Nursing care for Mothers after caesarean section with early postpartum hemorrhage : 2 case study

Abstract

The objective of this study was to compare nursing care for mothers after caesarean section with early postpartum hemorrhage between two mothers who admitted at obstetric ward, Mahasarakham Hospital in 2019. Data were collected from inpatient medical records.  Mothers and family interview were used. Gordon's 11 functional health patterns, pathology, signs and symptoms, treatment, nursing diagnosis, and nursing outcomes were compared.

          The results showed that the first mother was gravida 2. Cesarean section with tubal resection was used to delivered a baby. After surgery, abdominal bleeding was detected. Re-exploration was performed. The cause of bleeding was found at the right fallopian tube stump. Blood loss was estimated 3,500 ml. The length of hospital stay was 5 days. The second mother was gravida 2. The mother was referred from the community hospital due to cephalopelvic disproportion. Cesarean section was performed to delivered a baby.  After surgery, vaginal active bleeding was found due to uterine atony. The doctors stop bleeding using condom uterine balloon tamponade. Blood loss was estimated 2,450 ml. The length of hospital stay was 7 days. Professional nurses should have knowledge and skills to assess risk factors and provide nursing care in critical condition effectively that can resulted in mothers to be safe, no serious complications and reduce maternal mortality.