5-6 Flashcards
one of the primary causes of maternal mortality associated with
childbearing. It is a major threat during pregnancy, throughout labor, and continuing into the
postpartum period.
hemorrhage
defined as blood loss of 500 ml or more
postpartum hemorrhage
when does hemorrhage occur?
early (within the first 24 hours following birth) or late (from 24 hours to 6
weeks after birth)
excessive amount of
amniotic fluid
Polyhydramnios
considered A large baby
greater than 9lbs
Theses causes are generally referred to as the four T’s of postpartum hemorrhage:
tone, trauma, tissue and thrombin.
Damage to the pituitary blood supply
Sheehan’s syndrome)
This is the inability of the myometrium to contract and constrict the blood vessels within
the muscle fibers,
uterine atony
give Situation resulting in drug related relaxation of uterine musculature
a.The use of MgSO4 for preeclampsia
b. The use of general anesthesia for cesarean delivery
What signs are these: decreased blood pressure, increased pulse, and increased and anxiety
and irritability.
signs of shock
this may be administered to stimulate uterine contractions when
oxytocin is ineffective.
Methergine/prostin
may be administered to stimulate uterine contractions when
oxytocin is ineffective.
Methergine/prostin
may be administered to stimulate uterine contractions when
oxytocin is ineffective.
Methergine/prostin
what to do if the patient’s hematocrit drops too low and/or if she is
symptomatic
blood transfusion
What to do if the fundus is boggy
massage the fundus
intervention performed by a skilled birth attendant, where
one hand is placed in the vagina and pushed against the body of the uterus, while the other
hand compresses the uterine fundus above through the abdominal wall.
Bimanual uterine compression
They are easier to
assess than cervical lacerations, because they are easier to view.
Vaginal Lacerations
usually occur when a woman
is placed in a lithotomy position for birth, because this position increases tension
on the perineum
perineal lacerations
What degree? tear of the vaginal mucous membranes and skin of the perineum to
the fourchette.
First degree
What degree? tear of the vagina, perineal skin, fascia, levator ani muscle and
perineal body.
Second degree
What degree? tear of the perineum, and reaches the external sphincter of the
rectum.
Third degree
what degree? tear of the entire perineum, rectal sphincter, and some of the
mucous membrane of the rectum.
4th degree
localized collection of blood in the connective tissue beneath
the skin covering the external genitalia or vaginal mucosa.
vulvar hematoma
Management of uterine inversion
hysterectomy
Fundus is forced through the cervix so that the uterus is turned inside out
Uterine inversion
How frequent do you check uterine fundus?
every 15 minutes the first hour, then
every 30 minutes for 2 hours, and every hour until stable)
is a slowing of the process of involution or shrinking of the
uterus.
Uterine subinvolution
therapy for endometritis.
antimicrobial
done to remove any placental fragments.
dilatation and curettage
is a deficiency in clotting ability
caused by vascular injury
Disseminated Intravascular Coagulation
Refers to bacterial infections after childbirth
PUERPERAL INFECTION
is used to describe infections that can be devastating to the fetus
or newborn
TORCH
• Toxoplasmosis
• Other infections
• Rubella
• Cytomegalovirus
• Herpes
Puerperal infection is a term used to describe any infection of the reproductive
tract during the (what week)?
first six weeks of postpartum
