Management|Verified Questions And Answers!!!
Postpartum hemorrhage - ANSWER-is excessive maternal
bleeding after delivery of an infant and has multiple
causes. Postpartum hemorrhage is classified into two
groups: early postpartum hemorrhage and late postpartum
hemorrhage. The most common cause of early postpartum
hemorrhage is uterine atony, but it can also be caused by
trauma, lacerations, and hematomas. Late postpartum
hemorrhage is most commonly caused by retained
placental fragments.
,Timing of early postpartum hemorrhage - ANSWER-
Occurs in the first 24 hours after childbirth
Timing of late postpartum hemorrhage - ANSWER-Occurs
after 24 hours for up to 12 weeks after childbirth
causes of early postpartum hemorrhage - ANSWER-
Uterine atony
Trauma to the birth canal during labor and birth caused by
lacerations, episiotomies, or uterine rupture
Hematomas (localized collections of blood in a space or
tissue)
Retention of placental or amniotic fragments
Abnormalities of coagulation
, Causes of late postpartum hemorrhage - ANSWER-
Subinvolution (delayed return of the uterus to its
nonpregnant size and consistency)
Retained placental or amniotic fragments
Infection of the uterus
Uterine Atony - ANSWER-This is the most common cause
of early postpartum hemorrhage. Relaxed uterine muscles
allow rapid bleeding from endometrial arteries.
This is characterized by a fundus that feels "boggy" (soft,
flaccid) or is difficult to locate.