Procedural Manual For Delivery Cases

• Hypovolemic shock due to blood or fluid loss.
• Septic shock from infection.
• Neurogenic shock (e.g., from trauma or anesthesia).
• Cardiogenic shock.
• Anaphylactic shock due to medication reactions.

Symptoms of Shock:

• Pale skin, low blood pressure, rapid pulse, sweating, cold extremities, and possibly loss of consciousness.

Nursing Care for Shock:

• Immediate physician notification and initial resuscitation measures, such as airway management, IV access, and blood transfusions.
• Continuous monitoring of vital signs and fluid balance.

Puerperal Fever: Puerperal fever is a fever above 38.5°C that persists for more than two consecutive days following delivery, often caused by infections in the reproductive tract.

Symptoms and Causes of Puerperal Fever:

• Fever above 38.5°C, chills, fatigue, and tachycardia.
• Possible uterine infection, pelvic infection, or sepsis.

Prevention of Puerperal Fever:

• Early detection and treatment of infections during pregnancy.
• Ensuring proper hygiene during labor and postpartum care.
• Monitoring the patient for signs of infection, and isolating affected individuals to prevent transmission.

Nursing Care for Puerperal Fever:

• Monitor vital signs, especially temperature and heart rate.
• Ensure proper hygiene and provide comfort measures.
• Administer antibiotics as prescribed and monitor their effectiveness.

Deep Vein Thrombosis (DVT) and Pulmonary Embolism: Thrombosis in the lower limbs can occur during the postpartum period, leading to potential complications like pulmonary embolism.

Nursing Care for DVT:

• Encourage early movement after delivery and monitor for signs of deep vein thrombosis (pain, swelling, redness).
• Administer prescribed medications and provide support for mobility.
• Monitor for complications like embolism.

Breast Engorgement and Mastitis: Mastitis is an infection of the breast, often associated with breastfeeding, causing pain, swelling, and fever.

Nursing Care for Mastitis:

• Encourage continued breastfeeding, even from the affected breast.
• Use warm compresses for relief, administer prescribed antibiotics, and support the mother through any necessary procedures for abscess drainage.