History of postpartum hemorrhage - would you start labour with a capped IV and agree to active... - Page 2

[JulieRN]

I blieve this is a very good plan.  I am a labor and delivery nurse as well as an instructor for OB.  We never know when something is going to happen.  If you have IV access tht is one less thing that somone will have to focus on.  If needed they can start to give you a bolus of fluid which will help with the loss of blood.  I think you midwive is suggesting the right thing. Also IV that are capped are now called saline locked, and we do not use heprin any longer so do not let that worry you at all.  I think if you go along with this plan it is going to go well.  I am thinking you had this hemmorhage due to one you have high blood pressure and two you have a long labor and your uterus said I am done!!  Good luck with wht ever you choose. 

[dot1]

Thanks Julie.  Appreciate the advice.

[cameragirl]

I think that the interventions are reasonable considering your history. I'd feel more comfortable having the line started when I'm not in the middle of a problem - especially since I have crummy veins. I get infusions here and there, and the infusion center uses saline locks most of the time. When I've gone in for procedures they've used Heparin. I think it varies depending on the hospital, the reason you have the line, and the doctor ordering.