Nursing care for uterine compression sutures during cesarean section: case study

Abstract

Uterine compression sutures are the treatment of uterine atony during a cesarean section, in case of failure medical management of uterine atony before hysterectomy. These treatment are effective method to prevent more serious complication. Perioperative nurse is part of the surgical team, who and attention to operative procedures provided assistance quickly and accurately to reduce severe complication that may occur. This case study of a patient who was 34 weeks of pregnancy, had labour pain and uterine contraction before coming to the hospital. The doctor suggested vaginal birth after 2 times of cesarean section deliveries. Vacuum extraction was done during the second stage of labour because of failed to progress induction, emergency cesarean section was done. After child birth, the patient had early postpartum hemorrhage occur because of the uterine atony. Initial management with uterine massage and uterotonic drug. These methods were unsuccessful so surgery procedure such as B-lynch sutures had been done for stop postpartum hemorrhage.

The rule of perioperative nurse prepared operating room for emergency surgery, planned manpower for surgery, helped with surgical procedure under the supervision of surgeons, selected and prepared instruments and supplies for the operation, accurately assess of blood loss during surgery, coordinated with multidisciplinary team to care patient during and after surgery. Patient was discharged from hospital 5th after surgery. Her child was admitted to ICU for continuing treatment and was discharged within 15 days.