Lesson 13 Flashcards
One of the primary causes of mortality associated with childbearing, a major threat during pregnancy, throughout labor, and continuing into the postpartum labor
Hemorrage
A blood loss more than 500 ml in the first 24 hours
Early Postpartal Hemorrhage
It is greater with Cesarean Section (1000 ml)
Early Postpartal Hemorrhage
4 T’s of Postpartum Hemorrhage
Tone
Trauma
Tissue
Thrombin
Lack of uterine muscle tone or relaxation of the uterus
Uterine Atony
Most frequent cause of postpartum hemorrhage
Uterine Atony
Uterine atony tends to occur most offen in ______ (what nationality)
Asian
Hispanic
Black
What degree: vaginal mucous membrane and skin of the perineum to the fourchette
1st degree
What degree: vagina, perineal skin, fascia, levator ani muscles, perineal body
2nd degree
What degree: entire perineum, rectal sphincter, and some of the mucous membrane
4th degree
What degree: entire perineum and reaches the external sphincter of the rectum
3rd degree
Most common after operations; a firm uterus with bright red blood or a steady stream or trickle of unclotted blood
Vaginal, Cervical, and Perineal Laceration
A collection of blood in the subcutaneous layer of the tissue of the perineum
Perineal Hematoma
There is a purplish discolouration with obvious tender in the perineal
Perineal hematoma
Occurs most often in women who have a previous cesarean scar
Uterine inversion / Uterine Rupture
Has an assessment of tearing sensation
Uterine inversion / Uterine rupture
A type of rupture through the endometrium, myometrium, and peritoneum layers
Complete Rupture
A type of rupture with localized tenderness and a persistent aching pain over the area of lower uterine segment
Incomplete Rupture
Portion of placenta are left still attached to the uterine that keeps it from contracting fully and uterine bleeding course
Retained Placental Fragments
Contributing factors of Retained Placental Fragments
Placenta succenturriata
Placenta accreta
Previous cesarean section
This management uses balloon occlusion and embolization of the internal iliac arteries to minimize blood loss
Placenta Accreta
An acquired disorder of blood clotting in which the fibronogen levels falls to effective limits
DIC / Disseminated Intravascular Coagulation
Occurs when there is such an extreme bleeding and so many platelets and fibrin rush to the site
DIC / Disseminated Intravascular Coagulation
Failure of the uterus to return to its normal prepregnant size and shape after pregnancy
Uterine Subinvolution
It causes bleeding and occurs often within 1 to 2 week after childbirth because of retained placental fragmentd
Uterine Subinvolution
It causes bleeding and occurs often within 1 to 2 weeks after childbirth because of retained placental fragments
Uterine Subinvolution
Administered to improve uterine tone and complete involution
Oral Methergine
