Post Partum Care: Difference between revisions
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Revision as of 19:31, 1 March 2012
Section 7 - PEDIATRIC / OBSTETRICAL
7.09 POST-PARTUM CARE
- Placenta should deliver in 20 - 30 minutes. If delivered, collect in plastic bag. Do NOT pull on cord to facilitate delivery of the placenta.
TRANSPORT AS SOON AS POSSIBLE, EVEN IF PLACENTA HAS NOT DELIVERED.
- If perineum torn and bleeding apply direct pressure with sanitary pads and have
patient bring her legs together.
- If significant blood loss or signs of hypoperfusion:
- Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP > 90 mm Hg.
- Gently massage abdomen over uterus, until uterus firm.
- If altered sensorium, signs of hypoperfusion despite above, refer to SHOCK PRACTICE PARAMETER (5.13) and / or the ALTERED MENTAL STATUS PRACTICE PARAMETER (5.03).