Nursing care of Postpartum Hemorrhagic due to Uterine atony : case study

Abstract

     This study was case study aimed to study and compare nursing care for postpartum hemorrhage caused by uterine contractions. Two case studies, purposively selected. We selected birth recipients who had postpartum hemorrhage due to uterine contractions. 2 patients receiving treatment at Kalasin Hospital. Data were collected from patient medical records, from patients, and from relatives. Determine nursing diagnosis using Gordon's 11 health model concepts. Plan nursing action according to nursing diagnosis. Summarize and evaluate nursing results.
     Results: Case study 1: Lao woman giving birth, age 32 years, G2P1A0L1, gestational age 39 weeks by ultrasound, labor pains 2 hours before coming to the hospital, labor pains every 5 minutes for 1 minute, mucus bleeding from the vagina, no water, child struggling. Good, the baby is a girl. Birth weight 3,200 grams, using active management method, bleeding before birth of placenta 500 ml. 1 hour after normal birth, uterine contractions were poor, blood loss 1,000 ml., total 1,500 ml. stayed in hospital for 3 days. Case study 2: A 24-year-old Thai woman giving birth, G1P0A0L0, with a gestational age of 39 weeks, 4 days, and 4 hours before coming to the hospital. Her stomach was hard, lasting less than 2 minutes at a time, irregularly, along with water passing through. Giving birth to a female baby Birth weight was 4,050 grams. Using Active Management, there was 500 ml. of bleeding before the placenta was born. The placenta bleeds immediately 500 ml. After normal birth, there was poor uterine contraction. Cervical tear lost a total of 1,000 milliliters of blood and was hospitalized for 2 days.