d)  Sudden rise in uterine fundal height indicating the formation of clots
inside the uterine cavity.
(2)
Medical treatment.
(a) Manual removal of the remaining placenta is done by the physician,
if it is a result of incomplete separations of the placenta with increased vaginal bleeding.
(b) A D&C is performed, if it is retained fragments.
(c)
Intravenous fluids are administered.
(d) Oxytocic drugs are given immediately after either procedure.
(3)
Nursing interventions.
(a) Check the uterine fundus tone frequently (every 15 minutes the first
hour, then every 30 minutes for 2 hours, and every hour until stable).
(b) Check the nature and amount of lochia flow (every 15 minutes the
first hour, then every 30 minutes for 2 hours, and every hour until stable).
(c)
Keep accurate count of perineal pads used.
(d) Monitor the patient's vital signs and blood pressure every 15
minutes or more frequently as necessary.
(e) Observe for signs of shock.
(f)
Turn the patient on her side to prevent pooling of blood under her.
(g) Provide emotional support to the patient and family.
MD0922
6-15



Medical News
Number of takeaway outlets in deprived areas increases substantially over two decades
The number of takeaway food outlets has risen substantially over...
medicalxpress.com
Physicists shed light on mysterious tongue condition
Physicists from Israel have shed light on the intricate dynamics...
medicalxpress.com
Faulty modeling studies led to overstated predictions of Ebola outbreak
Frequently used approaches to understanding and forecasting emerging epidemics—including the...
medicalxpress.com
Grand Roundup: Top posts of March
The five most-read stories this month on Scope were: Stanford...
scopeblog.stanford.edu
Paracetamol is ineffective for lower back pain
Paracetamol is not effective in the treatment of spinal pain...
medicalxpress.com
Experts question election pledges on GP access
As the general election in the UK approaches, experts writing...
medicalxpress.com
Governments can prevent tragic death toll of mothers and babies
Governments could substantially reduce the tragic death toll of infants...
medicalxpress.com
Task Force: No Support for Iron Boost in Pregnancy, Infants (CME/CE)
(MedPage Today) -- Another USPSTF finding of "insufficient evidence."...
medpagetoday.com
Study suggests acute injured kidneys can be considered for transplant
The shortage of kidneys needed for organ transplantation in the...
medicalxpress.com
Plan Could Drive ?Culture Change? in How Mental Illness Is Dxed, Treated
(MedPage Today) -- Researchers hope to prevent full-blown illnesses from...
medpagetoday.com
New recommendations for treating patients with high blood pressure and CVD
A new scientific statement issued jointly by three medical organizations...
medicalxpress.com
Surgeon, CT Discord Sways Ovarian Ca Outcome (CME/CE)
(MedPage Today) -- When clinical opinion and radiologic findings differ,...
medpagetoday.com
Physician recommendations result in greater weight loss, research finds
Patients advised to lose weight by their physicians dropped more...
medicalxpress.com
Why drug names are so increasingly weird
Naming a brand drug is a lot harder than it...
medicalxpress.com
Complex procedure helps teen with rare congenital heart defect
People don’t usually associate teenagers with heart problems, but congenital...
scopeblog.stanford.edu
AAPM: Platelet-rich plasma offers short-term benefit
(HealthDay)—For patients with facet joint arthropathy, platelet-rich plasma (PRP) has...
medicalxpress.com
MOC Watch: Rival to ABMS Gears Up
(MedPage Today) -- Meanwhile, ABIM seeks to rebut a critical...
medpagetoday.com
Androgen deprivation therapy has lasting impact on function
(HealthDay)—For patients with prostate cancer, androgen deprivation therapy (ADT) has...
medicalxpress.com
Video: What's the difference between sugar and high-fructose corn syrup?
It seems like it's in just about every product on...
medicalxpress.com
How newest class of drugs could save billions of dollars
Clad in white lab coats, blue gloves and safety goggles,...
medicalxpress.com
 


Privacy Statement - Copyright Information. - Contact Us

comments powered by Disqus

Integrated Publishing, Inc.
9438 US Hwy 19N #311 Port Richey, FL 34668

Phone For Parts Inquiries: (727) 755-3260
Google +