When your patient is from the obstetric department: postpartum hemorrhage and massive transfusion

Melanie Chichester1

  • 1Labor and Delivery, Christiana Care Health System, 4755 Ogletown-Stanton Road, Newark, DE 19718, USA. mchichester@christianacare.org

When caring for patients receiving massive transfusion, the nurse will be required to perform ongoing assessments and apply critical thinking to provide optimum care and avoid further complications. The perianesthesia nurse must be aware of the hemodynamic and coagulation changes of pregnancy when caring for an obstetric patient in the PACU to optimize patient outcomes. Understanding the causes of obstetric hemorrhage, which may result in the need for massive transfusion, will enable the nurse to anticipate and prevent potentially deadly complications.

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