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Induction of Labor and Postpartum Hemorrhage

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Induction of Labor and Postpartum Hemorrhage

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Questions and Answers

What is the primary goal of induction of labor (IOL)?

To delay labor to reduce complications

To facilitate a vaginal birth through deliberate stimulation of labor onset (correct)

To increase the chances of a cesarean section

To initiate spontaneous labor without medical intervention

Which of the following methods is classified under mechanical cervical preparation for IOL?

Oxytocin infusion

Cervidil

Balloon catheter (correct)

Misoprostol

What is the primary risk associated with artificial rupture of membranes (AROM) in early labor?

Decreased uterine contractions

Increased risk of infection

Increased risk of cesarean section (correct)

Prolonged labor duration

Which of the following best describes primary postpartum hemorrhage (PPH)?

Happens within the first 24 hours after birth Signup and view all the answers

Among the listed risk factors, which one is NOT typically associated with the risk of postpartum hemorrhage?

Smoking during pregnancy Signup and view all the answers

What is the purpose of using oxytocin (Pitocin) during labor induction?

To induce contractions and stimulate labor Signup and view all the answers

Which parameter is primarily compared to assess blood loss after delivery?

Estimated blood loss (EBL) and quantitative blood loss (QBL) Signup and view all the answers

Which condition is a potential indication for performing induction of labor?

1000cc blood loss and 10% drop in Hgb/Hct Signup and view all the answers

Study Notes

Induction of Labor (IOL)

Deliberate stimulation of labor onset for a vaginal birth.
Requires a medical indication.

IOL Interventions

Cervical preparation: softens, thins, and dilates the cervix.
- Mechanical: balloon catheter
- Pharmacological: misoprostol, cervidil
Oxytocin (Pitocin): stimulates contractions.
Amniotomy (AROM): artificial rupture of membranes.
- Early labor AROM increases C-section risk.
- Augmentation: stimulates contractions with stalled labor progress.

Postpartum Hemorrhage (PPH)

Greatest risk in the first hour after birth.
Primary PPH: within 24 hours of birth.
Secondary (delayed) PPH: 1 to 6 weeks after birth.
Assessment: Estimated Blood Loss (EBL) compared to Quantitative Blood Loss (QBL).

PPH Risk Factors

1000cc Cesarean Section (C/S) + 10% drop in Hemoglobin/Hematocrit.
Neonatal macrosomia.
Placenta previa/accreta.
Multiple gestation.
Previous C/S or uterine surgery.
Polyhydramnios.
Prior PPH.
High Body Mass Index (BMI).
Operative vaginal delivery.
Chorioamnionitis.
Congenital/coagulation defects.

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Description

Test your knowledge on the induction of labor and the risk factors associated with postpartum hemorrhage. This quiz covers key interventions, assessment methods, and critical events during and after childbirth. Ideal for medical students and healthcare professionals.