Secondary PPH Flashcards
1
Q
Definition
A
‘Excessive’ blood loss between 24h and 12 weeks after delivery
2
Q
Causes
A
Enodmetritis +/- retained placental tissue
Rarely incidental gynaecological pathology or gestational trophoblastic disease
3
Q
Clinical features
A
Uterus enlarged and tender
Open internal cervical os
4
Q
Investigations
A
Vaginal swabs
FBC
US
Cross-match if severe
5
Q
Management
A
Antibiotics
If bleeding heavy, evacuation of retained products of conception
