Question

Becky is a 33 year old woman. She is a G4 P3. She had a spontaneous vaginal delivery of a 4100 live female 4 hours ago following a precipitous delivery. Post-delivery, she received 10u of Pitocin IM. Her perineum is intact and she is feeling good. She breastfed her infant after delivery for 20 minutes without any issues. In the postpartum unit her fundus is firm at the umbilicus, her lochia is small to moderate. V.S. are stable. She rings her call bell and states "I feel dizzy and lightheaded". Upon entering the room, Becky is pale and there is a pool of blood on the floor.

Answer 1

Becky is suffering from postpartum hemorrhage.
its the loss of blood after delivery , normal or ceseran.

Pathophysiology - usually occurs immediately after the delivery of the placenta.

Symptoms.

• heavy vaginal bleeding
• signs and symptoms of hypovolemic shock
• Dizziness
• tachycardia
• quick, shallow breathing
• weakness and fatigue
• confusion

• Treatment
• fluid resuscitation
• blood transfusion
• fresh frozen plasma infusions if abnormal coagulation test findings
• manage underlying causes
• oxytocin administration
• suturing of laceration
  hysterectomy