Postpatum Hemorrhage
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This document provides information on the management of postpartum hemorrhage. It defines postpartum hemorrhage as blood loss of 500ml or more during vaginal delivery or 1000ml or more during c-section. Risk factors for postpartum hemorrhage include maternal age, primiparity, uterine fibroids, and previous c-section. Diagnosis involves early recognition of blood loss and signs of cardiovascular compromise such as tachycardia and low blood pressure. Causes of postpartum hemorrhage include uterine atony, genital tract lacerations, and retained placental fragments. Management techniques discussed include internal iliac artery ligation, bimanual compression of the uterus, and drug therapy
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Postpartum hemorrhage
Postpartum Hemorrhage (PPH) is defined as blood loss greater than 500 mL within 24 hours of delivery. The most common cause is uterine atony, which is the failure of the uterus to contract after delivery. Management involves initial measures like oxygen supplementation, IV access, fluid resuscitation, and medications to induce uterine contractions. If uterine atony persists, further steps are taken like uterine packing, balloon tamponade, or ligation of the uterine arteries. Prevention strategies focus on risk identification and active management of the third stage of labor.
Postpartum Hemorrhage
Postpartum hemorrhage (PPH) is defined as blood loss greater than 500 mL following vaginal delivery or 1000 mL following cesarean delivery. It is one of the leading causes of maternal mortality worldwide. The main causes of PPH can be remembered as the four Ts: tone (uterine atony), trauma, tissue (retained placenta), and thrombin (coagulopathies). Uterine atony accounts for approximately 80% of PPH cases. Initial management of PPH involves calling for help, administering IV fluids and oxytocics, and determining the cause of bleeding in order to provide targeted treatment.
Postpartum hemorrhage
Postpartum Hemorrhage; The Definition, causes, pathogenesis, Clinical features, and Management/Treatment
Postpartum Haemorrhage
Postpartum hemorrhage is defined as bleeding more than 500ml following childbirth. It can be primary within 24 hours or secondary between 24 hours to 6 weeks. The main causes of primary PPH are uterine atony, retained placental tissue, lacerations, and coagulation disorders. Risk factors include overdistention of the uterus, previous PPH, prolonged labor, and preeclampsia. Clinical presentation includes heavy bleeding and signs of shock. Management involves bimanual compression, B-Lynch brace suture, exclusion of retained tissue, and antibiotic treatment for endometritis in secondary PPH cases.
Primary Postpartum Haemorrhage
Postpartum hemorrhage (PPH) is defined as blood loss exceeding 500 ml after vaginal delivery within 24 hours. It is a leading cause of maternal mortality, especially in resource-poor settings. Risk factors include polyhydramnios, macrosomia, prolonged labor, and previous surgery. Management involves resuscitation, assessing uterine contraction, exploring the uterus, and administering oxytocics for atony or performing manual removal of placental tissue. Prevention strategies include active management of the third stage of labor with oxytocics immediately after delivery and risk assessment during antenatal care.
Postpartum hemorrhage 12 01
Thank you for the summary. Let me know if you need any clarification or have additional questions.
Postpartum hemorrhage (Dr.Rafi Rozan)
Postpartum hemorrhage is the leading cause of maternal death worldwide. Excessive bleeding after childbirth can occur due to uterine atony, retained placenta or blood clots, trauma during delivery, or pre-existing coagulation disorders. Preventing postpartum hemorrhage involves risk assessment, active management of the third stage of labor using uterotonics immediately after delivery of the baby, and controlled cord traction to deliver the placenta. Treatment options for postpartum hemorrhage include non-pharmacological techniques like uterine massage and medical interventions like uterotonics, tranexamic acid, recombinant factor VIIa, and in severe cases, surgical procedures.
Understanding pph
Postpartum haemorrhage (PPH) is the leading cause of maternal mortality in Malaysia and developing countries. The main causes of PPH are uterine atony, retained placenta, and genital tract injuries. Uterine atony occurs when the uterus fails to contract after delivery, allowing blood vessels at the placental site to remain open. Retained placenta is the partial or complete failure of the placenta to separate from the uterine wall. Genital tract injuries like lacerations can also cause excessive bleeding. Improving emergency obstetric care and access to blood transfusions in hospitals is key to reducing mortality from PPH.
