The first action in managing postpartum hemorrhage is to assess the uterine tone and administer uterotonics (e.g., oxytocin) to help the uterus contract and reduce bleeding. Immediate assessment and management are crucial to control hemorrhage before considering other interventions.
The McRoberts maneuver (flexing the mother’s legs towards her abdomen) combined with suprapubic pressure is the primary intervention for managing shoulder dystocia. These techniques help to resolve the impaction of the fetal shoulder and facilitate delivery.
Eclampsia is characterized by severe hypertension and proteinuria and is a serious condition that can lead to seizures. Immediate medical intervention is required to manage the condition, including the administration of magnesium sulfate and careful monitoring.
For a patient with a prolonged rupture of membranes and signs of infection, the recommended management includes starting broad-spectrum intravenous antibiotics to prevent or treat infection and closely monitoring the patient and fetus. Induction of labor may also be considered, but antibiotics are the primary intervention to address the infection.
For a newborn with respiratory distress immediately after birth, the appropriate initial management is to provide positive pressure ventilation to ensure adequate oxygenation and breathing. Other interventions, such as administering antibiotics or performing a CBC, may be necessary based on further assessment, but ventilation is critical for addressing immediate respiratory issues.
