Postpartum hemorrhage (PPH) Top Predicted Questions and CORRECT Answers

What does "tissue"refer to? - Having refrained placental fragments, membranes or clots left inside the uterus; uterine subinvolution What is a potentially life-threatening complication that can occur after both vaginal & csection? - PPH How is PPH defined? - As a cumulative blood loss greater than 500 mL for vaginal births and 1000 mL for c-sections w/ S/S of hypovolemia w/in 24 hours what is the most common cause of PPH? - Urine atony What is urine atony? - Failure of the uterus to contract and retract after birth What are causes of late or delayed hemorrhage? - -obstetric lacerations -uterine inversion -subinvolution -rupture what is Postpartum hemorrhage (PPH)? - Blood loss that occurs within 24 hours of birth What is delayed (late) postpartum hemorrhage? - blood loss that occurs 24 hours to 12 weeks after birth Why must the uterus remain contracted after birth (normal indication)? - To control bleeding from the placenta What happens in the third stage of labor that leads to the placenta separating from the uterine wall? - Downward contraction of the uterus that causes contraction What type of medications promote uterine contractions to prevent atony & speed delivery of the placenta? - Uterotonic meds What are typical signs of hemorrhage? - -decrease BP -tachycardia -decrease UO What does an absence of contractions indicate? - Excessive blood loss What degree of shock is 20% blood loss? - Mild