PPH Flashcards
what
bleeding after delivery of baby and placenta
500ml after vaginal delivery
1000ml after CS
minor PPH
< 1000ml blood loss
major PPH
> 1000ml blood loss
moderate PPH
1000-2000ml blood loss
severe PPH
> 2000ml blood loss
primary PPH
bleeding within 24hrs birth
secondary PPH
bleeding 24hrs-12wks after birth
causes
tone - uterine atony
trauma - perineal tear
tissue - retained placenta
thrombin - bleeding disorder
risk factors
prev PPH multiple pregnancy large baby FTP 2nd stage prolonged 3rd stage PET placenta accreata retained placenta instrumental delivery GA episiotomy perineal tear
preventative measures
treating antenatal anemia
give birth with empty bladder
active Mx 3rd stage
IV transexamic acid after CS in high-risk patients
management options - mechanical
rubbing up the uterus fundus
catheterisation
management options - medical
oxytoicn ergometrine carboprost misoprostol tranexamic acid
when is ergometrine contraindicated
htn
when is carboprost to be used with caution
asthma
management options - surgical
intrauterine balloon tamponade
B-Lynch suture
utery atery ligation
hysterectomy
