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Öz

Postpartum hemorrhage which is amlounted for one fourth of maternal death all over the world is defined as rapid orslow blood loss greater than 500 ml following vaginal delivery and 1000 ml after cesarean section. Postpartumhemorrhage which may develop due to the complications or congenital pathologies during pregnancy or delivery mayomlur within postpartum 24 hours to 6 weeks. Several conditions may delay the intervention such as late recognition ofthe abnormalities in physical examination of the mother after childbirth, rapidly decreasing in ability of the body tocompensate the hemorrhage or late notification of the physician by health care professionals who follow-up the motherafter childbirth. In this case, health care professionals must identify the symptoms as soon as possible and perform aproper medical intervention in time. A multidisciplinary team work is essential in pharmacological, conservative andsurgical treatment implementation used in postpartum hemorrhage management. In this review, role of midwives / nurseswho are among the most important members of the team in risk evaluation, management and intervention in postpartumhemorrhage cases was discussed in light of the literature

Anahtar Kelimeler

• Postpartum hemorrhage; midwife; nurse

Postpartum Hemoraji Risk Değerlendirmesi, Yönetimi ve Ebe/Hemşirenin Rolü

Öz

Tüm dünyada anne ölümlerinin dörtte birinin nedeni olan postpartum hemoraji; vajinal doğum sonrası 500cc, sezaryen sonrası 1000cc’den fazla hızlı veya yavaş kan kaybı olarak tanımlanır. Gebelik ve doğum sürecindeki komplikasyonlar veya konjenital patolojilere bağlı olarak gelişebilen postpartum hemoraji doğum sonu 24 saat ile 6 hafta içerisinde meydana gelebilir. Lohusanın fizik muayenesindeki anormalliklerin geç fark edilmesi, vücudun kanamaya karşı yerine koyma yeteneğinin hızla azalması veya lohusayı takip eden sağlık personelinin hekime geç haber vermesi gibi durumlar müdahaleyi geciktirebilir. Sağlık personellerinin bu durumda semptomları kısa sürede tespit ederek uygun ve zamanında müdahalede bulunmaları gerekir. Postpartum hemoraji yönetiminde kullanılan farmakolojik, konservatif ve cerrahi tedavi uygulamalarında multidisipliner ekip çalışmasına ihtiyaç duyulur. Bu derlemede; ekibin en önemli üyelerinden olan ebe/hemşirelerin postpartum hemoraji risk değerlendirmesi, yönetimi ve müdahaleleri literatür doğrultusunda ele alınmıştır.

 

Anahtar Kelimeler

• postpartum hemoraji; kanama; ebe; hemşire

Kaynakça

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