Hemorrhage is one of the common causes of maternal mortality associated with childbearing and is the major immediate danger during the postpartal period. Postpartum hemorrhage is defined as any loss of blood from the uterus more than 500 ml within a 24 hour period.It may be immediate or late occurring from the first 24 hours of delivery up to the remaining days of the 6- week puerperium. The first 24 hours after delivery is the most dangerous part wherein postpartum hemorrhage must be monitored closely due to prior detachment of the placenta.
Predisposing factors include:
- Maternal age more than 30 years
- Arrest and rapid delivery
- Anemia in expecting mothers
- Multiple gestation
- Increase of amniotic fluid
- Difficult labor
- Sudden separation birth of the placenta
When close monitoring fails to serve its function, hypovolemic shock can happen which is a very threatening case for the mother, the newly born child as well as to the family.
Fluid Volume Deficit-Post Partum Hemorrhage Nursing Care Plan
Maternal and Child Health Nursing: Care of the Childbearing and Childrearing Family Philippine Edition of Pillitteri, A.(1992)
Phantom Notes in Nursing: Maternal – Newborn 1st Edition of Glickman Jr., J. (1995).