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Postpartum hemorrhage
Postpartum Hemorrhage (PPH) is defined as blood loss greater than 500 mL within 24 hours of delivery. The most common cause is uterine atony, which is the failure of the uterus to contract after delivery. Management involves initial measures like oxygen supplementation, IV access, fluid resuscitation, and medications to induce uterine contractions. If uterine atony persists, further steps are taken like uterine packing, balloon tamponade, or ligation of the uterine arteries. Prevention strategies focus on risk identification and active management of the third stage of labor.
Postpartum Hemorrhage
Postpartum hemorrhage (PPH) is defined as blood loss greater than 500 mL following vaginal delivery or 1000 mL following cesarean delivery. It is one of the leading causes of maternal mortality worldwide. The main causes of PPH can be remembered as the four Ts: tone (uterine atony), trauma, tissue (retained placenta), and thrombin (coagulopathies). Uterine atony accounts for approximately 80% of PPH cases. Initial management of PPH involves calling for help, administering IV fluids and oxytocics, and determining the cause of bleeding in order to provide targeted treatment.
Postpartum hemorrhage
Postpartum Hemorrhage; The Definition, causes, pathogenesis, Clinical features, and Management/Treatment
Postpartum Haemorrhage
Postpartum hemorrhage is defined as bleeding more than 500ml following childbirth. It can be primary within 24 hours or secondary between 24 hours to 6 weeks. The main causes of primary PPH are uterine atony, retained placental tissue, lacerations, and coagulation disorders. Risk factors include overdistention of the uterus, previous PPH, prolonged labor, and preeclampsia. Clinical presentation includes heavy bleeding and signs of shock. Management involves bimanual compression, B-Lynch brace suture, exclusion of retained tissue, and antibiotic treatment for endometritis in secondary PPH cases.
Primary Postpartum Haemorrhage
Postpartum hemorrhage (PPH) is defined as blood loss exceeding 500 ml after vaginal delivery within 24 hours. It is a leading cause of maternal mortality, especially in resource-poor settings. Risk factors include polyhydramnios, macrosomia, prolonged labor, and previous surgery. Management involves resuscitation, assessing uterine contraction, exploring the uterus, and administering oxytocics for atony or performing manual removal of placental tissue. Prevention strategies include active management of the third stage of labor with oxytocics immediately after delivery and risk assessment during antenatal care.
Postpartum hemorrhage 12 01
Thank you for the summary. Let me know if you need any clarification or have additional questions.
Postpartum hemorrhage (Dr.Rafi Rozan)
Postpartum hemorrhage is the leading cause of maternal death worldwide. Excessive bleeding after childbirth can occur due to uterine atony, retained placenta or blood clots, trauma during delivery, or pre-existing coagulation disorders. Preventing postpartum hemorrhage involves risk assessment, active management of the third stage of labor using uterotonics immediately after delivery of the baby, and controlled cord traction to deliver the placenta. Treatment options for postpartum hemorrhage include non-pharmacological techniques like uterine massage and medical interventions like uterotonics, tranexamic acid, recombinant factor VIIa, and in severe cases, surgical procedures.
Understanding pph
Postpartum haemorrhage (PPH) is the leading cause of maternal mortality in Malaysia and developing countries. The main causes of PPH are uterine atony, retained placenta, and genital tract injuries. Uterine atony occurs when the uterus fails to contract after delivery, allowing blood vessels at the placental site to remain open. Retained placenta is the partial or complete failure of the placenta to separate from the uterine wall. Genital tract injuries like lacerations can also cause excessive bleeding. Improving emergency obstetric care and access to blood transfusions in hospitals is key to reducing mortality from PPH.
Postpartum Haemorrhage
Postpartum haemorrhage (PPH) is still a major cause of maternal mortality, responsible for 20-25% of deaths. It can be caused by uterine atony, retained placenta, genital tract trauma, or coagulation disorders. Risk factors include previous PPH, obesity, multiple pregnancy, and operative delivery. Proper management of PPH involves early recognition, resuscitation with IV fluids and blood transfusion, identifying and treating the cause, and close monitoring in ICU. Delays in management and transportation significantly increase mortality.
