PPH

Question 1

What is primary PPH?

Answer 1

Loss 500ml or more of blood within 24 hrs of birth of baby

Question 2

What is secondary PPH?

Answer 2

Excessive bleeding between 24 hours and 12 weeks postnatally

Question 3

Minor PPH?

Answer 3

500-1000ml

Question 4

Major PPH?

Answer 4

> 1000ml
1000-2000 moderate
2000 severe

Question 5

How many units of blood until FFP considered

Answer 5

after 4 units and still no haemostasis

Question 6

How many units of FFP

Answer 6

4 units

Question 7

What do you give if prolonged PT and APTT + haemorrhage

Answer 7

Give 12-15ml/kg FFP

Question 8

What is the trigger level of platelets

Answer 8

75

Question 9

Below the trigger level of platelets what do you give

Answer 9

1 pool of platelets for ongoing haemorrhage

Question 10

What is the trigger level of fibrinogen

Answer 10

2g/l

Question 11

What do you give below the trigger level of fibrinogen

Answer 11

2 pools of cryoprecipitate

Question 12

What percentage does oxytocin reduce PPH by?

Answer 12

60%

Question 13

Doses of oxytocin for vaginal and c-sections

Answer 13

Vaginal = 5-10iu oxytocin IM
C-section = 5iu oxytocin IV