![]() Output monitoring should include the amount of blood-soaked pads within 24 hours. Commence a fluid balance chart, monitoring the input and output of the patient. To accurately monitor the patient’s urine output which can clearly reflect renal perfusion. Surgery such as hysterectomy (removal of the uterus) or laparatomy Insert an indwelling Foley catheter as indicated. Transfusion of blood and/or blood productsĪpplication of pressure on labial or perineal lacerationsĮpisiotomy Repair Reduction of uterine inversion using the Johnson method Manual removal of retained placental tissues The team may be required to perform one or more of the following: Assist the physician in performing the appropriate procedure to prevent PPH after a precipitous labor. It is used to decrease the blood flow through the uterus after the delivery of the baby. Oxytocin is the first-line prevention of PPH. Uterotonic agents are utilized to prevent postpartum hemorrhage. ![]() Administer uterotonic agents and other medications as prescribed. Hypovolemia may lower blood pressure levels and put the patient at risk for hypotensive episodes that may lead to shock. Nursing Diagnosis: Fluid Volume Deficit related to blood volume loss secondary to precipitous labor and postpartum hemorrhage as evidenced by lochia rubia of 500 mL in the first 24 hours post-delivery, decrease in red blood cell count/ hemoglobin/ hematocrit levels, skin pallor, heart rate of 120 bpm, blood pressure level of 85/50, and lightheadednessĭesired Outcome: The patient will have a lochia flow of less than one saturated pad per hour, a hemoglobin (HB) level of over 100, blood pressure and heart rate levels within normal range, full level of consciousness, and normal skin color Precipitous Labor Nursing Interventions Rationales Assess vital signs, particularly blood pressure level. Nursing Diagnosis for Precipitous Labor Nursing Care Plan for Precipitous Labor 1 Coach the patient of breathing techniques.Ensure that someone is always available beside the mother for support.Assist the mother to lay on her side or back.Advise the mother to prepare a labor pack early, especially when the mother is near her expected date of delivery.If the mother has a history of precipitous delivery, it is advisable to plan for contact persons who will be available on call as the due date nears.Advise to seek immediate medical help once signs and symptoms of precipitous labor occurs.The following are advised to help her cope: Because of this, certain precautions may be done to limit the harrowing experience for the patient. Aspiration of meconium and amniotic fluid Coping During Precipitous Laborĭue to the nature of the sudden physical and emotional changes associated with precipitous labor, it can be challenging and daunting for the mother on how to cope during labor.Psychological symptoms such as post-partum blues, etc.Infections (due to delivery in an unsterilized environment, such as the car or bathroom).Shock (due to loss of blood from the lacerations and tearing).Retained placental tissues in the uterus.Bleeding from the uterus or vagina ( postpartum hemorrhage).Tearing and laceration of the cervix and vagina.
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