Post Partum Care

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).