PPH Flashcards
1
Q
Definition of a NVB Postpartum haemorrhage?
A
- A blood Loss of 500mls or more after the
NVB
2
Q
1000mls is considered a PPH for what?
A
- LSCS
3
Q
What are the causes of a PPH?
A
- Placenta insitu
- prolonged labour
- fast labour
- low Hb, ferritin, platelets
- Retain placenta
4
Q
What are your actions if a wahine has a PPH?
A
- Call for help
- Lie wahine flat
- birth placenta
- Rub her fundus
- administer uterine tonics
Continue to bleed - Empty bladder
- Iv accsess
- Obs
5
Q
What are the 4 T’s
A
- Tone
- Trauma
- Tissue
- Thrombin
6
Q
What medications would help to stop bleeding that a midwife can prescribe?
A
- Oxytocin
- Syntometrine
7
Q
What are the other medications that can be given but need prescribing my a doctor?
A
- Carboprost
- Tranexamic acid
8
Q
What amount of oxytocin can be given and the route?
A
- Oxytocin 5iU IV
- Oxytocin 10iU IM
- 40iU IV infusion
9
Q
How much syntometrine can be administered and how?
A
- 1 vial IM
10
Q
What are some contraindication of syntometrine?
A
- Hyperattention
- Preeclampsia, eclampsia
- Cardiac disorders
- Hepatic
11
Q
What are the order of actions in a PPH?
A
- Birth placenta
- Oxytocin injection
- rub fundus
- Syntometrine
- carboprost
- Tranexamic acid
- Bi-manual compressions
12
Q
What are potential risk factors of a PPH?
A
- APH - Prev PPH
- Low-lying placenta - PET/hypertension
- Multiples - Clotting disorders
- Foetal macrosomia - Polyhydramnios
13
Q
What is the syntometrine made of an the amounts?
A
- Oxytocin 5 IU/mL
- Ergometrine maleate 0.5 mg/mL
