Nursing care of a patient with pernicious placenta previa and severe polyhydramnios complicated with massive hemorrhage during cesarean section
10.3761/j.issn.0254-1769.2025.06.017
- VernacularTitle:1例凶险性前置胎盘伴重度羊水过多患者剖宫产术中并发大出血的围手术期护理
- Author:
Jiayuan FENG
1
;
Hefeng TIAN
;
Guijun ZHAO
;
Ting LI
Author Information
1. 312000 浙江省绍兴市妇幼保健院手术室
- Publication Type:Journal Article
- Keywords:
Pernicious Placenta Previa;
Amniotic Fluid;
Cesarean Section;
Obstetrical Nursing;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2025;60(6):748-752
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the perioperative nursing experience in a case of perioperative hemorrhage during cesarean section due to pernicious placenta previa with concurrent placenta implantation accompanied and severe polyhydramnios.Nursing key points:①to set up a multidisciplinary team before the operation,and work together to formulate a systematic intraoperative emergency plan;②to activate the intraoperative emergency plan,fully cooperate with the implementation of the rescue;to optimize the blood management process,to maintain the stability of the patient's blood circulatory system;to implement a diversified nursing program,to minimize the risk of infection of the surgical site;to optimize the process of preterm asphyxiation rescue,to ensure that the child's respiratory circulation is stable;③to strengthen the risk of postoperative thrombosis and hemorrhage,to strengthen the early warning and management of postoperative thrombosis and bleeding risk;to strengthen the risk prevention and monitoring management of acute colonic pseudo-obstruction;to apply the'5G+VR remote visiting service system'to enhance patients'emotional support.After multidisciplinary joint treatment and refined nursing care,the patient was discharged from the hospital on the seventh day after the operation,and both the mother and the child recovered well in the one-month follow-up after the operation.
