Nursing Care for Postpartum Mothers with Complications from Receiving Blood Transfusion due to Postpartum Hemorrhage:

A Case Study

Abstract

This report aimed to study the progression of postpartum hemorrhage and management guidelines for postpartum mothers with hemorrhagic shock receiving blood transfusion. One case of postpartum mothers was study. The postpartum mother was in a reproductive age and diagnosed hypovolemic shock with Transfusion-associated circulation overload (TACO) and Transfusion-related acute lung injury (TRALI). The postpartum mother received intervention by using the nursing process and the health assessment following the hospital’s standard care of postpartum mothers.

The case study was a postpartum mother with hemorrhagic shock, hypoxia, post-traumatic circulatory hyperemia (TACO), and acute post-exposure lung injury (TRALI). The hospital’s management of postpartum hemorrhage care, such as blood transfusions, fluids, and tocolytic drug administration, was performed closely and strictly to care for the postpartum mother. The care lasted for 8 days and then the postpartum mother was discharged.

This study suggests that a hospital protocol for blood transfusion in hypovolemic shock due to postpartum hemorrhage should be administered instantly. The reason is to safe mother from life threatening conditions and complications. Nurses should take care of intravenous administration and blood transfusion to the postpartum mother. The postpartum mother’s conditions should be monitored closely. If there are any adverse outcomes due to blood transfusion, the doctor should be notified at once for further care.