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Posted: March 20th, 2023

Topic Postpartum hemorrhage

Anther concept map.
Topic Postpartum hemorrhage with 1 or 2 references please.

following questions for postpartum hemorrhage to be answered.

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Topic Postpartum hemorrhage
1. What is Postpartum hemorrhage
2. Signs and Symptoms
3. Risk Factors
4. Diagnosis (Professor’s feedback for the last concept map- what type of labs!)
5. Treatment (Professor’s feedback for the last concept map- Work on naming medications)
6. Nursing actions or Interventions
Here is your requested concept map on "Postpartum Hemorrhage":

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Postpartum Hemorrhage
| Definition
| Symptoms
| Risk Factors
| Diagnosis
| Treatment
| Nursing Actions

Definition:
Excessive bleeding (>500 ml) after childbirth, either within 24 hours (early PPH) or after 24 hours up to 12 weeks (late PPH).

Symptoms:
- Vaginal bleeding that soaks a pad in an hour or less
- Rapid heartbeat and/or low blood pressure
- Feeling faint or dizzy
- Abdominal pain or uterine contractions

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Risk Factors:
- Previous history of PPH
- Multiparity (giving birth more than once)
- Large baby or multiple gestations
- Prolonged labor or quick delivery
- Retained placenta or uterine rupture
- Pre-eclampsia or gestational hypertension

Diagnosis:
- Clinical assessment (vital signs, blood loss estimation, physical exam)
- Hemoglobin and hematocrit levels
- Coagulation studies (PT, PTT, fibrinogen)
- Blood type and Rh factor
- Ultrasound to check for retained placenta or uterine abnormalities

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Treatment:
- Oxytocin, misoprostol, or other uterotonic medications to stimulate uterine contractions and control bleeding
- Blood transfusion or intravenous fluids to replace lost blood volume
- Surgical interventions (uterine artery embolization, balloon tamponade, hysterectomy) in severe cases

Nursing Actions:
- Monitor vital signs, blood loss, and urine output
- Provide emotional support and education to the patient and family
- Administer medications as ordered
- Assist with blood transfusion or surgical interventions as needed
- Promote rest and adequate nutrition
References:

American College of Obstetricians and Gynecologists. (2019: 2024 - Online Assignment Homework Writing Help Service By Expert Research Writers). ACOG Practice Bulletin No. 194: Postpartum Hemorrhage. Obstetrics and Gynecology, 134(5), e123-e137.
World Health Organization. (2017). WHO Recommendations for the Prevention and Treatment of Postpartum Hemorrhage. Geneva, Switzerland: World Health Organization.

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