Page 308 - Critical Maternity & Newborn Health Nursing

• It is dark red in color.

• The placenta may be not delivered.

In trauma: Bleeding starts immediately after delivery of the fetus.

• It is bright red in color.

• Lacerations can be detected by local examination.

Management:

(A) Prevention:

(I) During pregnancy:

1. Detection and correction of anemia.

2. Hospital delivery with ready cross-matched blood for high-risk patients as:

• Antepartum hemorrhage.

• Previous postpartum hemorrhage.

• Polyhydramnios and multiple pregnancy.

• Grand multipara.

(II) During labor:

1. Proper use of analgesia and anesthesia.

2. Avoid prolonged labor by proper oxytocin which should be extended

to the end of the 3rd stage if used.

3. Avoid lacerations by:

• Proper management of the 2nd stage.

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