Labour

Question 1

Which drug should be avoided in patients with asthma?

Unless given senior permission

Answer 1

Carboprost

It can increase bronchoconstriction

Question 2

What are the 5 steps to take before IV medical treatments for post-partum haemorrhage?

Answer 2

1. A-E assessment
2. Gain IV access
3. Give warmed crystalloid solution
4. Palpation of the uterine fundus - stimulates uterine contraction to minimise blood loss
5. Catheterisation to prevent bladder distension

Question 3

Name 4 examples of medicines that can be used in post-partum haemorrhage

Answer 3

1. Oxytocin
2. Carboprost
3. Ergometrine
4. Misoprostol

Question 4

What is the definition of post-partum haemorrhage?

Answer 4

Loss of >500ml of blood after delivery

Question 5

What is the most common cause of post-partum haemorrhage?

Answer 5

Uterine atony

Soft + weak uterus

Question 6

What surgical treatments are available for post-partum haemorrhage?

Answer 6

Intrauterine balloon tamponade

Question 7

What types of drugs can be given IV in order to suppress uterine contractions?

Answer 7

Tocolytics

Given to avoid premature labour. Avoid in PPH.

Question 8

What are the common side effects of carboprost?

Answer 8

1. Fever
2. High blood pressure
3. Bronchospasm