Nursing role incaring maternal at primary postpartum hemorrhage : Study 2 case

Abstract

  Background : Postpartum hemorrhage is one of the most common obstetric complications and the most common cause of maternal mortality across the world.  

Objective  : To study the nursing care for two patients with primary postpartum hemorrhage receiving treatment at the delivery room, Bangplee Hospital.  

Methods  : This study was a case study of 2 mothers, selected based on a purposive sampling. The inclusion criteria were those with primary postpartum hemorrhage receiving treatment at the delivery room, Bangplee Hospital. Medical history, risk factors, and medical treatment of the participants were         studied. Nursing diagnosis was conducted based on Orem’s g eneral theory of nursing .

Results :

Case 1 was the 31-year Thai pregnant woman (G3P2A0L2) with a gestation of 41 weeks and 6 days with labor pain, no premature rupture of membrane , no      vaginal bleeding,and hypertension compl ication. A weight of the female newborn was 3,355  grams using active management of l abor. The amount of bleed-  ing beforeplacenta expulsion was 500 ml.The bleeding level after labor was normal. The case’s uterus was poorly contracted, losing 1,300 ml of blood.    Hospitalization period was two days.

Case 2 was the 20-year Thai pregnant woman (G2P1A0L1) with a gestation of 38 weeks and two days with no labor pain, no premature rupture of membrane, and no vaginal bleeding. A weight of the male newborn was 2,250 grams with abnormally small head. The amount of bleeding beforeplacenta expulsion was 200 ml and the amount of bleeding onceplacenta expulsion was 800 ml, totaling 1,000 ml . Hospitalization period was three days.

Conclusion : nursing care of two pregnant women experiencing primary postpartum hemorrhage was different,depending on personal data.Providing immediate nursing care could prevent both mothers and babies from postpartum complications. Therefore,it is necessary for nurses to have knowledge,expertise and stsndard nursing practices to provide effective nursing care.

Keywords : primary postpartum hemorrhage, nursing care for mother with pospartum hemorrhage.