PP Hemorrhage
Mental Wellness
100

Defined as blood loss greater than ____mL for vaginal, or greater than ____mL for cesarean.

500mL - vaginal

100mL - cesarean

200
When measuring bloody chux, pads, linens, etc... 

1 gram of fluid volume = ___ mL of blood

1 to 1 ration

200

How long may Baby Blues last, and what are the symptoms?

First few days, peaking on the 5th day, lasting generally up to 2 weeks. Does not substantially affect client's ability to care for self or newborn.

S/s: tearfulness, mood swings, insomnia, fatigue, anxiety, difficulty concentrating, irritability, poor appetite.

300

Postpartum depression timeframe, s/s, care response...

Essentially ongoing and worsening Baby Blues, post 2wks - requires prompt referral for MH eval and interventions.

S/s: sleep disturbances, guilt, fatigue, feelings of hopelessness and worthlessness, possible SI/HI.

400

5 Red Flags for assessment of hemorrhage:

Alterations in LOC, tachycardia, hypotension, pale color, fundus complications [BOGGY, above umbilicus, displaced to the left/right]

400

Postpartum Psychosis 

May have dramatic onset [24-48 hours] but always appears within first 8 weeks of delivery.

Preexisting psychosis [bipolar] is at the greatest risk for PPP. 

1st-time mothers, age 40-44 also increased risk.

500

Hemorrhage Interventions:

Assess bladder ➡️empty prn

IV fluid bolus to counter hypotension

Oxytocic push: Pitocin, Methergine, Hemabate, Cytotec

Bimanual Clot Evacuation: ‘cupping’ the fundus of the uterus with one hand whilst performing a vaginal examination to digitally break down and expel any blood clots.

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