postpartum collapse
Introduction
Introduction to postpartum collapse Postpartum prostration is the pale face of the maternal postpartum, sweating, cold limbs, palpitation, dizziness and even syncope and other shock-like symptoms, but normal blood pressure. Even if the pretreatment symptoms can be recovered quickly in a short time. Postpartum collapse is often seen in the first time after getting out of bed or going to the toilet. Resting in bed, replenishing liquid, if it can be recovered quickly in a short time, no special treatment is required, but blood routine examination and electrolyte examination should be carried out in time. basic knowledge Sickness ratio: 0.1% Susceptible people: good for postpartum women Mode of infection: non-infectious Complications: electrolyte imbalance
Cause
Cause of postpartum collapse
Causes:
After the baby is delivered, the uterus shrinks rapidly, the intra-abdominal pressure is suddenly reduced, and the blood stagnates in the internal organs.
Pathogenesis:
After the placenta is discharged, due to the cessation of blood circulation in the placenta uterus, the uterus shrinks and causes a large amount of blood to flow from the uterus sinus into the blood circulation, and because the venous pressure drops, the interstitial fluid returns to the blood circulation, so the systemic circulation is greatly increased, and the heart rate becomes faster. , cardiac output increased by 10% to 20% compared with prenatal; plus the increase in maternal energy and oxygen consumption during the entire delivery process, a large amount of sweating after childbirth, may lead to mild acid-base balance disorders or Mild electrolyte disturbances, but some of the collapsed people did not show changes in electrolytes.
Prevention
Postpartum collapse prevention
Pay attention to protect productivity after labor, avoid excessive labor, and consume too much maternal; in addition, give the mother sufficient energy supplement during the labor process, for those who have not eaten or have vomiting for a long time, should be supplemented with energy and liquid. For pregnant women with anemia during pregnancy, hemoglobin should be reviewed in time after delivery to correct anemia treatment. Encourage the maternal to get out of bed after childbirth or take a semi-recumbent position, do not always lie flat on the bed.
After the collapse, bed rest, replenishment of fluid, if it can be recovered quickly in a short period of time, no special treatment is required, but blood routine examination and electrolyte examination should be performed in time, except for the presence or absence of postpartum anemia or other postpartum complications.
Complication
Postpartum collapse complications Complications electrolyte disorder
Can be complicated by water and electrolyte disorders.
Symptom
Symptoms of postpartum collapse. Common symptoms, sweating, pale, dizziness, flustered limbs, cold, vaginal discharge, postpartum abdominal pain, postpartum body aches, syncope, nausea
The maternal face pale, sweating around the body, cold limbs, complaining of dizziness, fatigue, some nausea and vomiting, and even fainting. Postpartum collapse is often seen in the first childbirth after going to bed or going to the toilet, physical examination found: The blood pressure is low, the pulse is fine, and the diagnosis can be confirmed according to the medical history, clinical manifestations and signs.
Examine
Postpartum collapse test
According to the condition, blood, urine, routine, blood sugar, biochemistry, electrolytes, etc. are selected.
According to the condition, choose to do B-ultrasound ECG.
Diagnosis
Diagnosis of postpartum collapse
diagnosis
Can be diagnosed based on clinical symptoms and examinations.
Differential diagnosis
Identification with shock: patients with systolic blood pressure below 90mmHg or systolic blood pressure decreased by more than 30% (for hypertensive patients) arterial hypotension. From the perspective of pathophysiology, shock is a manifestation of tissue hypoperfusion caused by various causes. Insufficient tissue perfusion leads to increased hypoxia and anaerobic glycolysis, reduced ATP production and lactic acidosis necessary for cellular function. In shock, tissue perfusion of various organs is redistributed, some are "sacrificed", such as the kidney and liver and spleen, while others are protected for longer, such as the brain and heart. Insufficient tissue perfusion can lead to the failure of multiple internal organs, which in turn complicates the symptoms of shock. Shock can also appear pale, sweating around the body, cold limbs, complaining of dizziness, fatigue, some nausea and vomiting, and even symptoms such as syncope. To be identified.
