Ch33 study guide, PP (PP Complications/Hemorrhagic) exam 3 Flashcards
loss of 500mL of blood or more after vaginal birth or of 1000mL of blood or more after c-section
OR
a 10% change in hct between admission for labor and PP
OR
the need for erythrocyte transfusion)
postpartum hemorrhage (PPH)
classification of postpartum hemorrhage (PPH) if it occurs within 24hrs of birth
early (acute, primary)
classification of postpartum hemorrhage (PPH) if it occurs more than 24hrs, but less than 6 weeks, after birth
late (secondary)
marked hypotonia of the uterus
it is the leading cause of early PPH
uterin atony
most common of all injuries in the low portion of the genital tract
(they are classified as first, second, third, and fourth degree)
perineal lacerations
accumulation of blood in the connective tissue as a result of blood vessel damage
hematoma
most common hematoma following birth
vulvar hematoma
term used to refer to slight penetration of the myometrium by the placenta
placenta accreta
term used to refer to deep penetration of the myometrium by the placenta
placenta increta
term used to refer to perforation of the uterus by the placenta
placenta pecreta
turning of the uterus inside out after birth
it can be incomplete, complete, or prolapsed
inversion of the uterus
delayed return of the enlarged uterus to normal size and function following birth
subinvolution
recognized caused of subinvolution
retained placental fragments and pelvic infection
emergency situation in which profuse blood loss can result in severely compromised perfusion of body organs (death may occur)
hemorrhagic (hypovolemic) shock
disorder in which coagulation is compromised, resulting in continuous bleeding
coagulopathy
abnormally low platelet level (150-450)
thrombocytopenia
autoimmune disorder in which antiplatelet antibodies decrease the life span of platelets
idiopathic thrombocytopenic purpura (ITP)
type of hemophilia (it is probably the most common of all hereditary bleeding disorders)
von Willebrand disease
formation of a blood clot or clots inside a blood vessel
venous thromboembolism (VTE)
formation of a clot in a blood vessel as a result of inflammation
thrombophlebitis
thromboembolic condition that involves the superficial saphenous venous system
superficial venous thrombosis
thromboembolic condition in which involvement varies but that occurs most often in the lower extremities (it can extend from the foot to the iliofemoral region)
deep venous thrombosis (DVT)
complication of DVT that occurs when a part of a blood clot dislodges and is carried to the pulmonary artery, where it occludes the vessel and obstructs blood flow to the lungs
pulmonary embolism
any clinical infection of the genital canal that occurs within 28 days after miscarriage, induced abortion, or childbirth
postpartum (puerperal) infection
infection located in the lining of the uterus (it is the most common postpartum infection)
- it usually begins as a localized infection at the placental site but can spread to involve the entire lining
endometritis
infection of the breast soon after childbirth, most often affecting primiparous breastfeeding women
mastitis
symptoms of shock
- Rapid thready pulse
- Pallor
- Hypotension (late sign)
shallow respirations, cool/clammy skin, decreased output, lethargy
- > coma, anxiety
- > coma, decreased CVP, boggy fundus, rapid blood loss
1gram =
1mL of blood (so weigh pads dry and then wet)
shock interventions
- GET HELP
- need IV
- check airway
- monitor VS, uterus, and bleeding
