Nursing on postpartum hemorrhage and Prevention.docVIP

 PAGE \* MERGEFORMAT 8 Nursing on postpartum hemorrhage and Prevention [Keywords:] care to prevent postpartum hemorrhage After the baby is delivered, 2h in the amount of vaginal bleeding or more than 500ml are said to postpartum hemorrhage. Postpartum hemorrhage remains a major complication of modern obstetrics and the most important cause of maternal death, succeeded in controlling postpartum hemorrhage, reducing the morbidity and mortality The key is early prevention and proper development of timely treatment, care programs, because the internal factors of maternal postpartum hemorrhage due to uterine atony remains an important reason, followed by placenta accreta, soft birth injury, coagulation disorders and other factors, in order to protect the lives of mothers to prevent postpartum hemorrhage, reducing the incidence of postpartum hemorrhage, strengthen clinical care, to ensure that pregnant women’s lives. 1 reason 1.1 Uterine atony is the most common cause of postpartum hemorrhage, postpartum hemorrhage accounting for about 70% of the total number of 75%. Under normal circumstances, the baby is delivered, the placenta and the uterus to separate the sinuses open and bleeding, then to rely on strong contraction of uterine muscle, uterine wall sinus due to pressure and shut down, and to gradually slow blood flow, and thrombosis, the bleeding stopped. If for some reason to extend the production process, or childbirth, maternal exhaustion , anesthesia too deep, too much amniotic fluid or twins, uterine expansion is too large, or too many times because of childbirth, too close, so an increase in uterine connective tissue, muscle fibers decrease and uterine dysplasia, uterine fibroids and other wall there are dysfunctional uterine muscle contraction can, and postpartum hemorrhage. 1.2 The problem of the placenta caused by bleeding in the third stage, if incomplete placental separation, part of the separation wall and the uterus, or most ot