PPH Flashcards

1
Q

Causes of primary PPH

A
1- Atony
2- Coagulopathy
3- Adherent placenta (eg, accreta)
4- Retained POCs
5- Lacerations
6- Inversion
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2
Q

Causes of secondary PPH

A

1- Subinvolution
2- Coagulopathy
3- Retained POCs
4- Infection

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3
Q

what kind of prostaglandin is cytotec?

A

E1

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4
Q

what kind of prostaglandin is hemabate?

A

F2a, (carboprost)

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5
Q

Risk factors for atony?

A
1- prolonged labor, 
2-induction of labor, 
3- prolonged use of oxytocin, 
4- chorioamnionitis, 
5- multiple gestation, 
6- polyhydramnios, and 
7- uterine leiomyomas
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6
Q

Definition of PPH?

A

EBL > or equal to 1,000 mL or accompanied by signs or symptoms of hypovolemia within 24 hours after the birth process (includes intrapartum loss) regardless of route of delivery
[EBL greater than 500 mL in SVD should be considered abnormal and should serve as indication to investigate]

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7
Q

of prior CS with Previa indicates what risk for Accreta?

A
1 = 3%
2 = 11%
3 = 40%
4 = 61%
5 = 67%
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8
Q

5 US features of Abnormally adherent placenta?

A

1- Absence of the hypoechoic retroplacental zone
2- Multiple Venous Lacunae (highest sensitivity)
3- Thin retroplacental myometrium
4- Placenta protrudes into bladder
5- Increased vascularity between uterus and bladder

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9
Q

Mortality of Accreta?

A

With C-Hyst: 2-7%

With conservative management: 30%

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10
Q

Definition of “massive transfusion”?

A

> or equal to 10 U PRBC in 24 hrs OR

> or equal to 4 U PRBC in 1 hour

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11
Q

In Massive Transfusion, what are the ratios and products?

A

1:1:1 of
FFP:Platelets:RBC

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