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Zak, Endo/Repro 2 > Obstetric Hemorrhage and Peurperal Sepsis > Flashcards

Obstetric Hemorrhage and Peurperal Sepsis Flashcards

1
Q

What are common causes of vaginal bleeding at < 20 wks gestation

A 
Abortion
Ectopic
Cervical/Vaginal issue
Cervical insufficiency
Retroplacental clot
Subchorionic hemorrhage
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2
Q

What are the 3 most common causes of bleeding > 20 wks gestation

A

Placenta abruption
Placenta previa
Uterine rupture

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3
Q

Def = separation of normally implanted placenta

A

Placenta abruption

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4
Q

Sx’s = painful vaginal bleeding, uterine tenderness, fetal distress

A

Placenta abruption

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5
Q

What is the most common cause of DIC in pregnancy

A

Placenta abruption

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6
Q

Def = extravasation of blood into the uterus causing red/purple discoloration under serosa

A

Couvelaire uterus

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7
Q

How do you deliver when there is a placenta abruption

A

Vaginally if both are stable

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8
Q

Def = implantation of the placenta over the cervical os

A

Placenta previa

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9
Q

What is the most common type of abnormal placentation

A

Placenta previa

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10
Q

Sx’s = painless vaginal bleeding

A

Placenta previa

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11
Q

What is the Tx for placenta previa

A

Bed rest if not profuse bleeding

C-section of > 36 wks

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12
Q

What is the Tx for a uterine rupture

A

Immediate laparotomy and delivery

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13
Q

Def = firm attachment of the placenta to the superficial lining of the myometrium

A

Placenta accreta

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14
Q

Def = placenta invades into the myometrium

A

Placenta increta

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15
Q

Def = placenta invades into the uterine serosa

A

Placenta precreta

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16
Q

Def = fetal blood vessels covering the uterine os

A

Vasa previa

17
Q

What is the likely cause of 3rd trimester fetal bleeding

A

Velamentous cord rupture

18
Q

What is the criteria for primary vs secondary PPH

A 
Primary = < 24 hrs PP
Secondary = 24 hrs - 12 wks PP
19
Q

What are the 4 main causes of primary PPH

A

Uterine atony
Retained placenta
Coagulopathies
Uterine inversion

20
Q

What are the Tx options for uterine atony

A

Bimanual massage
Pitocin
Uterine packing

21
Q

What is the Tx option for retained placenta

A

Manual removal

22
Q

If a uterine inversion occurs with the placenta still attached, what should you do with the placenta

A

Leave it attached until the uterus is replaced

23
Q

What are the 4 common causes of secondary PPH

A

Subinvolution of placental site
Retained products of conception
Infection
Coagulation defects

24
Q

What is the leading cause of maternal death worldwide

A

PH

25
Q

What are the 1st and 2nd most common causes of PPH

A 
1st = uterine atony
2nd = genital tract trauma
26
Q

What are the Sx’s of Virchow’s triad

A

Endothelial damage
Venous stasis
Hypercoagulable state

27
Q

What is the difference between Ovarian Vein Thrombophlebitis and Deep Septic Pelvic Vein Thrombophlebitis

A

Ovarian Vein Thrombophlebitis –> pt appears ill w/ fever and ab pain

28
Q

What is the Tx for Septic pelvic thrombophlebitis

A

Unfractionated/LMW Heparin

Zak, Endo/Repro 2 (33 decks)

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