Prevention strategies

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Prevention strategies After delivery of the
placenta

• Routinely inspect the vulva, vagina, perineum,
  and anus to identify genital lacerations.
• Inspect the placenta and membranes.
• Monitor the woman for vaginal bleeding and
  uterine hardness every 15 minutes for the first
  two hours, every 30 minutes during the third
  hour, and then every 60 minutes for the next
  three hours.
• Teach the woman to massage her own uterus to keep
  it firm.
• Instruct her on how to check her uterus and to
  call for assistance if her uterus is soft or if
  she experiences increased vaginal bleeding.
• Encourage the woman to keep her bladder empty
  during the immediate postpartum period.
• Plan to do a complete assessment of the woman one
  and six hours after childbirth.

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