Hemorrhagic Problems in Pregnancy

MAP: mean arterial pressure

MAP is affected by….

MAP =

Antepartum causes of bleeding (before birth)

Intrapartum causes of bleeding (during labor)

Postpartum causes of bleeding

Causes of Spontaneous Abortion

Symptoms of Spontaneous Abortion

DX tests for Spontaneous Abortion

Treatment of Spontaneous Abortion

Dilation and Curettage

Ectopic Pregnancy

Causes of Ectopic Pregnancy

Symptoms of Ectopic Pregnancy

DX of Ectopic Pregnancy

Beta Human Chorionic Gonadotropin (B-hCG)

TX of Ectopic Pregnancy

Methotrexate

Salpingostomy

Nursing Care for Ectopic Pregnancy

Gestational Trophoblastic Disease

3 Types of GTD

Molar Pregnancy

Complete Hydatiform Mole

Partial Hydatiform Mole

S/S of Hydatiform Mole

TX of Hydatiform Mole

Placenta Previa

Three types placenta previa

Risk Factors for Placenta Previa

Management of Placenta Previa

Symptoms of Placenta Previa

Nursing Intervention: Placenta Previa

Abruptio Placenta

Risk factors for Abruptio Placenta

Maternal Risks Associated with Placental Abruption

Fetal Risks after placental abruption

Most common symptoms of abruptio placenta

Nursing Assessment for Abruptio Placenta

Nursing Interventions for Abruptio Placenta

Disseminated Intravascular Coagulation (DIC)

Uterine Inversion

Risk factors for Uterine Inversion

Uterine Rupture

Risk Factors for Uterine Rupture

S/S of Uterine Rupture

TX of Uterine Rupture

Postpartum Hemorrhage

Priorities during PPH

Definition of PPH

Symptoms of Hypovolemic Shock

Late PPH

Causes of late PPH

SX of Late PPH

TX of Late PPH

Early Postpartum Hemorrhage

Causes of early PPH

Uterine Atony / Risk Factors for PPH

Recognition of PPH

Colloid IV Fluids

Crystalloid IV Fluids

Oxytocic Drugs

Oxytocin

Methergine

Hemabate

Cytotec [Misopristol]

Medical Intervention of PPH

Hematomas

Risk Factors for Hematomas

Nursing Intervention for Hematomas

TX of hematomas

Lacerations

Risk factors for Laceration

SX of Lacerations

Nursing Management of Lacerations

Ongoing care for PPH