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PostpartumHemorrhage

產(chǎn)后出血TheThirdAffiliatedHospitalofSunYat-senUniversityXuyaoLiPostpartumHemorrhage

產(chǎn)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產(chǎn)后出血-英文ppt課件LigationofinternaliliacarteriesLigationofuterinearteriesLigationofinternaliliacartClosedead

cavityOverthetopSuture

ofsoftbirthcanalpCloseOverthetopSuture

ofsofManualremovalof

placentaManualremovalof

placentaThe

I

degreeSkinandmucousmembraneinjur

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