POSTPARTUM HEMORRHAGE

• Bleeding of 500ml or more following delivery; commonly caused by uterine atony.
• Woman may experience copious amount of vaginal bleeding with or without bright or dark red clots; boggy uterus; maternal shock.
• Main nursing diagnosis: Fluid volume deficit
• Nursing Responsibility includes monitoring bleeding,hemoglobin and hematocrit , V/S, I&O fluid replacement and oxytocin administration; maintaining asepsis; iron supplements, follow-up care.