Placenta previa and abruption placenta also cause heavy maternal bleeding. Conditions with varied placental site attachment.A woman who underwent operative birth or rapid birth could develop lacerations that would cause bleeding. Conditions that could have caused cervical or uterine lacerations.Multiple gestations, hydramnios, a large baby, and the presence of uterine myomas predispose to postpartum hemorrhage. Conditions that distend the uterus beyond average capacity.These are the risk factors that you should watch out for in a postpartum woman. If the uterus has retained placental fragments, it can also cause massive bleeding postpartum.Lacerations also cause bleeding after delivery. In uterine atony, the uterus stops contracting, which leads to bleeding because the placental sites have closed.There are different main causes of postpartum hemorrhage, and they cause bleeding in different ways.Postpartum hemorrhage occurs when a woman loses more than 500 mL of blood in a normal delivery and more than 1,000 mL of blood in a cesarean delivery within 24 hours.This article aims to serve as a comprehensive nursing guide to postpartum hemorrhage, delving into its causes, assessment techniques, and multidisciplinary management. As nursing professionals, understanding the risk factors, early signs, and evidence-based interventions for PPH is crucial in providing comprehensive care and support during this critical phase of the maternal journey. It accounts for the majority of the 14 million cases that occur each year. Postpartum hemorrhage is a significant and potentially life-threatening complication that requires prompt recognition, rapid intervention, and expert nursing care to ensure the well-being of the mother. The postpartum period, a time of joy and celebration, can also present unexpected challenges, one of which is postpartum hemorrhage (PPH).
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