Suite Couches Pathologiques Flashcards

0
Q

Définition hémorragie délivrance

A

Hémorragie dans les 24h suivant accouchement avec pertes >500mL

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1
Q

Mortalité hémorragie délivrance

A

1ère cause de mort maternelle en France

Svt lie avec Pec retardée

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2
Q

Étiologies hémorragies délivrance

A
Atonie utérine
Rétention placentaire
Tb coag
Inversion utérine
Placenta accreta
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3
Q

Pec hémorragie délivrance 1ère intention

A

DA/RU + ocytocine + exam sous valve et massage utérin + REA

Bilan : NFS, go sg, RAI, coag, dd

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4
Q

Si échec 1ère intention hemorragie délivrance

A

+ prostaglandines (sulprostone)

Si échec : Chir ou radio intervention

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5
Q

Retour de couches hémorragiques

A

Hemorragie génitale tardive : Svt 6-8 semaines après accouchement ou + si allaitement

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6
Q

Endométrite aigue du post partum

A

Svt précoce, lochies nauséabondes et sales ⏩ Hc, ECBU, prelevement lochies
AUGMENTIN

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7
Q

Complications endométrite aigue

A

PHLÉBITE PELVIENNE +++, péritonite, bactériémie

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8
Q

Prévention MTE post partum

A

Lever précoce, bas de contention (6 sem si voie basse, 6 mois si césarienne) +/- Tt AC

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9
Q

Tb psy du post partum

A

Baby blues, dépression du post partum, psychose puerpérale confuse délirante

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10
Q

Definition aménorrhée du post partum

A

Pas de retour de couches a 5 mois

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11
Q

Étiologies aménorrhée du post partum

A

GROSSESSE, synéchie utérine totale, hyperprolactinemie, reprise tardive, sd sheehan

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12
Q

Complications du post partum

A

Hémorragies, infections, MTE, psy, uri/sphinctérien, complications allaitement, carence martiale, tb cicatriciel, crise hémorroïdaires, aménorrhée du post partum

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