REPRO 7.5

Question 1

what massively increases the risk of PPH and by how much

Answer 1

vaginal deliveries by four fold

Question 2

complications of PPH

Answer 2

maternal fatigue, feeding difficulties, prolonged hospital stay, delayed lactation, pit infection - sheehans syndrome, shock, DIC, death

Question 3

primary PPH

Answer 3

within 24 hours

Question 4

secondary PPH

Answer 4

24 h to 6w

Question 5

minor PPH
mod
major

Answer 5

<500mls
500-1500
>1500

Question 6

causes of PPH - 4

and which is the commonest

Answer 6

tone - commonest - uterine atony, distended bladder
trauma
tissue - retained placenta, clots
thrombin

Question 7

prevention of PPH / those more at risk

Answer 7

anaemia, CS, PP, PA, prev, multipel pregnancy

Question 8

treatment of PPH

Answer 8

uterine massage
10 units syntocin
40 units in 500mls
confirm placental and membrane complete and catheter
500mg ergometrine - causes htn
arterial embolisation 
surgery