Postpartum Hemorrhage and Placental Separation

What is the incidence of thrombin as a cause of postpartum hemorrhage?

1%

Which step is part of the active management of the 3rd stage of pregnancy?

Providing controlled cord traction

What are the 4 signs of placental separation mentioned in the text?

Gush of blood, umbilical cord lengthening, uterus rising, uterus becoming globular

Which type of management is important in treating refractory atony in postpartum hemorrhage?

Using oxytocin Signup and view all the answers

What can be a risk associated with controlled cord traction in postpartum hemorrhage management?

Uterine inversion Signup and view all the answers

Why is evaluating vital signs every 5 minutes important during postpartum hemorrhage management?

To identify early signs of hypotension Signup and view all the answers

Which type of medical intervention can speed up the separation of placenta during postpartum management?

Controlled cord traction Signup and view all the answers

What is the definition of postpartum hemorrhage?

Greater than 500ml of blood loss after vaginal birth Signup and view all the answers

What is the most sensitive indicator in pregnancy trauma?

Heart rate Signup and view all the answers

Which of the following is NOT a cause of indirect maternal death?

Postpartum hemorrhage Signup and view all the answers

What is the definition of late maternal death?

Death less than 1 year from end of pregnancy Signup and view all the answers

What causes direct maternal death?

Obstetrical complications Signup and view all the answers

Which condition is a risk factor for postpartum hemorrhage?

Multiple gestation Signup and view all the answers

What happens first in controlled cord traction during the management of postpartum hemorrhage?

Administration of uterotonic agents Signup and view all the answers

What is the most common cause of postpartum hemorrhage according to the text?

Tone caused by atonic uterus Signup and view all the answers

Which of the following is NOT a sign of placental separation as mentioned in the text?

Uterus rising Signup and view all the answers

In postpartum hemorrhage management, what is the purpose of controlled cord traction?

To speed up separation of placenta Signup and view all the answers

What is the primary risk associated with controlled cord traction?

Cord avulsion Signup and view all the answers

Which step is considered an essential part of active management during the third stage of pregnancy?

Evaluating vital signs every 5 minutes Signup and view all the answers

What is a potential risk of using controlled cord traction in postpartum hemorrhage management?

Uterine inversion Signup and view all the answers

Which cause accounts for the smallest incidence of postpartum hemorrhage according to the text?

Thrombin caused by coagulopathies or DIC Signup and view all the answers

What is the main difference between direct and indirect maternal death?

Direct maternal death is caused by obstetrical complications, while indirect maternal death is caused by pre-existing diseases. Signup and view all the answers

Which of the following conditions is considered an indirect cause of maternal death?

Cardiac disease Signup and view all the answers

What amount of blood loss defines postpartum hemorrhage after a vaginal birth?

Greater than 500ml Signup and view all the answers

Which vital sign is more sensitive and occurs first in pregnancy trauma?

Heart rate Signup and view all the answers

What is considered a sign of placental separation during the third stage of labor?

Gush of blood Signup and view all the answers

Which step is NOT part of the active management of the third stage of labor?

<code>Delayed cord clamping</code> Signup and view all the answers

What can be a possible cause of postpartum hemorrhage?

<code>Neurologic disease (epilepsy)</code> Signup and view all the answers