Simulation of the Obstetric Hemorrhage - Research Paper Example

Obstetric Hemorrhage Project Report Obstetric Hemorrhage Project Report Introduction Usually after birth, there isthe discharge of bright red fluid from the vaginal opening, this remain a normal observation till it persists to a level of the fluid reaching 500ml in cases of the normal birth or 1000ml in the cases of cesarean. When the discharge of the bloods passes 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 developed countries. Absolute care is therefore necessary for pregnant mothers during delivery to ensure that in the case of such emergencies appropriate attendance can be given (Flamm, 2003). In the US alone, this occurrence has contributed to several deaths with the Department of Health in Illinois raising alarm over the increased deaths in the related areas. It has therefore been an issue of national interest and should be looked into with much care to reduce the preventable morbidity experienced in the areas. Preventive measure of this condition is thus important in relation to the loss of lives experienced in the hospitals during births. In this regard, a practicum and a simulation was done in this relation to give an account of what is the problem is, this was done in the hospital environment and a report given ultimately (Derrick, 2012). Simulation of the Obstetric Hemorrhage Because of the increased deaths associated with postpartum hemorrhage, this simulation was aimed at identifying areas that needed reinforcement so that it can be ascertained that the hospital system for the care is up to standard. The cause of death has remained speculative and as a rule, there are prerequisites that must be present in the hospital environment to facilitate such cases in the hospital (Davidson, 2009). This simulation was aimed at gauging the preparedness of the hospital in dealing with such emergency cases in the hospital. In most cases, inadequate preparations to some of the emergencies in the hospital environment is also a contributing factor to occurrence of deaths, the simulation program was thus intended to give all round account of the contributing factors in this situation (Arulkumaran, 2012). Cause of the Postpartum Hemorrhage Several causative agents can lead to the condition occurring in mothers at delivery period. Some of the much known cause of the condition are; the retention of the placenta in the womb of the mother during after birth, trauma, uterine atony, and coagulopathy, this is commonly known as the four Ts (Lynch, 2006). The four Ts are explained as below; Tone or the uterine atony is the failure of the uterus to contracts so that it can prevent bleeding. The bleeding can also be propagated by the retained placenta as well as infection. Trauma after the delivery can also contribute to the tissue rapture causing significant amount of bleeding from the body. Retention of the tissues that emanates form the placental and the fetus are also factors that leads to bleeding. Lastly, the thrombin factors are an important factor to consider, this is the failure of the clotting factor. This condition is even accelerated by the certain diseases like coagulopathies (Magann, 2005). Diagnosis and Management of Postpartum Hemorrhage Since the condition involves the loss of blood, it should be responded to swiftly with a lot of care. During the practicum, I got involved in the simulation by following the actual procedure of diagnosis for those with the condition. Before the diagnosis of the mothers, one should be able to recognize the excessive bleeding from the vaginal areas, once this is done, the four Ts could be used for the detection of the specific cause of the condition (Nahar, & Akhtar, 2010). The table above shows a systematic management of the condition in the hospital environment. This procedure should be followed to avoid loss of life in the hospital in the related condition. The Campaign in Illinois was due to the increasing number of the cases in the area. PPH has been identified to be one of the leading cause of death for the mothers during delivery period in the state and that informed the steps in this condition (Worcester, 2003). In the US, the effect of the condition has been estimated to be 140,000 deaths annually with 1 woman losing life every four minute because of the condition. It thus requires stringent measures to curb, with the strict evaluation of the hospital capacity to attend to such emergencies with precision (RamaRao, Mekbib, & Raifman, 2009). Benefits of the Simulation to the Nurses Just like any other simulation, OB postpartum Hemorrhage is useful the nurse in the sense that it gives them an opportunity to learn in practical some of the fundamentals necessary during the real clinical situations. In such a cases, some of the most important things that the nurses are likely to develop skills on is time management (Worcester, 2001). During real cases in the hospitals there need to be conscious about time and this can only be developed when there are several of such simulations. Simulation is thus very important in the time management in the hospital setting during the postpartum Hemorrhage. For instance in the case of this simulation, nurses timed themselves over the process of the exercise, just like the case of the simulation, the real exercise in the hospital also needs to be timed given the gravity of the patients condition (Worcester, 2001). Simulation is also important in making the nurses get acclimatize to the condition in terms of the symptoms that present in the patient who has developed the condition. Several symptoms are associated with the condition and nurses are supposed to know these conditions prior to the presented patients. During the simulation, the nurses also tend to acquaint themselves with the communication protocol during the process of carrying out their duties. Communication is an essential part of the duties that the nurses are supposes to uphold in terms of requesting for reinforcement from the doctors or from the fellow nurses (Worcester, 2011). References Arulkumaran, S. (2012). A comprehensive textbook of postpartum hemorrhage: an essential clinical reference for effective management (2nd ed.). London: Sapiens. Davidson, A. (2009). WHO Guidelines for the management of postpartum haemorrhage and retained placenta. Geneva: World Health Organization. Derrick, B. (2012, October 2). Research from Hospital Clinic Provides New Data on Postpartum Hemorrhage. Journal of Technology, 3, 36. Dickens, H. (2006). Postpartum hemorrhage: the leading global cause of maternal mortality.. New York: Elsevier. Flamm, B. L. (2003, November 15). Postpartum hemorrhage.(Clinical Pearls). OB GYN News, 7, 34. Lynch, C. (2006). A textbook of postpartum hemorrhage: a comprehensive guide to evaluation, management and surgical intervention. Duncow, United Kingdom: Sapiens. Magann, E. F. (2005, April 1). Postpartum hemorrhage after vaginal birth: an analysis of risk factors.(Original Article). Southern Medical Journal, 3, 35. Magann, E. F. (2005, April 1). Postpartum hemorrhage after vaginal birth: an analysis of risk factors.(Original Article). Southern Medical Journal, 3, 42. Nahar, L., & Akhtar, S. (2010). Impact of village theatre on unsafe abortion and postpartum hemorrhage related to maternal death in rural Bangladesh. Dhaka: National Institute of Population Research and Training. RamaRao, S., Mekbib, T., & Raifman, S. (2009). Manual for designing community based interventions for preventing postpartum hemorrhage (PPH) using misoprostol: standardized pilot-test training manual. New York: Population Council. Worcester, S. (2001, May 15). Quick Diagnosis Key in Postpartum Hemorrhage.. OB GYN News, 7, 42. Worcester, S. (2001, November 15). Hemorrhage management: be practical, prepared. (Postpartum Blood Loss).. OB GYN News, 3, 52. Worcester, S. (2003, January 1). Postpartum hemorrhage responds to new txs. (Medical Therapy, Other Techniques).. OB GYN News, 5, 36. Worcester, S. (2011, March 1). Dont delay suturing for postpartum hemorrhage.(OBSTETRICS)(Clinical report). OB GYN News, 4, 44. Read More