Post Partum Hemorrhage (PPH)
Postpartum hemorrhage (PPH) is defined as blood loss greater than 500 mL following vaginal birth or 1000 mL following c-section. It can occur within 24 hours (primary PPH) or 24 hours to 12 weeks (secondary PPH) postpartum and is a leading cause of maternal mortality. The 4 T's of PPH include tonicity (uterine atony), tissue (retained placental fragments), trauma, and thrombin abnormalities. A case is presented of a woman with risk factors of preeclampsia and prolonged labor who develops PPH. Her management involves IV fluids, uterotonics, uterine massage, and monitoring for signs of deterioration requiring additional interventions like embolization
Postpartum haemorrhage
This document summarizes causes, risk factors, diagnosis, and management of postpartum hemorrhage (PPH). PPH is defined as blood loss of 500 ml or more within 24 hours of delivery. Common causes include uterine atony (70%), retained placenta, genital tract trauma, and bleeding disorders. Risk factors include previous uterine surgery, operative delivery, and bleeding abnormalities. Diagnosis involves estimating blood loss and identifying the cause. Management involves resuscitation, arresting the bleeding through uterotonic drugs, manual removal of retained placenta, repairing lacerations, and in severe cases, surgical procedures like hysterectomy.
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This document summarizes postpartum hemorrhage, its risk factors, etiologies, pathophysiology, nursing interventions, and other potential postpartum complications including infection, emotional disorders, thrombophlebitis, and domestic violence. It discusses postpartum hemorrhage definitions and causes such as uterine atony, retained tissues, and genital tract trauma. It also outlines nursing assessments and treatments for various postpartum complications.
Medical management of postpartum hemorrhage pph lecture
The document provides an overview of postpartum hemorrhage (PPH) including its definition, risk factors, causes, prevention, and management. It discusses predicting patients at risk, preparing for potential hemorrhage, and treating PPH through evaluating tone, tissue, trauma, and thrombin (the 4 Ts). Uterine atony is identified as the leading cause, accounting for 80% of PPH cases. Early use of uterotonic medications and fluid resuscitation are emphasized as essential in management.
Overview management of postpartum haemorrhage
Hemorrhage remains a leading cause of maternal mortality. Postpartum hemorrhage (PPH) is defined as blood loss over 500mL within 24 hours of delivery or blood loss of any amount with hemodynamic changes. The main causes of PPH are uterine atony, trauma, and retained placental tissue. Prevention focuses on risk factor identification and active management of the third stage of labor with uterotonics. Treatment involves fluid resuscitation, blood transfusion, uterotonics, uterine massage, and in severe cases, surgical interventions like hysterectomy.
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This document discusses postpartum haemorrhage (PPH), defined as blood loss over 500-1000ml after birth. The main causes of PPH are uterine atony (failure to contract), trauma during delivery, and retained tissue. Risk factors include placenta previa, multiple pregnancy, preeclampsia, induction of labor, and operative delivery. Prevention involves active management of the third stage of labor with oxytocin. Management of PPH includes addressing airway and circulation, treating potential causes like atony, and monitoring for signs of shock. Uterine massage, uterotonics, balloon tamponade, and arterial ligation may be used to treat atonic bleeding.
Postpartum haemorrhage pf
This document summarizes causes, risk factors, diagnosis, and management of postpartum hemorrhage (PPH). PPH is defined as blood loss of 500 ml or more within 24 hours of delivery. Common causes include uterine atony (70%), retained placenta, genital tract trauma, and bleeding disorders. Risk factors include previous uterine surgery, uterine abnormalities, and operative delivery. Diagnosis involves estimating blood loss and identifying the cause. Management involves resuscitation, arresting the bleeding through uterotonic drugs, manual removal of retained placenta, repairing lacerations, and in severe cases, surgical procedures like hysterectomy.
