Question

A woman arrives at the office for her 4-week postpartum visit. her uterus is still enlarged and soft, and lochial discharge is still present. which nursing diagnosis is most likely for this client?

Answer 1

A woman arrives at the office for her 4-week postpartum visit. her uterus is still enlarged and soft, and lochial discharge is still present. Fatigue risk associated with prolonged bleeding as a result of subinvolution diagnosis.

The incomplete return of the uterus to its pre-pregnancy size and form is known as subinvolution. At a 4- or 6-week postpartum visit, the uterus is still big and mushy in subinvolution. Normally, lochial discharge is still present.

The scenario's symptoms are most similar to those of subinvolution. Secondary postpartum haemorrhage can be caused by subinvolution of the placental sites (SPSs), a rare but serious condition (PPH). In the absence of retained foetal products of conception, SPS is characterised by the anomalous persistence of massive, dilated, superficially modified spiral arteries. It is a significant contributor to young women's morbidity and mortality. We describe a case of secondary PPH in this report in a young woman who had an uneventful caesarean delivery, was declared clinically unstable, and ultimately required an urgent total abdominal hysterectomy.

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