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1、Postpartum Hemorrhage产后出血,The Third Affiliated Hospital of Sun Yat-sen University,Xuyao Li, Obstetrics and Gynecology Nursing The first section of the eleventh chapter Master,Know,What？ DefinitionWhy？ Etiologies How？ Treatment Prevention,LearningGoals,Definition,Blood loss of 500 ml or more within 2
2、4 hours after delivery,Etiologies,Uterine atony,Placental factors,Soft birth canal laceration,Coagulation disorders,uterine atony,Systemic factors,Local factors,70%-80%,psychentonia,weakness,chronicdisease,multifetation,giant baby,fibroid,Implantation,placental factors,Adhesion,Incomplete separation
3、,Residual,10%,Completely stripping,Excludeblocked,Incarceration,Retention,spasm of internal cervical os,placental factors,Unable toexcludefilling of bladder,10%,Perineum,Vagina,Cervical,soft birth canal laceration,Hemostasis,Increased blood volume,Prevention of infection,Prescribed medication,Treatm
4、ent,The weakness of uterine contraction,massage methoduterine contractiondrugs,To strengthen the contraction,other,balloon tamponadeoppressedarteryligation or embolization of pelvic arteries.hysterectomy,Sutureof soft birth canal,Remove the residualof placenta and fetal membrane,According to the eti
5、ology,hemostasis,Prevention,1. Should pay attention toprenatal care ：Early treatment related diseases, timely termination of pregnancyMake contraception work,reduce thetimes ofartificial abortion operationFor high riskpregnant women withpostpartum hemorrhage,strengthen inspection and to delivery in
6、hospital,2. Correctly deal with the labor processFirst stage ： Pay attention torest and diet,to prevent fatigue and extend the production process,the reasonable application ofoxytocinand SedativesSecond stage ： Pay attention to the protection of perrineum,gentle operationspecification,usingthe right
7、 abdominalpressure,Prevention,prevention,2. Correctly deal with the labor process Third stage： (key)correctextraction of the placentaand carefully check;if bleeding,shouldfind out the cause andtimelytreatment;checkthe soft birth canal,3. Strengtheningpostpartumobservation Carefully observe 2H Timeto
8、 empty the bladder The early lactation,prevention,Why？,What？,Now do you have the answer?,How？,Summary,Questions,Definition：Blood loss of or more within 24 hours after delivery,2. Treatment principle is： 、 increased blood volume、prevention of infection,500ml,hemostasis,Next class,Nursing assessment,N
9、ursing diagnosis,Mental nursing,Health education,Clinical manifestation,Thank you,Massage method,Ergometrine,Oxytocin,Prostaglandin,uterine contractiondrugs,Ligation of internal iliac arteries,Ligation of uterine arteries,Closedeadcavity,Over the top,Sutureof soft birth canal,p,Manual removal ofplacenta,The I degreeSkin and mucous membrane injury,The II degreeMusclelayer damage,The III degreeFractureof external anal sphincter,The degree : Anal rectumvagina completelythrough,Perineal laceration,
