3 Flashcards
(14 cards)
Differential diagnosis of postpartum hemorrhage
Tone
Tissue
Truma
Thrombin
Risk factors of Uterine atony
Prolonged labor
Chorioamnionitis
Uterine overdistension (multiples, fetal macrosomia, polyhydramnios)
Chorioamnionitis is
an infection of the placenta and the amniotic fluid
Examination of uterine atony cause
Enlarged, boggy uterus
Management of uterine atony
Bimanual uterine massage
Uterotonic medication
Retained products of conception tissue
Succenturiate placenta
Manual extraction of placenta conception
History of previous uterine surgery
Examination in case of Retained products of conception
Enlarged, boggy uterus
Placenta missing cotyledons
Retained placental fragments on ultrasound
Management of case of Retained products of conception
Manual extraction
Risk factors of Genital tract Truma
Operative vaginal delivery
Examination in case of genital tract Truma
Laceration of cervix or vagina
Enlarging hematoma
Management of genital tract Truma
Laceration repair
Inherited coagulopathy
History of abnormal bleeding in patient or family member
Examination of uterus in case of inherited coagulopathy
Continued bleeding despite contracted uterus
The most common cause of PPH is………… which occurs due to ……… and may be treated with …………
uterine atony
insufficient uterine contractility
bimanual uterine massage and uterotonic medications.