Postpartum Hemorrhage
This document discusses post-partum hemorrhage (PPH), including its definition, causes, risk factors, prevention, and management. It describes:
1) PPH is defined as blood loss over 500ml within 24 hours of delivery. The main cause is uterine atony but can also be due to retained placenta or trauma.
2) Risk factors include previous c-section, large babies, and medical conditions like placenta previa. Prevention focuses on identifying risks antenatally and using oxytocics to manage the third stage of labor.
3) Initial management of PPH involves resuscitation, oxytocics, and identifying the cause. Further steps may include balloon
Primary post partum haemorrhage
The document summarizes postpartum haemorrhage (PPH), defined as blood loss of 500 ml or more within 24 hours of birth. The main causes of PPH are uterine atony, retained placenta, genital tract trauma, and coagulation disorders. Management of PPH involves communication, resuscitation including fluids and blood products, monitoring investigations, and measures to arrest bleeding such as uterine massage, medications to improve uterine tone, and surgical techniques if bleeding persists.
Postpartum hemorrhage
This document discusses postpartum hemorrhage, including definition, risk factors, diagnosis, and treatment. It begins with two case examples of women experiencing heavy bleeding after delivery. The main causes of postpartum hemorrhage - uterine atony, retained placenta, lacerations, and coagulation disorders - are reviewed. Treatment focuses on the "four Ts": addressing tone with uterotonic drugs, checking for retained tissue, repairing any trauma, and evaluating for thrombin abnormalities. Early diagnosis and treatment are important to prevent severe bleeding and potential mortality from postpartum hemorrhage.
Mellss obg3 pph
This document discusses complications of the third stage of labor, specifically postpartum hemorrhage. It defines postpartum hemorrhage, classifies it by severity and timing, and identifies the main causes as being an atonic uterus, trauma, retained placental tissues, and coagulation disorders. The management of postpartum hemorrhage is described in stages from immediate resuscitation through bimanual compression, uterine tamponade, surgery such as ligation of arteries, and hysterectomy if needed. Specific approaches are provided for addressing atonic, traumatic, or coagulation-related causes of bleeding.
11.Postpartum+Hemorrhage
Postpartum hemorrhage is defined as blood loss exceeding 500 mL after vaginal delivery or 1000 mL after cesarean delivery within 24 hours. It occurs in 4% of deliveries and is primarily caused by uterine atony, genital tract trauma, retained placental tissue, and coagulation disorders. Management involves identifying the cause, such as through manual exploration of the uterus, repairing lacerations, administering uterotonic drugs to contract the uterus, and treating underlying coagulation disorders. Surgical interventions like hysterectomy may be needed for severe cases unresponsive to initial treatment measures.
Postpartum haemorrhage (pph)
This document defines and describes postpartum haemorrhage (PPH). PPH is classified as primary (occurring within 24 hours of delivery) or secondary (occurring between 24 hours and 12 weeks post delivery). The main causes of PPH are uterine atony, retained placenta, genital tract lacerations, coagulation disorders, and acute inversion of the uterus. Risk factors include multiparity, overdistension of the uterus, prolonged labour, and uterine fibroids. Management involves ABCs, fluid resuscitation, uterotonic drugs, bimanual compression, exploration for retained tissue, and in severe cases surgical interventions like hysterectomy. Secondary PPH is usually caused by retained products of conception or
Post partum hemorrhage
This document discusses postpartum hemorrhage (PPH), including risk factors, clinical findings, and management strategies. PPH is defined as blood loss of 1000cc or more within 24 hours of delivery, or blood loss accompanied by signs of hypovolemia. Estimated blood loss is often half of the actual amount. A 6% decrease in postpartum hematocrit indicates a clinically significant blood loss of over 1000cc for an average woman. Common causes of PPH include uterine atony, trauma, retained placental tissue, and coagulopathy. Risk factors, signs, and treatments are provided for each potential cause. Management may involve bimanual uterine massage, uterotonics, surgical repair, manual removal of
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The document discusses non-surgical management of postpartum hemorrhage (PPH). It outlines that PPH is a leading cause of maternal mortality, with causes including uterine atony, retained placenta, and coagulation disorders. Prevention focuses on risk identification and active management of the third stage of labor. Medical management includes uterotonics like oxytocin, carboprost, and misoprostol. Temporary measures like uterine packing, balloon tamponade, and embolization can control bleeding while arranging transfer for hysterectomy if needed.
