5 Nursing care plans for PPH

5 Nursing care plans for PPH

Here are five nursing care plans for postpartum hemorrhage:

  1. Risk for Hypovolemic Shock related to excessive bleeding during postpartum hemorrhage:
    • Assess vital signs frequently, including blood pressure, heart rate, and respiratory rate.
    • Monitor for signs of hypovolemic shock, such as tachycardia, hypotension, pallor, cool clammy skin, and decreased urine output.
    • Administer intravenous fluids and blood products as prescribed to restore circulating volume.
    • Position the patient in a supine position with legs elevated to promote venous return.
    • Collaborate with the healthcare team to assess the need for surgical interventions such as uterine massage, uterine artery embolization, or hysterectomy.
  2. Acute Pain related to uterine cramping and tissue trauma during postpartum hemorrhage:
    • Assess the patient’s pain level using appropriate pain assessment tools.
    • Administer analgesic medications as prescribed to alleviate pain and discomfort.
    • Provide comfort measures such as warm compresses, relaxation techniques, and positioning to promote relaxation.
    • Educate the patient on the expected course of postpartum cramping and pain and the rationale for pain management interventions.
    • Monitor for adverse reactions to pain medications and adjust doses as needed.
  3. Risk for Infection related to retained products of conception or prolonged labor during postpartum hemorrhage:
    • Assess the patient’s vital signs and uterine tone regularly for signs of infection, such as fever, chills, and foul-smelling lochia.
    • Monitor the patient’s white blood cell count and C-reactive protein levels as indicators of infection.
    • Administer antibiotics as prescribed to treat or prevent infection.
    • Encourage good hygiene practices, including perineal care and handwashing.
    • Educate the patient on signs and symptoms of infection requiring prompt medical attention.
  4. Anxiety related to the experience of postpartum hemorrhage and potential complications:
    • Assess the patient’s level of anxiety and coping mechanisms.
    • Provide emotional support and reassurance to alleviate anxiety and fears.
    • Encourage open communication and provide opportunities for the patient to express concerns and ask questions.
    • Offer relaxation techniques such as deep breathing exercises, guided imagery, and mindfulness meditation.
    • Collaborate with the healthcare team to address any underlying factors contributing to anxiety and provide appropriate interventions.
  5. Deficient Knowledge regarding postpartum hemorrhage prevention and management:
    • Assess the patient’s understanding of postpartum hemorrhage, risk factors, and preventive measures.
    • Provide education on early recognition of postpartum hemorrhage signs and symptoms, including excessive bleeding, uterine atony, and changes in vital signs.
    • Discuss the importance of prompt reporting of any abnormal postpartum symptoms to healthcare providers.
    • Review postpartum hemorrhage management strategies, including uterine massage, administration of uterotonic medications, and surgical interventions if necessary.
    • Provide written materials and visual aids in the patient’s language, and encourage questions and open communication.

These nursing care plans aim to address the immediate and long-term needs of patients experiencing postpartum hemorrhage, including management of hypovolemic shock, pain, infection prevention, anxiety, and patient education for prevention and early recognition of complications.


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