3/14/2023 0 Comments Precipitate birth![]() ![]() Nursing Care Plan for Precipitous Labor 2 Leg elevation is important to obtain good venous return for improved blood flow to the brain and other vital organs. To promote recovery and reduce fatigue, bed rest is strongly recommended in patients who had a precipitous labor to prevent postpartum hemorrhage. To increase the hemoglobin level and treat anemia and hypovolemia related to PPH after a precipitous labor.Īfter labor, maintain the patient on bed rest with a leg elevation of 20 to 30 degrees. To help the patient or the guardian take ownership of the patient’s care, encouraging them to drink more fluids as needed, or report any changes to the nursing team.Īdminister blood transfusion as prescribed. To replenish the fluids and electrolytes lost from blood volume loss, and to promote better blood circulation around the body.Įducate the patient (or guardian) on how to fill out a fluid balance chart at bedside. Electrolytes may need to be replaced intravenously. To monitor patient’s fluid balance accurately and to check for any excessive bleeding. Output monitoring should include the amount of blood-soaked pads within 24 hours. To accurately monitor the patient’s urine output which can clearly reflect renal perfusion.Ĭommence a fluid balance chart, monitoring the input and output of the patient. Insert an indwelling Foley catheter as indicated. ![]() Surgery such as hysterectomy (removal of the uterus) or laparatomy Transfusion of blood and/or blood productsĪpplication of pressure on labial or perineal lacerationsĮpisiotomy Repair Reduction of uterine inversion using the Johnson method Manual removal of retained placental tissues ![]() The team may be required to perform one or more of the following: It is used to decrease the blood flow through the uterus after the delivery of the baby.Īssist the physician in performing the appropriate procedure to prevent PPH after a precipitous labor. Oxytocin is the first-line prevention of PPH. Uterotonic agents are utilized to prevent postpartum hemorrhage. ![]() Hypovolemia may lower blood pressure levels and put the patient at risk for hypotensive episodes that may lead to shock.Īdminister uterotonic agents and other medications as prescribed. Nursing Diagnosis: Fluid Volume Deficit related to blood volume loss secondary to precipitous labor and postpartum hemorrhage as evidenced by lochia rubia of 500 mL in the first 24 hours post-delivery, decrease in red blood cell count/ hemoglobin/ hematocrit levels, skin pallor, heart rate of 120 bpm, blood pressure level of 85/50, and lightheadednessĭesired Outcome: The patient will have a lochia flow of less than one saturated pad per hour, a hemoglobin (HB) level of over 100, blood pressure and heart rate levels within normal range, full level of consciousness, and normal skin color Precipitous Labor Nursing InterventionsĪssess vital signs, particularly blood pressure level. Nursing Diagnosis for Precipitous Labor Nursing Care Plan for Precipitous Labor 1
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