Handling of preventing post partum hemorrhage post partum haemorrhage, treat and cure of bleeding when uri post partum hemorrhage in Atoni uteri.
How to prevent post partum haemorrhage which is examining the physical condition, general condition, hemoglobin level, blood type and if possible available blood donors. As I watched the birth, be prepared for the purposes of drug infusion and uterine amplifier (uterotonika). After membrane rupture, fetal head start to open the vulva, infusion set and when the baby is born is given an ampoule methergin or in combination with 5 units sintosinon (sintometrin intravenous). The results are usually satisfactory.
How to treat bleeding when uri:
- Giving oxytocin.
- Removing the placenta by way Credee (1-2 times).
- Removing the placenta by hand.
Expenditure placenta by hand immediately after the fetus was born conducted when:
- Thinking will post ppartum bleeding.
- Bleeding a lot (over 500 cc).
- Retensio placenta.
- Perform action within narkossa obstetrics.
- History of post partum haemorrhage perssalinan ago.
If there are still remnants of the placenta is somewhat stuck and still do have bleeding immediately utero-vaginal tamponade during 24 hours, followed by granting uterotonika and antibiotics for three consecutive days and on day-to-four new curettage done to clean it.
If the wounds caused by the birth canal, the wound sutured immediately and the bleeding will stop.
Treatment of post partum haemorrhage depending on the number of Atoni uterine bleeding and uterine Atoni degrees are divided in three stages:
1. Phase I: not a lot of bleeding that can be overcome by giving
uterotonika, uterine massage (massage) and put the octopus.
2. Stage II: when the bleeding had stopped and multiply, further
given intravenous and blood transfusion and can do:
- Perasat (maneuver) Zangemeister.
- Perasat (maneuver) Fritch.
- Bimanual compression.
- Compression aorta.
- Utero-vaginal tamponade.
- Clasps uterine arteries by Henkel.
3. Stage III: when has not helped the last attempt is to eliminate
source of bleeding in two ways, namely meligasi hipogastrika artery or
hysterectomy.
1 comment:
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