POSTPARTUM HEMORRHAGE Flashcards

1
Q

WHAT IS POSTPARTUM HEMORRHAGE

A

Postpartum hemorrhage (PPH) is excessive bleeding following childbirth, typically defined as blood loss of 500 ml or more after vaginal delivery or 1000 ml or more after a cesarean section

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2
Q

MANAGEMENT OF PPH

A

LIE FLAT AND GIVE HIGH FLOR O2

MASSAGE UTERUS

BIMANUAL COMPRESSION

IV ACCESS - 2 LARGE BORE CANNULA

RAPID FLUID REPLACEMENT

CLINICAL OBS

ASSESS CAUSE

UTEROTONICS / TXA/ CARBOPROST/ MISOPROSTOL.

KEEP ALL SWABS , BEDDING ETC

BLOOD PRODUCTS

MECHANICAL AND SURGICAL MEASURES

TRANSFER TO CONSULTANT LED UNIT WITH A COURTESY CALL.

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3
Q

CAN PARAMEDICS DO UTERINE MASSAGE IF PLACENTA IS STILL IN PLACE?

A

NO

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4
Q

WHAT IS BIMANUAL UTERINE COMPRESSION ?

A

Bimanual uterine compression is a technique used to control postpartum hemorrhage, which involves applying pressure to the uterus using both hands.

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5
Q

HOW IS BIMANUAL UTERINE COMPRESSION DONE?

A

The healthcare provider places one hand inside the vagina to support the uterus from below, while the other hand is placed on the abdomen to compress the uterus from above.

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6
Q

WHAT DOES BIMANUAL UTERINE COMPRESSION DO?

A

This technique helps to stimulate uterine contraction and reduce bleeding by effectively compressing the blood vessels within the uterus.

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7
Q

CAN PARAMEDICS DO BIMANUAL UTERINE COMPRESSIONS ?

A

IN SIMPLE NO

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