Nursing points of postpartum hemorrhage of parturient

　　Postpartum hemorrhage is a common problem in obstetrics and gynecology. Postpartum hemorrhage is a great harm to the parturient. If it is not treated in time and effectively, it may bring harm to the life of the parturient. Studies have shown that in the group of maternal deaths, 25% of maternal deaths due to hemorrhage. Based on this, it is necessary to do a good job in the care of postpartum hemorrhage. This article introduces you to the precautions and nursing points of postpartum hemorrhage.
　　Manifestations and causes of postpartum hemorrhage
　　vaginal delivery, cesarean section are two basic methods for the production of the fetus. Both of these methods may cause postpartum hemorrhage. As far as guided delivery is concerned, within 24 hours of delivery of the fetus, if the bleeding volume of the parturient exceeds 500ml, it is considered to be a major postpartum hemorrhage. When the fetus is delivered by cesarean section, if the amount of bleeding exceeds 1000ml 24h after delivery, it is also called postpartum hemorrhage. When postpartum hemorrhage occurs, the parturient has obvious symptoms of dizziness and pale complexion, and some parturients have symptoms such as irritability, clammy skin, and subtle pulse.
　　There are many reasons for maternal hemorrhage. Among them, the most important reason is that the mother is over-stretched, and the phenomenon of uterine fatigue appears after delivery. At the same time, placental factors are an important factor in causing maternal hemorrhage. Studies have shown that if a parturient has had problems such as labor induction, miscarriage, endometrial injury, etc., during pregnancy, the placenta and fetal membranes have a higher probability of adhesion, which is likely to cause postpartum hemorrhage. In addition, soft birth canal lacerations and coagulation dysfunction are all important factors that cause postpartum hemorrhage. These factors, either singly or comprehensively, threaten women’s physical and mental health and life safety. In this regard, the treatment and care of postpartum hemorrhage should be timely and effective.
　　Nursing points
　　(1) Immediately carry out hemostatic treatment
　　When the parturient has postpartum hemorrhage, hemostatic treatment should be carried out immediately. In the hemostasis treatment, hemorrhagic shock should be avoided in the parturients, and attention should be paid to the effective control of infection. The specific methods are as follows: ① After the delivery is completed, systematic observation of maternal vital signs, uterine contractions, vaginal bleeding, etc. should be carried out. If the bleeding volume of the mother exceeds 200ml, the cause should be found, and the intrauterine situation should be checked by B-ultrasound if necessary. Early prevention of postpartum hemorrhage. ②When it is determined that the parturient is bleeding due to uterine contraction, massage the parturient’s uterus rhythmically, and at the same time, according to the actual situation of the parturient, inject oxytocin, which can strengthen the uterine contraction and reduce the amount of bleeding. It should be noted that if this method does not work and the parturient still has bleeding problems, the uterus should be filled with gauze, the uterine artery and internal iliac artery should be ligated, and then the uterus should be removed. In addition, maternal blood volume should be supplemented to avoid shock problems. When the parturient woman bleeds due to laceration of the birth canal, the wound should be repaired accurately. For the parturient with vaginal hematoma, the hematoma should be eliminated in time, blood clots should be cleared, and hemostasis should be sutured. ③In the process of hemostasis for the lying-in woman, attention should be paid to the anti-infection treatment of the lying-in woman to avoid other complications due to infection.
　　(B) good psychological care maternal
　　postpartum hemorrhage when, mothers will be more obvious nervous, irritable mood, and some postpartum will therefore have disturbed the performance. In response to these problems, while implementing protective medical measures for the lying-in women, psychological care for the lying-in women should be carried out. In this process, attention should be paid to stabilizing the mood of the lying-in women and avoiding increased bleeding due to excessive stress. In nursing, if the mother is conscious, she can talk to the mother about the baby’s situation, tell the mother the cuteness of the baby and describe it, which will help the mother to divert attention and relieve her nervousness. At the same time, the precautions and treatment methods of postpartum hemorrhage should be told, so that the mothers can actively cooperate with the treatment. In addition, we should do a good job in the ideological work of the family members and let the family members cooperate with the hospital to do a good job in the psychological care of the mothers to ensure that the mothers maintain a positive attitude.
　　(3) Pay attention to condition monitoring
　　Whether the parturient has just given birth or has completed the treatment of the bleeding of the parturient, the maternal condition should be monitored. In the actual test, the general conditions and vital signs of the parturient should be focused on, and the uterine contractions and vaginal bleeding should be monitored. In postpartum care, keep the mother and baby in the same room as much as possible, and let the mother and the baby’s skin contact within 30 minutes after delivery. If the mother’s conditions permit, sucking should be performed, which can stimulate uterine contractions and reduce vaginal bleeding. Usually 24 hours after childbirth, most parturients will be discharged from the hospital and go home. When at home, a clean and comfortable environment should be created for the parturient to ensure the hygiene of the parturient’s clothes and bedding. In addition, care and observation of the lying-in woman should be done at home. If the lying-in woman is pale, troublesome, or clammy skin, contact the hospital in time. In addition, prevent the lying-in woman from falling or falling.
　　(Iv) diet care
　　for maternal postpartum hemorrhage, but also good food care. In diet care, attention should be paid to the following: ① A reasonable diet can not only promote the physical recovery of the parturient, but also avoid problems such as anemia and malnutrition in the later stage of hemorrhage in the parturient. Therefore, in diet care, it is necessary to ensure a variety of food types and adequate nutrition. . ②As far as food types are concerned, high-calorie, high-iron, and digestible foods should be provided as much as possible. At the same time, mothers can eat more fruits and vegetables and take protein foods quantitatively. ③ Foods with high salt content, spicy foods, and raw and cold foods are harmful to the parturient and should be avoided. In the diet, the amount of food should be controlled reasonably, and the mothers are strictly prohibited from overeating.
　　(E) other nursing
　　postpartum hemorrhage care, leaving women should also pay attention to develop good habits early hours, while the amount of a certain exercise, to reduce the impact of maternal bleeding.
　　All in all, postpartum hemorrhage can seriously damage the health of the mother and threaten her life. After delivery, the prevention and care of postpartum hemorrhage should be actively carried out, which can effectively reduce the impact of postpartum hemorrhage on the parturient and ensure the safety and health of the mother.