Post-partum haemorrhage

Question 1

What are the different definitions of a PPH?

Answer 1

Minor= 500-1000 mls
Major (moderate)= 1000-2000 mls
Major (severe)= >2000 mls

Question 2

What are the classifications of a PPH (define them)?

Answer 2

Primary= within 24 hrs of delivery 
Secondary= between 24hrs and 6 weeks

Question 3

What are the risk factors for a PPH?

Answer 3

Hx, multiple, APH, BMI>35, over distended uterus, age>35

Question 4

What is the management of PPH?

Answer 4

Call for help, alert blood transfusion, ABC, fluid balance, blood transfusion

Question 5

What is the treatment of PPH?

Answer 5

Rub up a contraction
Bi-manual compression
Syntocinon or ergometrine 
Syntocinon infusion
Tranexamic acid (repeat after 30 mins if continues)
Carboprost (every 15 mins up to 8 doses)
Misoprostol

Question 6

Define an inverted uterus

Answer 6

Passage of the funds of uterus through the cervix

Question 7

What is the treatment for an inverted uterus?

Answer 7

Call for help, manually replace uterus, monitor condition