Postpartum Complications: In a Nutshell (Nursing)

by Jacquelyn McMillian-Bohler, PhD, CNM

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    00:01 So let's review.

    00:03 Subinvolution occurs when the uterus does not go back to its non-pregnant state.

    00:08 Infection and things that cause the uterus to be over distended can increase the chances of subinvolution.

    00:15 Uterine inversion may occur from aggressive fundal massage, so massaging the uterus really hard can actually push the uterus outside of the vagina.

    00:26 Heavy bleeding noted 24 hours after delivery up to 12 weeks postpartum is associated with a secondary postpartum hemorrhage.

    00:35 Remember, uterine atony is the number cause.

    00:39 Breast tissue that is red, swollen, tender may indicate mastitis.

    00:45 Usually it's going to be unilateral.

    00:47 Antibiotics and more frequent feeding of the infant will help to alleviate the infection.

    00:53 A 150 milliliters of urine in the bladder after voiding may indicate urinary retention.

    01:00 A prolonged second stage epidural anesthesia or an instrument delivery or a really large baby may increase the risk.

    01:09 Risk for urinary tract infection increases with the use of an indwelling or in and out catheter.

    01:16 Unilateral pain, swelling, or redness, or tenderness in one leg or the other, may indicate a deep vein thrombosis.

    01:25 Sequential compression devices or compression hose post cesarean birth and frequent ambulation, will decrease the risk of a DVT.

    01:35 A decrease in hemoglobin and hematocrit without obvious blood loss, especially when accompanied by pain or pressure, may indicate the formation of a hematoma.

    01:45 We need to be aware when there's an instrument delivery or an operative delivery that risks are increased.

    01:51 And finally, a client who presents with shortness of air, chest pain, and low oxygen saturation may be experiencing of amniotic fluid embolus.

    02:02 This is an OB emergency and will absolutely likely require full CPR support.

    02:07 You made it. We're all done.

    About the Lecture

    The lecture Postpartum Complications: In a Nutshell (Nursing) by Jacquelyn McMillian-Bohler, PhD, CNM is from the course Postpartum Complications (Nursing).

    Included Quiz Questions

    1. Uterine inversion can be caused by aggressive fundal massage.
    2. Secondary postpartum hemorrhage is commonly caused by uterine atony.
    3. Breast mastitis can be treated by frequent feedings.
    4. Subinvolution is the over shrinking of the uterus.
    5. An amnionic fluid embolus is a clot that forms in the uterus.

    Author of lecture Postpartum Complications: In a Nutshell (Nursing)

     Jacquelyn McMillian-Bohler, PhD, CNM

    Jacquelyn McMillian-Bohler, PhD, CNM

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