Post Partum Bleeding

Question 1

How do we define post partum bleeding?

Answer 1

More than 500 mls vaginal

More than 1000 mls c section

Question 2

What does absent uterus mean?

Answer 2

Uterine inversion

Question 3

What is the most common cause of post partum hemorrhage and how does the uterus feel?
Treatment?

Answer 3

Uterine atony, boggy

Massage, meds like oxytocin

Question 4

Firm uterus equals?

Answer 4

Retained placenta

Question 5

What is accreta?incretta?percretta?

Answer 5

Endometrium
Myometrium
Through the the entire uterus

Question 6

Treat retained placenta?

Answer 6

Try d and c, maybe hysterectomy

Check bhcg

Question 7

What is high and low in DIC?

Answer 7

Low platelets, give platelets
Low HgB, give blood
Schistocytes 
Low fibrinogen, give cryo
Up INR, low factors, Give FFP