What factors increase a woman's risk for postpartum complications?

Conditions that may increase the risk for postpartum hemorrhage include the following:
  • Placental abruption. The early detachment of the placenta from the uterus.
  • Placenta previa. ...
  • Overdistended uterus. ...
  • Multiple pregnancy. ...
  • Gestational hypertension or preeclampsia. ...
  • Having many previous births.
  • Prolonged labor.
  • Infection.
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Which factors put a patient at risk for postpartum complications?

Risk factors for postpartum complications

But women with chronic conditions such as cardiac disease, obesity or high blood pressure are at greater risk of dying or nearly dying from pregnancy-related complications. If you have these risk factors, monitoring your postpartum health is particularly important.
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What are some potential complications for a postpartum woman?

Potential Postpartum Complications
  • postpartum infections, most often in the urinary tract and uterus.
  • excessive bleeding after delivery.
  • postpartum depression and/or “baby blues”
  • sleep deprivation.
  • breast and breastfeeding problems, such as swollen breasts, mastitis or clogged milk ducts.
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What are some risk factors for PPH?

Risk factors for PPH include; past history of PPH, multiple pregnancy, fetal macrosomia, primi-gravida, grand multi-parity, older age, preterm births, genital tract injuries, non-use of oxytocics for PPH prophylaxis, labour induction, cesarean birth and intra-uterine fetal deaths [4, 7–10].
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What are the 3 main causes of postpartum hemorrhage?

What causes postpartum hemorrhage?
  • Tear in the cervix or tissues of the vagina.
  • Tear in a blood vessel in the uterus.
  • Bleeding into a hidden tissue area or space in the pelvis. This mass of blood is called a hematoma. It is usually in the vulva or vagina.
  • Blood clotting disorders.
  • Placenta problems.
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Postpartum hemorrhage - causes, symptoms, treatment, pathology



Which of the following factors places a patient at risk for postpartum hemorrhage?

Risk factors for postpartum hemorrhage among the deliveries were: fetal macrosomia (over 4000 g); pregnancy-induced hypertension; pregnancy generated by assisted reproductive technology; severe vaginal or perineal lacerations; and weight gain over 15 kg during pregnancy.
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Who is at risk for postpartum hemorrhage?

Who is at a higher risk for postpartum hemorrhage? Those with placental problems like placenta accreta, placenta previa, placental abruption and retained placenta are at the highest risk of PPH. An overdistended uterus also increases the risk for PPH.
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What risk factors increase the chances of postpartum hemorrhage?

Excessive enlargement of the uterus due to too much amniotic fluid or a large baby, especially with birthweight over 4,000 grams (8.8 pounds). Multiple pregnancy. More than one placenta and overdistention of the uterus. Gestational hypertension or preeclampsia.
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What is the most common cause of postpartum hemorrhage?

Uterine atony.

This is the most common cause of PPH. It happens when the muscles in your uterus don't contract (tighten) well after birth. Uterine contractions after birth help stop bleeding from the place in the uterus where the placenta breaks away.
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What is the most common complication of childbirth?

By far, the most common complication during childbirth is labor that does not progress. Sometimes, labor starts fine but over time the contractions slow down, the cervix doesn't dilate enough, and the baby's descent in the birth canal is hindered.
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What is the definition of postpartum complications?

The postpartum period is typically defined as the first 6–12 weeks following delivery of an infant. During this time, postpartum complications can occur either as a result of the normal physiologic changes the body undergoes to return to its prepregnancy state or as complications of the labor.
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Which factor puts a Multiparous client on her first postpartum day at risk for developing hemorrhage quizlet?

Which factor puts a multiparous client on her first postpartum day at risk for developing hemorrhage? Explanation: Multiparous women typically experience a loss of uterine tone due to frequent distentions of the uterus from previous pregnancies. As a result, this client is also at higher risk for hemorrhage.
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Which factor puts a client at risk for postpartum hemorrhage quizlet?

Which factor puts a client at increased risk for postpartum hemorrhage? The chance of postpartum hemorrhage is five times greater with large infants because uterine contractions may be impaired after the birth. Early breastfeeding will stimulate uterine contractions and lessen the chance of hemorrhage.
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What causes late postpartum hemorrhage?

Causes of late postpartum hemorrhage (from 24 hours to six weeks after delivery) include infection, placental site subinvolution, retained placental fragments and hereditary coagulopathy.
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What types of trauma during labour and birth would lead to PPH risk?

Atony was the most common cause of severe PPH (62.3%), followed by retained placenta (24.6%). Moreover, surgical trauma during cesarean section was reported in 6.5% of the cases of severe PPH.
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Which of the following circumstances is most likely to cause uterine atony and lead to postpartum hemorrhage?

Uterine atony is a failure of the uterine myometrial fibers to contract and retract. This is the most important cause of PPH and usually occurs immediately following delivery of the baby, up to 4 hours after the delivery.
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What preexisting condition is the most likely reason for the cesarean birth?

Stalled labor is one of the most common reasons for a C-section. Stalled labor might occur if your cervix isn't opening enough despite strong contractions over several hours. Your baby is in distress.
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Which patient would be most likely to have severe afterbirth pains?

These pains usually last for two to three days after the birth. Women who have previously had a baby are more likely to experience after-birth pains. Breastfeeding stimulates the uterus to contract and increases the severity of the pains.
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Which is a risk factor associated with in vitro fertilization embryo transfer IVF ET?

Risks of IVF include: Multiple births. IVF increases the risk of multiple births if more than one embryo is transferred to your uterus. A pregnancy with multiple fetuses carries a higher risk of early labor and low birth weight than pregnancy with a single fetus does.
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When assessing a 1 day postpartum woman's pulse What is the first action a nurse should take in response to a rate of 56 beats min?

When assessing a 1-day postpartum woman's pulse, what is the first action a nurse should take in response to a rate of 56 bpm? a) Ask the woman what she has had to eat today.
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For which reason is a postpartum client encouraged to walk?

It can decrease that risk of blood clots that is even more prominent postpartum if a woman has had surgery.” Walking not only lets you test out how well your body feels after delivery — looking at you, vaginal tears — it also eases you back into physical activity without risking major injury.
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Which condition of delivery would predispose a neonate to respiratory distress syndrome RDS )?

Causes. Neonatal RDS occurs in infants whose lungs have not yet fully developed. The disease is mainly caused by a lack of a slippery substance in the lungs called surfactant. This substance helps the lungs fill with air and keeps the air sacs from deflating.
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What can happen during postpartum?

Most new moms experience postpartum "baby blues" after childbirth, which commonly include mood swings, crying spells, anxiety and difficulty sleeping. Baby blues typically begin within the first two to three days after delivery, and may last for up to two weeks.
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How did you prevent complications during pregnancy?

If you're planning to get pregnant, achieving a healthy weight before pregnancy reduces your risk of complications. Follow a healthy diet and get regular exercise to lose weight and maintain a healthy weight. While pregnant, follow the doctor's guidelines for weight gain to ensure a healthy labor and delivery.
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What is the definition of a postpartum complication AAPC Chapter 5?

Any complication occurring within the six-week period after delivery. What is the definition of a postpartum complication? Rash developing when taking penicillin.
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