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Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Venous Thrombosis III: Interprofessional Care

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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Related Experiment Videos

Postpartum haemorrhage: prevention.

David Chelmow1

  • 1Virginia Common Wealth University Medical Centre, Richmond, USA.

BMJ Clinical Evidence
|April 6, 2011
PubMed
Summary
This summary is machine-generated.

This review examines interventions to prevent postpartum hemorrhage, a common childbirth complication. It found various drug and non-drug methods effective for reducing blood loss after delivery.

Related Experiment Videos

Area of Science:

  • Obstetrics and Gynecology
  • Evidence-Based Medicine
  • Maternal Health

Background:

  • Postpartum hemorrhage (PPH) affects over 10% of deliveries, with a 1% mortality rate.
  • Uterine atony is the primary cause, influenced by factors like anesthesia, uterine distension, and labor duration.
  • Other causes include retained placental tissue, genital tract lacerations, and coagulation disorders.

Purpose of the Study:

  • To systematically review the effectiveness and safety of interventions for preventing primary postpartum hemorrhage.
  • To answer clinical questions regarding both drug and non-drug interventions.

Main Methods:

  • Systematic review of 40 studies, including systematic reviews, randomized controlled trials (RCTs), and observational studies.
  • Searched major databases (Medline, Embase, Cochrane Library) up to March 2010.
  • Included harms alerts from regulatory agencies (FDA, MHRA).

Main Results:

  • Evaluated the quality of evidence for various interventions using the GRADE system.
  • Identified multiple interventions for PPH prevention.

Conclusions:

  • Presents information on the effectiveness and safety of interventions including active management of the third stage of labor.
  • Discusses specific interventions such as carboprost, controlled cord traction, ergot compounds, misoprostol, oxytocin, and uterine massage.