17: Obstetric Hemorrhage and Sepsis

Question 1

1 unt PRBC will raise Hct by __%

Answer 1

3%

Question 2

digital exam with antepartum hemorrhage

Answer 2

avoid digital exam until placenta previa has been ruled out by US

Question 3

three classes of placenta previa

Answer 3

1. marginal: edge extends to margin of cervical os
2. partial: partial occlusion of cervical os
3. complete: cervical os completely covered by placenta

Question 4

what % of pts have placenta previa on US at week 24 -> what % will resolve at 30 weeks

Answer 4

4-5% have it -> 90% resolves

Question 5

placental migration

Answer 5

resolution of placenta previa

Question 6

couvelaire uterus

Answer 6

extravasation of blood into uterus during placental abruption -> red/purple discoloration of serosa

Question 7

possible sources of persistent post-partum fever

Answer 7

1. puerperal sepsis
2. septic pelvic thrombophlebitis
3. infected hematoma
4. surgical site infection
5. drug fever