REPRO 7.5 Flashcards
1
Q
what massively increases the risk of PPH and by how much
A
vaginal deliveries by four fold
2
Q
complications of PPH
A
maternal fatigue, feeding difficulties, prolonged hospital stay, delayed lactation, pit infection - sheehans syndrome, shock, DIC, death
3
Q
primary PPH
A
within 24 hours
4
Q
secondary PPH
A
24 h to 6w
5
Q
minor PPH
mod
major
A
<500mls
500-1500
>1500
6
Q
causes of PPH - 4
and which is the commonest
A
tone - commonest - uterine atony, distended bladder
trauma
tissue - retained placenta, clots
thrombin
7
Q
prevention of PPH / those more at risk
A
anaemia, CS, PP, PA, prev, multipel pregnancy
8
Q
treatment of PPH
A
uterine massage 10 units syntocin 40 units in 500mls confirm placental and membrane complete and catheter 500mg ergometrine - causes htn arterial embolisation surgery
