POSTPARTUM HEMORRHAGE | Questions and Answers with complete solution
POSTPARTUM HEMORRHAGE - Blood loss of 500 mL with vaginal delivery Blood loss of 1000 mL with C/S Happens within 24 hours EARLY POSTPARTUM HEMORRHAGE & CAUSES - Inversion Lacerations Incomplete separation of the placenta Early = within 24 hours Uterine atony LATE POSTPARTUM HEMORRHAGE & CAUSES - Retained placental fragments (most common) Endometritis Subinvolution Late = 24 hrs but 6 weeks 4 T's of POSTPARTUM HEMORRHAGE - Trauma Tone Tissue Thrombin POSTPARTUM HEMORRHAGE RISK FACTORS - Chorioamnionitis High parity Inversion Placenta accreta, increta, percreta Subinvolution Placenta previaUterine atony Placenta abruption Prolonged/oxytocin induced labor
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