post-partum haemorrhage

Question 1

causes of PPH

Answer 1

tone
trauma
tissue
thrombin

Question 2

intrapartum risk factors

Answer 2

prolonged labour
operative vaginal delivery
caesarean section
retained placenta

Question 3

active management of third stage

Answer 3

syntocinon/syntometrine IM/IV

Question 4

initial management of PPH

Answer 4

call for help
simultaneous management
- assess
- stop the bleeding
- fluid replacement

Question 5

how to try and stop the bleeding

Answer 5

uterine massage- bimanual compression
expel clots
5 units of IV syntocinon stat
40 units of syntocinon in 500ml hartmanns
foleys catheter
500 ergometrine IV
carboprost/haemabate
misprostol
tranexamic acid