Obstetric and Gynecological Nursing - The Carter Center

Cause
- Delivery through partially dilated cervix
- Instrumental delivery-bruised
- Difficult delivery- Face to pubes, after coming head of
breech
Management of traumatic PPH
When bleeding is due to the tear, explore the area for the tear,
clamp the bleeding point and suture. Make sure that the
uterus is not ruptured. If the laceration is sutured and bleeding
stop make sure that the uterus is well contacted.
If bleeding is from bruised cervix place a pack against it for a
few minutes to an hour, if so leave catheter in situ.
If bleeding is from ruptured uterus, transfer to the hospital as
soon as possible; go with patient or send a full written report
with date, time of departure and Signature.
7.2.3 Hypo Fibrinogenaemia
This is bleeding due to a clothing defect and the patient
continuous to bleeding in spite of treatment for the other types
of postpartum hemorrhage.
Causes
- Placental abraptio
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