POSTPARTUM AWHONN FLASH
CARDS QUESTIONS & VERIFIED
CORRECT ANSWERS PASSED
Top cause of maternal death - CORRECT ANSWER hemorrhage
what are women with hypertensive disorders during pregnancy at higher risk for? -
CORRECT ANSWER Diminished maternal plasma volume expansion and increased
risk for hemorrhage
Average blood loss in vaginal delivery - CORRECT ANSWER 500 mL
Average blood loss in C/S - CORRECT ANSWER 1000 mL
Average blood loss during an elective cesarean hysterectomy - CORRECT ANSWER
1500 mL - 3500 mL
What is operative delivery (forceps and/or vacuum) related to - CORRECT ANSWER
c/s blood loss
PPH blood loss - CORRECT ANSWER 500 mL
Primary PPH - CORRECT ANSWER bleeding occurs in first 24hrs after birth
Secondary PPH - CORRECT ANSWER blood loss begins >24hrs postpartum and prior
to 6wks following delivery
Massive transfusion - CORRECT ANSWER replacement of the patient's total blood
volume within 24hrs
Actively bleeding massive transfusion - CORRECT ANSWER Transfusion of >10 units
of packed RBCs within 24hrs
When does a massive transfusion occur - CORRECT ANSWER in pts with significant
traumatic injuries, GI bleeding, or PPH
-will require >10 units of PRBC in 2hrs or less
Most common etiology of PPH - CORRECT ANSWER uterine atony followed by
retained placenta and lower genital tract lacerations
Antepartum causes of obstetric hemorrhage - CORRECT ANSWER Uterine rupture
, Placental abruption
Placenta previa
Vasa previa
Intrapartum causes of obstetric hemorrhage - CORRECT ANSWER Uterine rupture
Placental abruption
Postpartum causes of obstetric hemorrhage - CORRECT ANSWER uterine atony
retained placenta
lower genital tract lacerations
upper genital tract lacerations
Placenta accreta, increta, percreta
Uterine inversion
Inherited coagulopathy
Acquired coagulopathy
What is associated with increased risk for PPH - CORRECT ANSWER Prolonged
labor, uterine overdistention (LGA, Multigest, polyhydramnios), and intrapartum infection
What may result in obstetric hemorrhage with increased risk for maternal-fetal morbidity
and mortality - CORRECT ANSWER Placenta previa, Placenta percrete, placental
abruption or maternal complications
Prep for labor with protracted labor w large baby or suspected intrapartum
chorioamnionitis - CORRECT ANSWER establish adequate IV access, type and cross
match PRBC and fresh frozen plasma, and arrange immediate availability of uterotonic
agents
Prep for labor with abnormal placentation - CORRECT ANSWER Establish central
venous access w/insertion of a catheter type approved for high pressure infusions,
placement of an intraarterial catheter for continuous blood pressure assessment and
obtaining samples for arterial blood gas analysis, bilateral femoral intra-arterial access
for large vessel embolization, prep of a cell salvage device, availability of level 1 infuser,
cross match for larger number of blood components, active pt warning devices
Uterine and maternal risk factors for PPH - CORRECT ANSWER -previous C/S
-Prolonged labor
-Precipitous labor
-Exposure to exogenous oxytocin (induction, augmentation)
-Fetal macrosomnia
-Polyhydramnios
-Chorioamnionitis
-Episiotomy w/3rd/4th degree
-operative vaginal delivery
-Grand multiparity
-Maternal obesity
CARDS QUESTIONS & VERIFIED
CORRECT ANSWERS PASSED
Top cause of maternal death - CORRECT ANSWER hemorrhage
what are women with hypertensive disorders during pregnancy at higher risk for? -
CORRECT ANSWER Diminished maternal plasma volume expansion and increased
risk for hemorrhage
Average blood loss in vaginal delivery - CORRECT ANSWER 500 mL
Average blood loss in C/S - CORRECT ANSWER 1000 mL
Average blood loss during an elective cesarean hysterectomy - CORRECT ANSWER
1500 mL - 3500 mL
What is operative delivery (forceps and/or vacuum) related to - CORRECT ANSWER
c/s blood loss
PPH blood loss - CORRECT ANSWER 500 mL
Primary PPH - CORRECT ANSWER bleeding occurs in first 24hrs after birth
Secondary PPH - CORRECT ANSWER blood loss begins >24hrs postpartum and prior
to 6wks following delivery
Massive transfusion - CORRECT ANSWER replacement of the patient's total blood
volume within 24hrs
Actively bleeding massive transfusion - CORRECT ANSWER Transfusion of >10 units
of packed RBCs within 24hrs
When does a massive transfusion occur - CORRECT ANSWER in pts with significant
traumatic injuries, GI bleeding, or PPH
-will require >10 units of PRBC in 2hrs or less
Most common etiology of PPH - CORRECT ANSWER uterine atony followed by
retained placenta and lower genital tract lacerations
Antepartum causes of obstetric hemorrhage - CORRECT ANSWER Uterine rupture
, Placental abruption
Placenta previa
Vasa previa
Intrapartum causes of obstetric hemorrhage - CORRECT ANSWER Uterine rupture
Placental abruption
Postpartum causes of obstetric hemorrhage - CORRECT ANSWER uterine atony
retained placenta
lower genital tract lacerations
upper genital tract lacerations
Placenta accreta, increta, percreta
Uterine inversion
Inherited coagulopathy
Acquired coagulopathy
What is associated with increased risk for PPH - CORRECT ANSWER Prolonged
labor, uterine overdistention (LGA, Multigest, polyhydramnios), and intrapartum infection
What may result in obstetric hemorrhage with increased risk for maternal-fetal morbidity
and mortality - CORRECT ANSWER Placenta previa, Placenta percrete, placental
abruption or maternal complications
Prep for labor with protracted labor w large baby or suspected intrapartum
chorioamnionitis - CORRECT ANSWER establish adequate IV access, type and cross
match PRBC and fresh frozen plasma, and arrange immediate availability of uterotonic
agents
Prep for labor with abnormal placentation - CORRECT ANSWER Establish central
venous access w/insertion of a catheter type approved for high pressure infusions,
placement of an intraarterial catheter for continuous blood pressure assessment and
obtaining samples for arterial blood gas analysis, bilateral femoral intra-arterial access
for large vessel embolization, prep of a cell salvage device, availability of level 1 infuser,
cross match for larger number of blood components, active pt warning devices
Uterine and maternal risk factors for PPH - CORRECT ANSWER -previous C/S
-Prolonged labor
-Precipitous labor
-Exposure to exogenous oxytocin (induction, augmentation)
-Fetal macrosomnia
-Polyhydramnios
-Chorioamnionitis
-Episiotomy w/3rd/4th degree
-operative vaginal delivery
-Grand multiparity
-Maternal obesity
