Introduction: Postpartum hemorrhage is a serious and dangerous complication of childbirth and one of the largest contributors to maternal morbidity and mortality worldwide. The four most common causes of postpartum hemorrhage are the so-called four Ts: tonus, trauma, tissue and thrombin. An early identification of the underlying causes and the implementation of appropriate interventions based on the etiology are key to achieving and maintaining of maternal health and well-being. Purpose: The objective of the diploma work is to introduce postpartum hemorrhage and assess the role of the nurse at managing this childbirth complication. Methods: The descriptive method of research was used in our work. A review of scholarly articles in Slovene and English language, published from 2010 onwards in foreign scientific databases, namely Medline, Science Direct, Cinahl and PubMed, as well as in Slovene library information systems Cobiss and DiKul was carried out. Results: Multidisciplinary team approach is required to ensure successful management of postpartum hemorrhage. Healthcare workers must be aware of neonatal mothers' risk factors for postpartum hemorrhage and acquainted with diagnostic procedures and symptoms of the complication. The role of the nurse is to recognise and assess the excessive postpartum bleeding in real time and communicate the patient assessment to the rest of the perinatal team. Heavy blood loss may lead to emotional health problems such as anxiety, postnatal depression, fatigue, post traumatic stress disorder and worse health status in general. Discussion and conclusion: Continuous clinical observation of the neonatal mother is important in postpartum period and the nurse is the first one to recognise and identify the symptoms and changes in the patient's condition and to communicate this assessment to the physician. Multidisciplinary team work, raising the healthcare personnel's levels of awareness regarding the diagnosis and treatment of postpartum hemorrhage and preliminary clinical training of healthcare professionals are all essential for the prevention and successful management of postpartum hemorrhage.
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