Bleeding Reduction: Antepartum Uterus
Definition : Limitations amount of blood loss from uterine pregnancy, during the three trimesters of pregnancy.
Interventions:
- Obtain the patient's history of blood loss (which, early bleeding, the amount, the presence of pain, and the presence of freezing).
- Review of risk factors associated with pregnancy bleeding are inhibited (eg, abruption, cigarettes, cocaine users, which causes hypertension of pregnancy and placenta previa).
- Obtain the expected life of the fetus with the right of the last menstrual period, before determining the date of the report ultrasound, or a history of giving birth right.
- Check the number and characteristics of perineal bleeding.
- Monitor vital signs mother needed based on the amount of blood loss.
- Fetal heart rate monitor.
- Palpation of uterine contractions. Increased uterine sound.
- Observations electronic fetal images for evidence of uteroplacental insufficiency (eg, late deceleration, decrease in long-term variability and absent acceleration).
- Initiate resuscitation for abnormal fetal appropriately (not appease) the sign of uteroplacental insufficiency
- Delaying digital cervical examination to check the location of the placenta (eg, ultrasound report).
- Perform ultrasound for the location of the placenta.
- Do / help with speculum examination to obtain blood loss and cervical status.
- Weight check / fill accurately estimate blood loss.
- Inspection of clothes, bed sheets, mattress pads on bleeding time.
- Initiate emergency procedures for the proper antepartum hemorrhage (eg, oxygen therapy, IV therapy, and recurrent type).
- Blood diagnostic test, as appropriate (eg, Kleihauer-Betke, ABO, Rh, CBC and doing research).
- Take care of Rho (D) immunoglobulin as needed.
- Noting intake and output.
- Elevation to lower extremities to increase perfusion of vital organs and fetuses.
- Take care of the production of blood as needed
- Start safety measurements (eg, the right break and lateral position).
- Teach the client about the result of an increase in vaginal bleeding (eg, beam, cloth and small streams) during hospitalization.
- Teach clients about the differences between the old bleeding and the new bleeding.
- Teach clients about lifestyle changes to reduce bleeding more accurately (eg, smoking cessation, sexual abstinence, treatment breaks, constipation management, nutrient management, and improved coping).
- Provide implementation plans including the delivery of home care by nurses.
- Plan further action antepartum fetal surveillance.
- Discuss the reasons returned to the hospital.
- Discuss how to use the system for transportation with proper treatment.
