Postpartum Flashcards
1
Q
Define postpartum haemorrhage
A
Primary = in the first 24 hours after delivery
Secondary = >24 hours - 6weeks after delivery
Estimated blood lose >500ml in NVD and >1000ml in c/s
2
Q
What is persistent PPH?
A
Active bleeding >1000ml within 24 hours following birth that continues despite use of initial measures including uterotonic agents and massage
3
Q
What are the causes of PPH?
A
Incomplete placenta passage (ie retained products of conception)
Perineal tearing/trauma
Uterine Atony
Coagulation defects
Uterine inversion
4
Q
Why do we sample cord blood at birth?
A
Sensitive index for asphyxia
pH<7 has increased long term risks for neonate