Obstetric Emergencies Flashcards
Define Primary PPH
Bleeding from or within the genital tract within 24 hours of birth
Define secondary PPH
Bleeding from genital tract between 24 hours and 6 weeks postnatally
What is defined as severe blood loss?
> 2L loss
What are the 4Ts of Primary PPH as major causes?
- Thrombin
- Tone
- Tissue
- Trauma
Give 3 antenatal risks of PPH
- Placental abruption
- Placenta praevia
- Pre-eclampsia
Give 3 intrapartum risks of PPH
- C-section
- IOL
- Retained placenta
What is defined as a major haemorrhage in obstetrics?
> 1000ml blood loss
Give 4 non pharmacological management options for PPH
- Bimanual uterine compression
- Empty bladder
- Balloon tamponade
- B-lynch suture
Give 4 drugs used to manage PPH
- Syntocinon
- Ergometrine
- Carboprost
- Misoprostol
Give 2 common causes of secondary PPH
Endometriosis
Retained tissue
Which manoeuvre is in obstetric resuscitation to take to pressure of the uterus off the major abdominal vessels?
Manual left lateral uterine displacement
What is done after 4 minutes of unsuccessful obstetric CPR?
If uterus at least 20 weeks size, aim for delivery in 5 mins to save mothers life
Alongside the 4Hs and 4Ts, which 2 causes must be considered in maternal collapse?
Eclampsia
Amniotic fluid embolism
Define antepartum haemorrhage
Bleeding from or in the genital tract from 24 weeks onwards
What is defined as massive APH
Over 1L loss and/or signs of clinical shock
