Obs - Postpartum Flashcards
what is the definition of a PPH?
> 500mls of blood loss within 24hrs of giving birth
what is a secondary PPH?
> 500mls of blood loss after >24hrs to 6 weeks
what are the minor and major cut offs for PPH?
minor = 500-1000 major = >1000/ CVS collapse/ongoing bleed
causes of PPH?
tone
trauma
tissue (retained)
thrombin
what are the thrombin causes of PPH?
DIC
infection
amniotic fluid embolism
coag disorder
what are antenatal risk factors for PPH?
Hx c section placenta problems Hx multiple preg obese polyhydramnios
what are intrapartum risk factors for PPH?
prolonged labour op vaginal delivery c section tears retained placenta active 3rd stage management
Tx for PPH?
ABCDE
G+S, crossmatch
fluids
blood
uterine massage
synometrine IV/syntocinon
carboprost
misoprostol
packing
surgery
how long should CPR of a pregnant women continue for before a c section is initiated?
3 mins
what are the different gradings of perineal tears?
1 - skin
2 - skin and levator ani (stitch)
3 +4 - anal sphincter
what is puerperium?
repair and recovery after birth, where tissues return to a non pregnant state
lasts around 6 weeks
what are the names of the discharge produced (in order of first to last)?
rubra
serosa
alba
how does breastfeeding occur?
placenta removed -> OE + prog levels drop
PRL starts to work (no negative feedback)
triggers milk produce
suckling further initiates this
alongside oxytocin
how long should children be breastfed excuslively?
6 months
how long should children be breastfed alongside food?
2 yrs
