PPH

Question 1

What is the definition of PPH?

Answer 1

Bleeding from or within genital tract after delivery of the fetus and during the puerperium affecting the GC of the mother.
34 % of MMR

Question 2

Management of the PPH?

Answer 2

CRMA

Communication with experienced medwife, obstetric, anesthetic, lab

Question 3

Management of PPH?

Answer 3

Resuscitations: Airway, Breathing, Circulation.

• wide bore cannula.
• head down, warm.
• o2 mask.
• crystalloids and colloid.
• Blood transfusion.

Question 4

Management of PPH?

Answer 4

Monitoring and investigation:
CBC
LFT / KFT
Coagulation profile.
Vital data, fluid

Question 5

Management of PPH?

Answer 5

A
Evacuation of UB and rectum
External massage
Ecbolics

Bimanual compression
Ballon tamponade

B-lynch operation
Bilateral vessel ligation
SVH

Question 6

Ecbolics in PPH?

Answer 6

Syntocino: slow IV injections or infusion

Ergometrine slow IV or IM

carboprost PGF2a IM

Misoprostol 1000 micrograms RECTALLY