Postpartum haemorrhage
Postpartum hemorrhage is a leading cause of maternal mortality. Uterine atony accounts for 95% of cases. The 4Ts framework is used to evaluate causes: Tone (uterine atony), Tissue (retained placenta), Trauma (lacerations), and Thrombin (coagulopathy). Prevention focuses on active management of the third stage of labor using uterotonics like oxytocin and ergometrine. Management involves assessing blood loss, vital signs, and treating the underlying cause, such as through uterine massage, manual exploration, additional uterotonics, or surgical interventions if needed.
Pph
Postpartum haemorrhage (PPH) is a major cause of maternal mortality. It can be primary (within 24 hours of delivery) or secondary (24 hours to 6 weeks postpartum). Primary PPH is usually due to uterine atony or trauma during delivery. Management involves emptying the uterus, replacing blood loss, and ensuring haemostasis. Secondary PPH is often caused by infection or retained placental fragments. Treatment focuses on identifying and addressing the underlying cause while providing supportive care.
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This document defines postpartum hemorrhage and provides an overview of its normal physiology, symptoms, diagnosis, risk factors, management, and most common causes. Postpartum hemorrhage is defined as blood loss of 500 ml or more following vaginal delivery or 1000 ml or more following c-section. Symptoms include heavy vaginal bleeding and signs of hypovolemia like dizziness. Causes ("four T's") include uterine atony, trauma, retained tissue, and thrombosis. Risk factors are also outlined. General management involves identification of high-risk patients, preparations before delivery, careful delivery procedures, observation after delivery, and frequent uterine massage.
Postpartum Haemorrhage
Contribution by students of Bachelors of Eastern Medicine and Surgery (BEMS) from Hamdard University, Pakistan.
Postpartum
Postpartum hemorrhage (PPH) is excessive bleeding after childbirth. PPH is defined as blood loss over 500mL after a vaginal delivery or 1000mL after a C-section. Risk factors include preeclampsia, prior C-section, prolonged third stage of labor, and placenta previa. Causes are commonly grouped into four categories related to uterine tone, trauma, retained tissue, and coagulation disorders. Diagnosis involves monitoring vitals and blood work. Prevention focuses on treating anemia, avoiding unnecessary procedures, and active management of the third stage. Treatment may include uterine massage, medications, procedures to remove tissue or repair lacerations, and in severe cases, embolization or
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Postpartum Haemorrhage
Postpartum haemorrhage (PPH) is still a major cause of maternal mortality, responsible for 20-25% of deaths. It can be caused by uterine atony, retained placenta, genital tract trauma, or coagulation disorders. Risk factors include previous PPH, obesity, multiple pregnancy, and operative delivery. Proper management of PPH involves early recognition, resuscitation with IV fluids and blood transfusion, identifying and treating the cause, and close monitoring in ICU. Delays in management and transportation significantly increase mortality.
Post Partum Hemorrhage (PPH)
Postpartum hemorrhage (PPH) is defined as blood loss greater than 500 mL following vaginal birth or 1000 mL following c-section. It can occur within 24 hours (primary PPH) or 24 hours to 12 weeks (secondary PPH) postpartum and is a leading cause of maternal mortality. The 4 T's of PPH include tonicity (uterine atony), tissue (retained placental fragments), trauma, and thrombin abnormalities. A case is presented of a woman with risk factors of preeclampsia and prolonged labor who develops PPH. Her management involves IV fluids, uterotonics, uterine massage, and monitoring for signs of deterioration requiring additional interventions like embolization
Postpartum haemorrhage
This document summarizes causes, risk factors, diagnosis, and management of postpartum hemorrhage (PPH). PPH is defined as blood loss of 500 ml or more within 24 hours of delivery. Common causes include uterine atony (70%), retained placenta, genital tract trauma, and bleeding disorders. Risk factors include previous uterine surgery, operative delivery, and bleeding abnormalities. Diagnosis involves estimating blood loss and identifying the cause. Management involves resuscitation, arresting the bleeding through uterotonic drugs, manual removal of retained placenta, repairing lacerations, and in severe cases, surgical procedures like hysterectomy.
