Uterine Rupture ACOG Summary Questions
with Complete Solutions
what is stage 3 uterine bleeding? EBL >1500 or 2 units PRBCs or occult bleeding or
abnormal vital signs
what is the RBC:FFP:platelet ration in the massive transfusion protocol? 6:4:1
what is stage 4 uterine bleeding? what is the immediate action for this situation? -
cardiovascular collapse
- hysterectomy (with aggress blood and factor replacement)
what are common etiology for obstetrical hemorrhage? placenta previa
abruptio placenta
placenta accreta
which patients are commonly at risk for postpartum hemorrhage? multiple gestations
para >6
, history of PP bleeding
what is the pathology of Disseminated Intravascular coagulopathy? activation of the
coagulation cascade 2/2 tissue thromboplastin or endothelial injury, with secondary fibrinolysis
what are clinical findings of DIC? - ischemia from occlusive fibrin thrombi
- bleeding from anticoagulation
- hypovolemic shock from blood loss
- oozing of blood
what are the lab findings in DIC? increased PT
increased PTT
decrease fibrinogen
thrombocytopenia
increased bleeding time
hemolytic anemia with schistocytes
how much blood loss occurs in first stage uterine rupture? vaginal >500 cc
cesarean >1000 cc
with Complete Solutions
what is stage 3 uterine bleeding? EBL >1500 or 2 units PRBCs or occult bleeding or
abnormal vital signs
what is the RBC:FFP:platelet ration in the massive transfusion protocol? 6:4:1
what is stage 4 uterine bleeding? what is the immediate action for this situation? -
cardiovascular collapse
- hysterectomy (with aggress blood and factor replacement)
what are common etiology for obstetrical hemorrhage? placenta previa
abruptio placenta
placenta accreta
which patients are commonly at risk for postpartum hemorrhage? multiple gestations
para >6
, history of PP bleeding
what is the pathology of Disseminated Intravascular coagulopathy? activation of the
coagulation cascade 2/2 tissue thromboplastin or endothelial injury, with secondary fibrinolysis
what are clinical findings of DIC? - ischemia from occlusive fibrin thrombi
- bleeding from anticoagulation
- hypovolemic shock from blood loss
- oozing of blood
what are the lab findings in DIC? increased PT
increased PTT
decrease fibrinogen
thrombocytopenia
increased bleeding time
hemolytic anemia with schistocytes
how much blood loss occurs in first stage uterine rupture? vaginal >500 cc
cesarean >1000 cc
