Wk 11 Postpartum Safety

Question 1

Postpartum Hemorrhage
Early
Late

Answer 1

Early:
>1000ml quantitative blood loss for a vaginal or cesarean delivery OR any signs and symptoms of hypovolema within 24 hours of birth. Usually occurs within the first hour after delivery

Late:
Hemorrhage after 24 hours and up to 12 weeks following delivery

Question 2

Postpartum Hemorrhage Causes:

The four “T’s”

Answer 2

Tone: uterine atony
Tissue: retained placenta
Trauma: lacerations, hematomas, accrete
Thrombin: clotting disorder

Question 3

Postpartum Hemorrhage

Risk factors

Answer 3

Twins, triplets etc
5+ deliveries
Clotting disorder
Drugs
Oxytocin induction/augmentation
Prolonged labor
Precipitate labor <3 hours
Manual removal of placenta
Cesarean
Vacuum/forceps used
Chorioamnionitis ( inflammation of the fetal membranes (amnion and chorion) due to a bacterial infection)
Placental previa (placenta placed over uterus)

Question 4

Puerperal Postpartum Infection defined

Answer 4

Temperature of 38c (100.4f) or higher after the first 24 hours and occurring on a least 2 of the first 10 days following childbirth

Question 5

Define: Mastitis

Answer 5

inflammation of breast tissue that sometimes involves an infection. The inflammation results in breast pain, swelling, warmth and redness. You might also have fever and chills. Mastitis most commonly affects women who are breast-feeding

Question 6

Define: puerperal infection

Answer 6

bacteria infect the uterus and surrounding areas after a woman gives birth. It’s also known as a postpartum infection

Question 7

Define: subinvolution

Answer 7

medical condition in which after childbirth, the uterus does not return to its normal size.

Question 8

Define: atony

Answer 8

uterus fails to contract after the delivery of the baby