Post Partum Hemorrhage
This document summarizes postpartum hemorrhage, its risk factors, etiologies, pathophysiology, nursing interventions, and other potential postpartum complications including infection, emotional disorders, thrombophlebitis, and domestic violence. It discusses postpartum hemorrhage definitions and causes such as uterine atony, retained tissues, and genital tract trauma. It also outlines nursing assessments and treatments for various postpartum complications.
Medical management of postpartum hemorrhage pph lecture
The document provides an overview of postpartum hemorrhage (PPH) including its definition, risk factors, causes, prevention, and management. It discusses predicting patients at risk, preparing for potential hemorrhage, and treating PPH through evaluating tone, tissue, trauma, and thrombin (the 4 Ts). Uterine atony is identified as the leading cause, accounting for 80% of PPH cases. Early use of uterotonic medications and fluid resuscitation are emphasized as essential in management.
Overview management of postpartum haemorrhage
Hemorrhage remains a leading cause of maternal mortality. Postpartum hemorrhage (PPH) is defined as blood loss over 500mL within 24 hours of delivery or blood loss of any amount with hemodynamic changes. The main causes of PPH are uterine atony, trauma, and retained placental tissue. Prevention focuses on risk factor identification and active management of the third stage of labor with uterotonics. Treatment involves fluid resuscitation, blood transfusion, uterotonics, uterine massage, and in severe cases, surgical interventions like hysterectomy.
Post Partum Haemorrhage - A Summary of Management
This document discusses postpartum haemorrhage (PPH), defined as blood loss over 500-1000ml after birth. The main causes of PPH are uterine atony (failure to contract), trauma during delivery, and retained tissue. Risk factors include placenta previa, multiple pregnancy, preeclampsia, induction of labor, and operative delivery. Prevention involves active management of the third stage of labor with oxytocin. Management of PPH includes addressing airway and circulation, treating potential causes like atony, and monitoring for signs of shock. Uterine massage, uterotonics, balloon tamponade, and arterial ligation may be used to treat atonic bleeding.
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This document summarizes causes, risk factors, diagnosis, and management of postpartum hemorrhage (PPH). PPH is defined as blood loss of 500 ml or more within 24 hours of delivery. Common causes include uterine atony (70%), retained placenta, genital tract trauma, and bleeding disorders. Risk factors include previous uterine surgery, uterine abnormalities, and operative delivery. Diagnosis involves estimating blood loss and identifying the cause. Management involves resuscitation, arresting the bleeding through uterotonic drugs, manual removal of retained placenta, repairing lacerations, and in severe cases, surgical procedures like hysterectomy.
Postpartum Hemorrhage
This document discusses post-partum hemorrhage (PPH), including its definition, causes, risk factors, prevention, and management. It describes:
1) PPH is defined as blood loss over 500ml within 24 hours of delivery. The main cause is uterine atony but can also be due to retained placenta or trauma.
2) Risk factors include previous c-section, large babies, and medical conditions like placenta previa. Prevention focuses on identifying risks antenatally and using oxytocics to manage the third stage of labor.
3) Initial management of PPH involves resuscitation, oxytocics, and identifying the cause. Further steps may include balloon
Primary post partum haemorrhage
The document summarizes postpartum haemorrhage (PPH), defined as blood loss of 500 ml or more within 24 hours of birth. The main causes of PPH are uterine atony, retained placenta, genital tract trauma, and coagulation disorders. Management of PPH involves communication, resuscitation including fluids and blood products, monitoring investigations, and measures to arrest bleeding such as uterine massage, medications to improve uterine tone, and surgical techniques if bleeding persists.
