Obstrtrical Hemorrhage

Question 0

Improper implantation of placenta at the LUS

Multipara

Answer 0

Placenta previa

Question 1

Painless vaginal bleeding

Answer 1

Placenta Previa

Vasa Previa

Question 2

Velamentous insertion of umbilical cord

Answer 2

Vasa Previa

Emergency CS

Question 3

Significant unexplained vaginal bleeding after 20 w AOG
High frequency UC
Uterine tenderness
Fetal distress
Retroplacental blood clots on utz

Answer 3

Abruptio Placenta
Dead fetus Vaginal delivery with pudendal block
Live fetus CS with GA

Question 4

Uterine apoplexy

Extravasation of blood into myometrium and between serosa

Answer 4

Couvelaire Uterus

Question 5

Absence of decidua basalis and imperfect devt of fibrinoid layer (Nitabuch layer)
MCC intrapartum hysterectomy

Answer 5

Placenta accreta

Question 6

Types of Placenta accreta

Answer 6

Vera decidua
Increta myometrium
Percreta serosa bladder bowels

Question 7

MCC uterine rupture

Answer 7

Separation of previous CS scar

Question 8

Soft uterus above symphisis pubis

Answer 8

Uterine atony

Oxytocin, bimanual compression, internal uterine tamponade

Question 9

Failure to palpate uterus
Dark beefy material at the introitus
Caused by strong traction of the UC

Answer 9

Uterine inversion

Uterine repositioning then laparotomy

Question 10

MC RF Puerperal Hematoma

Answer 10

Episiotomy

Question 11

Common sites of puerperal hematoma

Answer 11

Vulva vaginal pudendal artery and venous plexus
Paravaginal desc branch of uterine artery
Supravaginal uterine artery in broad ligament