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Often considered the “fourth trimester” of pregnancy, the postpartum period encompasses the first six (6) weeks after childbirth. After the delivery, the woman begins to experience psychological and physiological changes that return the body into the pre-pregnant state. These changes often occur without difficulty. However, factors such as blood loss, trauma, infection and fatigue place the woman at high risk, making the postpartum period a crucial time.
Postpartum haemorrhage is considered one of the leading causes of maternal deaths, accounting approximately 30% of all pregnancy-related deaths. A study was made in aiming early identification of postpartum haemorrhage with the end view of preventing its occurrence and if not, to provide prompt intervention and prevention of its life threatening complications. It is vitally important to identify those women at increased risk of a postpartum hemorrhage, as well as understanding and carrying out expectant and active management of the third stage of labor.
Regardless of the cause, the woman is in danger of developing hypovolemia, a system-wide decrease in blood volume from too much blood loss. If the blood loss continues, the woman may develop hypovolemic shock, which is characterized by a weak and thread and rapid pulse; hypotension; cold and clammy skin; and changes in level of consciousness. These findings may occur abruptly and be dramatic if the blood loss is large and occurs quickly. The woman who experiences postpartum haemorrhage is also at risk for developing anemia from the blood loss.
Active management comprises one of the most important sets to prevent these complications. An effective measure that can be delivered by trained health care providers linked with essential supplies in all the settings that women give birth. It includes administration of uterotonic agent; after the cord is clamped, placenta delivered by controlled cord traction with counter-traction on the fundus; uterine massage
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Taking into consideration her obstetrical history, this patient must be transported to the hospital for cesarean delivery if she is in true labor. Meanwhile, it is important that maternal and fetal vital signs are closely monitored. The patient must be inquired about her prenatal check ups, acquired illnesses especially genitourinary infections, or pain experiences.
If a woman delivered through caesarean section, the amount of blood lost is doubled. This means that she is likely to lose 1000 ml of blood. There are so many causes of post partum hemorrhage. The most common causes of hemorrhage include scarring of tissues during child delivery.
Medical practitioners employ narcotics, during medical surgery, in order to minimize or eliminate pain.Narcotics, in medical terms, are divided into analgesics and anesthetics (Levinthal, 2008). Analgesics are used medically to reduce pain while anesthetics entirely eradicate sensation. Anesthetics divide into groups that get rid of sensation for parts of the body while maintaining mind awareness.
Stroke Stroke refers to a condition that affects millions of people in both new and recurrent cases. It is defined as a rapidly developing clinical signs of focal or global disturbance of cerebral function that persists for longer than 24 hours or results in fatalities (Catangui & julia 2012).
Clinical Pharmacology: Protein Tyrosine Kinase Inhibitor, inhibits BCR-ABL tyrosine kinase, half life of 18 hours, 40 hours for the metabolite, peak plasma time is 2-4 hours with 98% bioavailability, 95% protein bound, metabolised by CYP3A4; clearance is
ses this level, mother who have given birth are considered to be undergoing postpartum hemorrhage and appropriate measures will be taken to curb the situation since it can lead to death (Dickens, 2006). In fact, it is one of the major causes of death during delivery in the
Tranexamic acid is used in emergency medical conditions. The drug is used in prevention of postoperative bleeding disorders such as hemophilia. The drug proves to very useful in treating conditions such as menorrhagia, epistaxis, angioedema, surface bleeding from tumors.
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