Postpartum hemorrhage
This document discusses postpartum hemorrhage, including definition, risk factors, diagnosis, and treatment. It begins with two case examples of women experiencing heavy bleeding after delivery. The main causes of postpartum hemorrhage - uterine atony, retained placenta, lacerations, and coagulation disorders - are reviewed. Treatment focuses on the "four Ts": addressing tone with uterotonic drugs, checking for retained tissue, repairing any trauma, and evaluating for thrombin abnormalities. Early diagnosis and treatment are important to prevent severe bleeding and potential mortality from postpartum hemorrhage.
Mellss obg3 pph
This document discusses complications of the third stage of labor, specifically postpartum hemorrhage. It defines postpartum hemorrhage, classifies it by severity and timing, and identifies the main causes as being an atonic uterus, trauma, retained placental tissues, and coagulation disorders. The management of postpartum hemorrhage is described in stages from immediate resuscitation through bimanual compression, uterine tamponade, surgery such as ligation of arteries, and hysterectomy if needed. Specific approaches are provided for addressing atonic, traumatic, or coagulation-related causes of bleeding.
11.Postpartum+Hemorrhage
Postpartum hemorrhage is defined as blood loss exceeding 500 mL after vaginal delivery or 1000 mL after cesarean delivery within 24 hours. It occurs in 4% of deliveries and is primarily caused by uterine atony, genital tract trauma, retained placental tissue, and coagulation disorders. Management involves identifying the cause, such as through manual exploration of the uterus, repairing lacerations, administering uterotonic drugs to contract the uterus, and treating underlying coagulation disorders. Surgical interventions like hysterectomy may be needed for severe cases unresponsive to initial treatment measures.
Postpartum haemorrhage (pph)
This document defines and describes postpartum haemorrhage (PPH). PPH is classified as primary (occurring within 24 hours of delivery) or secondary (occurring between 24 hours and 12 weeks post delivery). The main causes of PPH are uterine atony, retained placenta, genital tract lacerations, coagulation disorders, and acute inversion of the uterus. Risk factors include multiparity, overdistension of the uterus, prolonged labour, and uterine fibroids. Management involves ABCs, fluid resuscitation, uterotonic drugs, bimanual compression, exploration for retained tissue, and in severe cases surgical interventions like hysterectomy. Secondary PPH is usually caused by retained products of conception or
Post partum hemorrhage
This document discusses postpartum hemorrhage (PPH), including risk factors, clinical findings, and management strategies. PPH is defined as blood loss of 1000cc or more within 24 hours of delivery, or blood loss accompanied by signs of hypovolemia. Estimated blood loss is often half of the actual amount. A 6% decrease in postpartum hematocrit indicates a clinically significant blood loss of over 1000cc for an average woman. Common causes of PPH include uterine atony, trauma, retained placental tissue, and coagulopathy. Risk factors, signs, and treatments are provided for each potential cause. Management may involve bimanual uterine massage, uterotonics, surgical repair, manual removal of
Non-Surgical Management of PPH
The document discusses non-surgical management of postpartum hemorrhage (PPH). It outlines that PPH is a leading cause of maternal mortality, with causes including uterine atony, retained placenta, and coagulation disorders. Prevention focuses on risk identification and active management of the third stage of labor. Medical management includes uterotonics like oxytocin, carboprost, and misoprostol. Temporary measures like uterine packing, balloon tamponade, and embolization can control bleeding while arranging transfer for hysterectomy if needed.
Postpartum haemorrhage
Postpartum hemorrhage is a leading cause of maternal mortality. Uterine atony accounts for 95% of cases. The 4Ts framework is used to evaluate causes: Tone (uterine atony), Tissue (retained placenta), Trauma (lacerations), and Thrombin (coagulopathy). Prevention focuses on active management of the third stage of labor using uterotonics like oxytocin and ergometrine. Management involves assessing blood loss, vital signs, and treating the underlying cause, such as through uterine massage, manual exploration, additional uterotonics, or surgical interventions if needed.
Pph
Postpartum haemorrhage (PPH) is a major cause of maternal mortality. It can be primary (within 24 hours of delivery) or secondary (24 hours to 6 weeks postpartum). Primary PPH is usually due to uterine atony or trauma during delivery. Management involves emptying the uterus, replacing blood loss, and ensuring haemostasis. Secondary PPH is often caused by infection or retained placental fragments. Treatment focuses on identifying and addressing the underlying cause while providing supportive care.
