Postpartum hemorrhagic shock in the observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 4 Postpartum hemorrhagic shock in the observation and nursing care [Keywords:] hemorrhagic shock; delivery; Care Postpartum hemorrhagic shock is caused by childbirth effective circulating volume of blood loss may lead to peripheral circulatory failure plunged. To judge whether the time effects directly related to the rescue, and maternal prognosis. In order to protect the lives of mothers to improve midwifery skills, prevention of postpartum hemorrhagic shock, 30 cases of this paper, the cause of hemorrhagic shock, monitoring and rescue were discussed, will now observe the care are summarized below. 1 Clinical data 1.1 General information on maternal age 21 to 36 years of age; primipara in 26 cases, 4 cases by mothers, 30 to 42 weeks gestational age; head position in 29 cases, 1 case of breech presentation; are the vaginal delivery, since delivery in 25 cases, 4 cases of forceps , hip traction in 1. 1.2 The incidence of shock in March 1998 -2009 Academy in April a total of 14,600 cases of vaginal delivery, postpartum hemorrhagegt; = 400ml those 280 cases, bleeding was 1.9%, of which 30 cases of hemorrhagic shock, shock rate was 10.7% . 2 Observation and nursing care 2.1 Prevention and etiology of postpartum care to prevent and reduce the amount of bleeding in hemorrhagic shock is to reduce the fundamental measures: maternal postpartum bleeding tendency, such as pregnancy-induced hypertension, placental abruption, uterine inertia, fetal macrosomia, etc., that the establishment of venous access delivery facilitate the timely delivery and rehydration; appropriate to shorten the birth process, when the fetal shoulder delivery intravenous oxytocin 10 ~ 20U; close observation of the second stage of labor signs of placental separation, there is active bleeding, placenta immediately stripped bare, and carefully check the placenta, fetal membranes is complete. massage the uterus after childbirth to reduce postpartum hemorrhage.