Postpartum hemorrhage (PPH) A+ Compiled Questions and CORRECT Answers

True or false. If a woman has lost 500 mL of blood but is exhibiting signs and symptoms of shock, for clinical purposes, she is not experiencing a "hemorrhage". - False. Any volume of blood loss that causes the client to display S&S of shock is considered a hemorrhage. What is severe PPH? - 1000mL blood loss following a vaginal delivery When does secondary PPH occur? - Between 24 hrs - 12 weeks postpartum What is the incidence of PPH worldwide? - 6% What is the incidence of PPH in Canada? - Based on 2004 estimates, 5.1%. What is the incidence of secondary PPH worldwide? - 1 to 3% What are the four T's? - Tone (70%) Tissue (10%) Trauma (20%) Thrombin (1%) List the T's in the order of most frequent. - Tone, Trauma, Tissue, Thrombin What are five reasons a woman might experience uterine atony? - 1. Exhaustion of uterine muscles 2. Over-distension of the uterus 3. Chorioamnioitis 4. Anatomic distortion of the uterus 5. Uterine-relaxation agents