Post partum hemorrhage LB
This document defines postpartum hemorrhage and provides an overview of its normal physiology, symptoms, diagnosis, risk factors, management, and most common causes. Postpartum hemorrhage is defined as blood loss of 500 ml or more following vaginal delivery or 1000 ml or more following c-section. Symptoms include heavy vaginal bleeding and signs of hypovolemia like dizziness. Causes ("four T's") include uterine atony, trauma, retained tissue, and thrombosis. Risk factors are also outlined. General management involves identification of high-risk patients, preparations before delivery, careful delivery procedures, observation after delivery, and frequent uterine massage.
Postpartum Haemorrhage
Contribution by students of Bachelors of Eastern Medicine and Surgery (BEMS) from Hamdard University, Pakistan.
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Medical management of postpartum hemorrhage pph lecture
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Postpartum hemorrhage (PPH) is excessive bleeding after childbirth. PPH is defined as blood loss over 500mL after a vaginal delivery or 1000mL after a C-section. Risk factors include preeclampsia, prior C-section, prolonged third stage of labor, and placenta previa. Causes are commonly grouped into four categories related to uterine tone, trauma, retained tissue, and coagulation disorders. Diagnosis involves monitoring vitals and blood work. Prevention focuses on treating anemia, avoiding unnecessary procedures, and active management of the third stage. Treatment may include uterine massage, medications, procedures to remove tissue or repair lacerations, and in severe cases, embolization or
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Postpatum Hemorrhage
- 2. MANAGEMENT OF POSTPARTUM HEMORRHAGE BY DR. TAHIRA GUL
- 3. POSTPARTUM HEMORRHAGE DEFINATION It is defined as 1. Loss of 500ml or more during vaginal delivery 2. More than 1000ml during caesarean section 3. Blood loss significant enough to cause hemodynamic instablity o Primary PPH first 24hr’s of delivery o Secondary PPH from 24hr’s to 12 weeks after delivery
- 4. RISK FACTORS FOR POSTPARTUM HEMORRHAGE MATERNAL FETAL PRE EXISTING Inc. Maternal age Large baby Primiparity Multiple pregnancy Grand multiparity Polyhydramnios Uterine fibroids Shoulder dystocia Previous caesarean Bleeding disorders Obesity Antepartum hemorrhage Previous PPH INTRAPARTUM Prolonged labour Caesarean section Instrumental delivery Pyrexia in labour Episiotomy
- 5. DATA
- 6. DIAGNOSIS Early recognition of blood loss and rapid action is vital in the management of PPH. Appreciation of Risk Factors, Accurate Estimation of blood loss & Recognition of Maternal Signs of Cardiovascular Compromise are Vital. These include a tachycardia, low blood pressure, Symptoms of nausea, vomiting and feeling faint, pallor and slow capillary refill i.e., greater than 2 seconds The earliest symptom will be tachycardia & often BP does not fall until massive hemorrhage has occurred (often 1200 to 1500ml of blood)
- 10. INTERNAL ILLIAC ARTERY LIGATION
- 11. BIMANUAL COMPRESSION OF UTERUS
- 12. DRUG THERAPY FOR PPH DRUG DOSE SIDE EFFECTS CONTRAINDICATI ONS 1. Oxytocin 10 units IM 5 units IV BOLUS 10 – 20 units/liter Usually none Painful Contractions Nausea, Vomiting (Water intoxication) Hypersensitivity to drug 2. Methylergonovine maleate 0.25mg IM/0.125mg IV. Repeat every 5minutes as needed maximum 5 doses Peripherial Vasospasm Hypertension Nausea, Vomiting Hypertension Hypersensitivity to drug 3. Carboprost (15 methyl PGF2 alpha) 0.25IM Repeat every 15minutes as needed maximum 8 doses Flushing, Diarrhea, Nausea, Vomiting Brochospasm, restlessness, oxygen desaturation Active cardiac, pulmonary, renal or hepatic disease. Hypersensitivity to drug.
- 13. THANK YOU