Post Partum Hemorrhage

Question 1

What is the most common cause of hemorrhage in patients with a prior c-section history?

Answer 1

STILL UTERINE ATONY NOT RUPTURE

Question 2

Which drug is contraindicated in hemorrhage and atonic uterus?

Answer 2

Methlerygens (methlergenovine)

-Contraindicated in pts with hypertension due to vasoconstrictive effects.

Question 3

What uterine tonic agent should be avoided in patients with hemorrhage and asthma?

Answer 3

PGE-F2 (aka Hemabate) because it broncho constricts

F2 can F-U if you have asthma.

Question 4

Anterior placenta with history of multiple c-sections puts pt at risk for…

Answer 4

Acreta

Question 5

What non medication treatment can be done to treat hemorrhage in pts who have contraindications to medicine?

Answer 5

Bankri Balloon placement (puts 500cc of fluid and pressure inside the uterus)

Question 6

What is the treatment for endometritis?

Answer 6

Clinda+ Gentamicin