Nursing care plan for abnormal uterine bleeding



Abnormal Uterine Bleeding (AUB) is a medical condition perceived as the excessive or prolonged bleeding from the uterus. It presents in form of irregular menstruation, prolonged uterine bleeding that can result in iron deficiency anemia, and heavy menstrual flow.


The nursing assessment includes gathering of patient's health history, body parts examination and other appropriate diagnostic tests available. The nurse will verify patient’s complaints, obtain and review laboratory results, evaluate family dynamics and personal lifestyle that might be contributing and performing an adequate physical assessment.

Nursing Diagnosis

Based on the collected data, a nursing diagnosis can be made. It is an evident symptom of the disorder and provides information about the source of the problem. Nursing diagnosis includes:

  • Risk for bleeding
  • Ineffective tissue perfusion
  • Extensive blood loss
  • Ineffective health maintenance


The expected outcomes of AUB nursing care plan implies stabilizing bleeding pattern in the patient with possible corrective measure to avoid further bleeding amid abnormal uterine bleeding. It also implies maintaining sufficient oxygen carrying capacity in blood, thereby improving patient’s health status.


The various interventions include:

  • Administration of Iron supplement to overcome any iron deficiency anemia caused by the prolonged bleeding.
  • Encourage dietary intake rich in iron and Vitamin C to maximize hematopoietic process and accelerate healing.
  • To reduce symptoms like anemia, abdominal/ pelvic pain, nausea/ vomiting, should be given with antiemetic, analgesic medications and hormonal therapy for cyclic bleeding.
  • Adequate rest and emotional support should be given to get relief from fatigue due to excessive blood loss.


The rationales behind each nursing intervention are:

  • Iron supplement is necessary to restore lost iron from heavy menstrual bleeding.
  • Dietary supplementation helps to overcome the nutritional deficiency caused by long-term bleeding.
  • Medication helps to relieve the patient from related symptoms of the disorder.
  • Rest and emotional support helps to improve fatigue level caused by prolonged/severe bleeding.


In order to measure the effectiveness of the nursing care plan, it is evaluated at the end of its course. Evaluation includes:

  1. Evaluate the patients timely recovery with decreased menstrual flow and restorations of lost iron supply.
  2. Evaluate whether the patient has reduced discomfort and linked symptoms of the condition.
  3. Evaluate the patient’s ability to cope up with the condition in a holistic manner.
  4. Evaluate the practice of patient’s dietary supplement.


Abnormal Uterine Bleeding is a common yet critical disorder that needs the attention and apt medical care with the combination of medication, therapeutic, supportive and alternative approach for optimal health.


  • What is Abnormal Uterine Bleeding?
    Abnormal Uterine Bleeding (AUB) is a medical condition perceived as the excessive or prolonged bleeding from the uterus. It presents in form of irregular menstruation, prolonged uterine bleeding that can result in iron deficiency anemia, and heavy menstrual flow.
  • What are the symptoms of Abnormal Uterine Bleeding?
    Common symptoms of Abnormal Uterine Bleeding are irregular menstrual cycles, heavy menstrual bleeding with large clots, prolonged menstrual periods, intermenstrual bleeding, pelvic pain and cramps.
  • What are the treatments available?
    Treatment recommended are Iron Supplementation with dietary advice, Hormonal Therapy, Endometrial Ablation, Uterine artery embolization, Laparoscopic Surgery and Hysterectomy.
  • What are the long-term risks if left untreated?
    Long-term Risks if left untreated are Low Hemoglobin, Iron Deficiency Anemia, Pelvic Inflammatory Disease, Premature Delivery and Decreased chance of pregnancy.
  • What should I do if I am diagnosed with Abnormal Uterine Bleeding?
    If diagnosed with Abnormal Uterine Bleeding, you have to follow the treatment suggested by your healthcare provider such as medications, dietary alterations and other therapies as suggested.

Isabella White

Hello to all nursing enthusiasts! I'm Isabella White and I'm thrilled to welcome you to this space dedicated to the exciting world of nursing. Let me share a little about myself and what we can expect together on this journey. About Me: Nursing is more than just a profession to me, it's a calling. When I'm not caring for my patients or learning more about health and wellness, you'll find me enjoying the great outdoors, exploring new trails in nature, or savoring a good cup of coffee with close friends. I believe in the balance between caring for others and self-care, and I'm here to share that philosophy with you. My Commitment to You: In this space, I commit to being your reliable guide in the world of nursing. Together, we'll explore health topics, share practical tips, and support each other on our journeys to wellness. But we'll also celebrate life beyond the hospital walls, finding moments of joy in the everyday and seeking adventures that inspire us to live fully. In summary, this is a place where nursing meets life, where we'll find support, inspiration, and hopefully a little fun along the way. Thank you for joining me on this exciting journey. Welcome to a world of care, knowledge, and connection! Sincerely, Isabella White

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