Obstetric Hemorrhage Flashcards
How much will the Hct and Hgb be raised by 1 unti of PRBC’s?
Raise Hct by 3% and Hgb by 1g/dL
What should be avoided during the initial examination of antepartum hemorrhage?
- AVOID digital exam until placenta previa is ruled out
- Instead do sterile speculum exam
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/300/a_image_thumb.png?1549862504)
How many units of blood should you type and crossmatch for during antepartum hemorrhage?
4 untis of blood
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/303/a_image_thumb.png?1549862547)
Placenta previa classically presents how?
PAINLESS vaginal bleeding
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/306/a_image_thumb.png?1549863088)
Risk factors for placenta previa?
- Maternal age >35
- Multiparity
- Prior previa
- Previous C-section
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/311/a_image_thumb.png?1549863166)
What is the most serious type of placenta previa and is associated with the most blood loss?
COMPLETE
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/327/a_image_thumb.png?1549863214)
Placent previa is almost exclusively diagnosed how?
By U/S
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/329/a_image_thumb.png?1549863266)
How likely are placenta previas to resolve on their own?
90% will resolve by placental migration
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/333/a_image_thumb.png?1549863319)
What is goal of management of placenal previa in preterm pregnancy; can these patients go home?
- Goal is to attempt to obtain fetal maturation
- If bleeding not profuse, pt is managed on bed rest initially
- If stable and bleeding stops may send home on pelvic rest
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/336/a_image_thumb.png?1549863434)
What is the most common abnoraml placental implantation other than previa?
Placent ACCRETA; firm attachment ot the superficial linign of the myometrium
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/339/a_image_thumb.png?1549863688)
What is the most common cause of third trimester bleeding?
Placental Abruption
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/341/a_image_thumb.png?1549863751)
Which condition most often presents as painful third trimester bleeding, uterine tenderness, uterine hyperactivity, and fetal distress and/or death?
Placental abruption
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/345/a_image_thumb.png?1549863798)
What is the most common risk factor for placental abruption?
Maternal HTN
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/349/a_image_thumb.png?1549863838)
If pregnant mother presents after MVA or physical abuse how long should they be monitored for placental abruption?
Monitor for 4-6 hours
What is the most common cause of DIC in pregnancy?
Placental abruption
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/357/a_image_thumb.png?1549863949)
What is the proper management of placental abruption based on maternal and fetal stability?
- If both stable then proceed with vaginal delivery
- Often a rapid delivery ensues w/ abruption
- If remote from vaginal delivery w/ signs of fetal distress or uncontrolled bleeding then C-sections
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/360/a_image_thumb.png?1549864031)
What is couvelarire uterus?
Occurs during placental abruption with extravasation of blood into the uterus
![](https://s3.amazonaws.com/brainscape-prod/system/cm/378/129/363/a_image_thumb.png?1549864088)