Practical Solutions
Maternal hemorrhage is defined as Right Ans - cumulative blood loss
greater than or equal to 1000 mL OR blood loss accompanied by signs or
symptoms of hypovolemia within 24 hoursafter the birth process (regardless
of route)
Leading cause of maternal mortality Right Ans - PPH (requiring
transfusion)
Secondary sequelae from PPH Right Ans - ARDS, shock, DIC, acute renal
failure, loss of fertility, and Sheehan syn
Despite new definition blood loss greater than ____ after a vaginal delivery is
abnormal Right Ans - 500 mL
First step: Right Ans - ID source of hemorrhage
-uterine
-cervical
-vaginal
-periurethral
-periclitoral
-perineal
-perianal
-rectal
(PE)
Primary vs secondary Right Ans - Primary within 24 hours of birth,
secondary >24 h and up to 12 wks postpartum
Helpful way to evaluate a bleeding patient Right Ans - 4 Ts
-Tone
-Trauma
-Tisse
-Thrombin
Leading cause of PPH Right Ans - Uterine atony (70-80%)