Case Report on Circulatory Care for a Postpartum Woman with Nursing Issues Related to Ineffective Peripheral Perfusion

Abstract

Anemia often occurs in postpartum woman due to the delivery process associated with bleeding, both vaginal and abdominal. This results in ineffective peripheral perfusion nursing problems. Therefore, nurses play an important role in providing nursing care to postpartum woman with ineffective peripheral perfusion nursing problems. The purpose of this case study is to apply nursing care to postpartum mothers with ineffective peripheral perfusion nursing problems in the Mawar Merah room at Bangil Regional General Hospital. The research design used was a case report with three respondents, namely mothers in their first to third days of spontaneous postpartum who experienced ineffective peripheral perfusion problems, as indicated by hemoglobin levels <7 g/dl. The nursing interventions provided included peripheral circulation examination, identification of risk factors for circulation disorders, dietary recommendations, and transfusion therapy according to medical indications. After three days of circulatory treatment, all participants showed improvement in the form of increased peripheral perfusion, as indicated by normal skin color and extremity temperature, hemoglobin levels rising to 10–12 g/dL, a capillary refill time (CRT) of less than 2 seconds, and the absence of signs of cyanosis. This nursing care was effective in overcoming ineffective peripheral perfusion in postpartum woman. The findings of this case report are expected to serve as a basis for nurses to implement preventive measures, including early detection and appropriate interventions, to prevent further complications resulting from peripheral perfusion disorders in postpartum women.