1、The Third Affiliated Hospital of Sun Yat-sen UniversityXuyao Li Obstetrics and Gynecology Nursing The first section of the eleventh chapter MasterUnderstandKnowWhat？DefinitionWhy？Etiologies How？Treatment PreventionLearningGoals Blood loss of 500 ml or more within 24 hours after deliveryUterine atony
2、Placental factorsSoft birth canal lacerationCoagulation disorders uterine atonySystemic factorsLocal factors70%-80%psychentoniaweaknesschronic diseasemultifetationgiant babyfibroidImplantationplacental factorsAdhesionIncomplete separationResidual10%Completely strippingExclude blockedIncarcerationRet
3、ention spasm of internal cervical osplacental factorsUnable to excludefilling of bladder10%PerineumVaginaCervicalsoft birth canal lacerationHemostasisIncreased blood volumePrevention of infectionPrescribed medicationTreatmentThe weakness of uterine contraction massage methoduterine contraction drugs
4、To strengthen the contractionotherballoon tamponadeoppressed arteryligation or embolization of pelvic arteries.hysterectomySuture of soft birth canalRemove the residual of placenta and fetal membraneAccording to the etiologyhemostasisPrevention1.Should pay attention to prenatal care：Early treatment
5、related diseases,timely termination of pregnancy Make contraception work,reduce the times of artificial abortion operation For high risk pregnant women with postpartum hemorrhage,strengthen inspection and to delivery in hospital2.Correctly deal with the labor processFirst stage：Pay attention to rest
6、 and diet,to prevent fatigue and extend the production process,the reasonable application of oxytocin and SedativesSecond stage：Pay attention to the protection of perrineum,gentle operation specification,using the right abdominal pressure Preventionprevention2.Correctly deal with the labor process T
7、hird stage：(key)correct extraction of the placenta and carefully check;if bleeding,should find out the cause and timely treatment;check the soft birth canal3.Strengthening postpartum observation Carefully observe 2H Time to empty the bladder The early lactationpreventionWhy？What？Now do you have the
8、answer?How？SummaryQuestions1.Definition：Blood loss of or more within 24 hours after delivery2.Treatment principle is：、increased blood volume、prevention of infection500mlhemostasisNext classNursing assessmentNursing diagnosisMental nursingHealth educationPreviewClinical manifestationMassagemethodErgo
9、metrineOxytocinProstaglandinuterine contraction drugsLigation of internal iliac arteriesLigation of uterine arteriesClosedead cavityOver the topSutureofsoftbirthcanalpManualremovalofplacentaThe degreeSkin and mucous membrane injuryThe II degreeMuscle layer damageThe degreeFracture of external anal sphincterThe degreeAnal rectum vagina completely throughPerineal laceration
