penanganan atonia uteri terbaru

Summary

This video script describes a medical demonstration focused on obstetric procedures, particularly managing uterine atony and postpartum hemorrhage. The presenter, using hands-on techniques, explains the steps involved in patient care, including sterile procedures, medication administration, and the use of medical equipment such as infusion sets and condom catheters. The video covers actions like uterine massage, monitoring bleeding, and preparing for referral to a healthcare facility. The detailed process highlights emergency response measures, including fluid administration and external compression, aimed at stabilizing the patient.

Takeaways

• 😀 The script begins with a greeting and introduction, where the speaker is about to demonstrate a medical procedure.
• 😀 Various medical equipment and materials are prepared, including gloves, infusion sets, sterile instruments, and medication like oxytocin and ergometrine.
• 😀 Emphasis is placed on ensuring hygiene and sterilization before starting the procedure, including washing hands and preparing sterile clothing and equipment.
• 😀 The speaker mentions the process of uterine massage as part of post-delivery care to manage uterine atony and reduce bleeding.
• 😀 If bleeding persists despite uterine massage, the script describes the process of checking for potential uterine tears or lacerations.
• 😀 There is a mention of using external compression by the family to assist in controlling bleeding if the uterus does not contract properly.
• 😀 The importance of administering an oxytocin injection to help with uterine contraction and reduce bleeding is highlighted.
• 😀 The script includes instructions for setting up and administering intravenous fluids, such as RL infusion, along with oxytocin to manage postpartum bleeding.
• 😀 If bleeding continues, the speaker advises checking for leaks and possible complications, and preparing for further medical interventions, such as a condom catheter.
• 😀 The importance of monitoring the mother's vital signs, including blood pressure and pulse, is emphasized throughout the procedure.
• 😀 The final steps involve washing hands, documenting the actions taken, and monitoring the mother's condition while preparing for transfer to a referral health facility.

Q & A

What is the primary focus of the transcript?

The transcript describes a detailed procedure for managing a medical case involving postpartum uterine atony, including steps for preparing medical equipment, performing procedures like uterine massage and the use of a condom catheter, and ensuring proper care and hygiene.

What equipment is mentioned for the procedure?

The equipment includes gloves, infusion installation sets, sterile condom catheters, Foley catheters, silk threads, NaCl, oxytocin, ergometrine, and basins for cleaning with chlorine solution, among others.

What does uterine atony refer to in this context?

Uterine atony refers to the failure of the uterus to contract properly after childbirth, which can lead to excessive bleeding. The transcript discusses how to manage this condition.

How is uterine atony treated in this scenario?

The treatment includes massaging the uterus, administering oxytocin, and if necessary, using a condom catheter to manage bleeding and maintain uterine contractions.

What is the role of the family members in the procedure?

Family members are instructed to assist with external compression of the mother's abdomen to help manage bleeding, while also maintaining the position as directed.

How does the medical team monitor the patient’s condition?

The team monitors the mother's blood pressure, the bleeding every 10 minutes for the first two hours, and the infusion process to ensure proper management of the condition.

What is the significance of the chlorine solution in the procedure?

The chlorine solution is used for disinfecting the equipment and for cleaning the patient, specifically for vulva hygiene, to prevent infections.

Why is the condom catheter inserted, and how is it used?

The condom catheter is inserted into the uterine cavity to manage postpartum bleeding and ensure the uterus remains contracted. It is connected to an infusion to provide NaCl as needed.

What should be done if bleeding continues despite the procedure?

If bleeding continues, the procedure may be repeated, and if necessary, a referral to a higher medical facility should be made for further care.

What actions are taken if uterine contractions do not improve?

If the uterine contractions do not improve, a referral to a specialized health facility is made, and the preparation of a condom catheter is continued to manage the situation.