Summary

From the evidence found through our research of postpartum management, we maintain our stance that it is a necessary component of the birthing process and should be regarded by all caregivers as an imperative procedure. It is clear that the most prevalent complications are hemorrhagic events. It is also clear that despite steady advancements in surgical procedures and medications, there has not been a decline in incidence of postpartum hemorrhage within industrialized nations in the past ten years (McDonald, 2007). In addition, although the mortality rate for hemorrhage has declined, the fact remains that any blood loss that approaches the 500 ml guideline for heavy blood loss will require significant recuperation time from the mother (WHO, 2000). As wounds and blood loss are the primary insults to the patient, natural sequelae will be infection, wound care, psychological disturbances, and possibly death of the infant, mother, or both. If the patients survive the trauma, not only will this directly affect the babies and their first year of life, but also will require sufficient education and social support for the mother and family upon discharge.

References:
McDonald, S. (2007). Management of the Third Stage of Labor. Journal of Midwifery
Women's Health; 52:254-61
World Health Organization. Managing Complication in Pregnancy and Childbirth: A Guide for
Midwifes and Doctors. Geneva: World Health Organization, 2000.

Submitted by: Brian Hansen and Jennifer Goldenstein