Postpartum Hemorrhage
Study online at https://quizlet.com/_4iuap8
1. most common uterine atony
cause of postpar-
tum hemorrhage
2. Where does de- starts at center and works its way toward the periphery
tachment of the
placenta normal-
ly occur first from
the uterine wall?
3. How is the "criss-crossing" muscle cells encircling the maternal spiral arteries contract
uterine bleeding
stopped after the
placenta detach-
es
4. post-partum he- delivery-associated blood loss in excess of *500mL* for a vaginal delivery and in
morrhage excess of *1,000 mL* for a c/s
5. primary (early) within 25 hours of delivery
PPH
6. secondary (late) occurs >24 hours but within 12 weeks after delivery ("saturating a pad within an
PPH hour")
7. Is early or late early
post-partum he-
morrhage more
worrisome?
8. prevalence of 4%
post-partum he-
morrhage
1/9
, Postpartum Hemorrhage
Study online at https://quizlet.com/_4iuap8
9. At what percent 20%
of blood loss
in PPH, will a
woman start de-
veloping signs?
10. clinical signs of 10-15%: no signs
10-15%, 20%,
30%, and 40-50% 20%: tachycardia, delayed capillary refill, orthostatic changes, narrowed pulse
blood loss with pressure
PPH
30%: breathing and HR further increases, overt hypotension develops
40-50%: oliguria, shock, coma...death
11. 4 T's that can 1. tone
cause early post- 2. trauma
partum hemor- 3. tissue
rhage 4. thrombin (failure of blood to clot normally)
12. most common tone (atony)
cause of early
post-partum he-
morrhage
13. What does the soft and boggy
uterus feel like
with atony?
14. trauma that can 1. genital tract lacerations
cause early PPH 2. uterine inversion
(3) 3. uterine rupture
15. retained placenta
2/9
Study online at https://quizlet.com/_4iuap8
1. most common uterine atony
cause of postpar-
tum hemorrhage
2. Where does de- starts at center and works its way toward the periphery
tachment of the
placenta normal-
ly occur first from
the uterine wall?
3. How is the "criss-crossing" muscle cells encircling the maternal spiral arteries contract
uterine bleeding
stopped after the
placenta detach-
es
4. post-partum he- delivery-associated blood loss in excess of *500mL* for a vaginal delivery and in
morrhage excess of *1,000 mL* for a c/s
5. primary (early) within 25 hours of delivery
PPH
6. secondary (late) occurs >24 hours but within 12 weeks after delivery ("saturating a pad within an
PPH hour")
7. Is early or late early
post-partum he-
morrhage more
worrisome?
8. prevalence of 4%
post-partum he-
morrhage
1/9
, Postpartum Hemorrhage
Study online at https://quizlet.com/_4iuap8
9. At what percent 20%
of blood loss
in PPH, will a
woman start de-
veloping signs?
10. clinical signs of 10-15%: no signs
10-15%, 20%,
30%, and 40-50% 20%: tachycardia, delayed capillary refill, orthostatic changes, narrowed pulse
blood loss with pressure
PPH
30%: breathing and HR further increases, overt hypotension develops
40-50%: oliguria, shock, coma...death
11. 4 T's that can 1. tone
cause early post- 2. trauma
partum hemor- 3. tissue
rhage 4. thrombin (failure of blood to clot normally)
12. most common tone (atony)
cause of early
post-partum he-
morrhage
13. What does the soft and boggy
uterus feel like
with atony?
14. trauma that can 1. genital tract lacerations
cause early PPH 2. uterine inversion
(3) 3. uterine rupture
15. retained placenta
2/9
