NURSING CARE OF NORMAL LABOR WITH EARLY POSTPARTUM HEMORRHAGE : COMPARISON OF 2 CASE.

Abstract

     This case study aimed to investigate the nursing care of mothers with normal deliveries and early postpartum hemorrhage. Two case studies were specifically selected from mothers who experienced postpartum hemorrhage at Huai Mek Hospital, Kalasin Province, from February 2024 to April 2024. Data were collected from medical records, patient and family interviews, and observation. Case study analysis covered risk factors, diagnosis, treatment, nursing problems and diagnoses, and nursing activities using the nursing process.

     The study results from two case studies showed that postpartum hemorrhage with shock and anemia had different causes of bleeding and personal factors. In case 1, the postpartum hemorrhage was caused by poor uterine contractions. In case 2, the postpartum hemorrhage was caused by poor uterine contractions due to retained placenta. The ultimate outcome of care in both cases was that the patients were transferred to a higher-level hospital for further treatment, and the patients were safe without dangerous complications.