Post Partum Haemorrhage Flashcards
1
Q
post-partum haemorrhage
A
uterus not fully contracted resulting in heavy bleeding
2
Q
how much bleeding must have occurred for a primary diagnosis to be made
A
> 500ml within 24hrs after delivery of BABY
3
Q
risk factors
A
prolonged labour placenta accrete CS macrosomia assisted delivery bleeding disorders
4
Q
causes of PPH
A
tone - uterine atony
tissue - retained placenta
thrombin - coagulation
trauma - tears
5
Q
signs
A
fresh bleeding
hypotensive
slow heart rate
pale
6
Q
management
A
ABCDE
IV oxytocin
surgical management
7
Q
what is used as surgical management
A
intra-uterine balloon tamponade
hysterectomy if severe and uncontrolled
8
Q
secondary PPH
A
occurs after 24hrs up till 12 weeks
9
Q
what is a risk of haemorrhage in newborn
A
prolonged ventouse delivery
10
Q
what is the common cause for primary PPH
A
tone