Postpartum Hemorrhage Causes and Placental Separation Signs

Postpartum Hemorrhage Causes and Placental Separation Signs

Created by
@HallowedLyre

Questions and Answers

Which step is included in the management of postpartum hemorrhage?

Crossmatching after giving crystalloid

What is the primary cause of postpartum hemorrhage due to atonic uterus?

Lack of uterine contraction/tone

Which uterotonic can aid with uterine contraction and speed up placental separation?

Oxytocin

What is a potential risk associated with controlled cord traction during postpartum hemorrhage management?

<p>Increased risk of uterine inversion</p> Signup and view all the answers

Which sign indicates placental separation during the third stage of pregnancy?

<p>Gush of blood</p> Signup and view all the answers

What is NOT a common cause of postpartum hemorrhage?

<p>Dehydration</p> Signup and view all the answers

In postpartum hemorrhage management, when should vital signs be evaluated?

<p>Every 5 minutes</p> Signup and view all the answers

What is the definition of postpartum hemorrhage?

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

Which of the following conditions is an example of indirect maternal death?

<p>Cardiac disease</p> Signup and view all the answers

What is the main cause of direct maternal death?

<p>Obstetrical complications</p> Signup and view all the answers

In pregnancy trauma, which vital sign is more sensitive and occurs first?

<p>Heart rate</p> Signup and view all the answers

What is the definition of late maternal death?

<p>Death between 42 days and 1 year from the pregnancy</p> Signup and view all the answers

Which condition would require active management during the third stage of labor to prevent postpartum hemorrhage?

<p>Placental separation</p> Signup and view all the answers

Which medication is commonly used for the prevention and treatment of postpartum hemorrhage?

<p>Uterotonics</p> Signup and view all the answers

What is a potential risk when using controlled cord traction to speed up placental separation during postpartum hemorrhage management?

<p>Uterine inversion</p> Signup and view all the answers

Which medication is used for active management of the third stage of labor to prevent postpartum hemorrhage by aiding uterine contraction and placental separation?

<p>Ergometrine</p> Signup and view all the answers

What is the recommended frequency for evaluating vital signs during postpartum hemorrhage management?

<p>Every 5 minutes</p> Signup and view all the answers

What is a concerning complication that may occur during controlled cord traction in postpartum hemorrhage management?

<p>Cardiac arrest</p> Signup and view all the answers

Which of the following is NOT a step in the management of postpartum hemorrhage?

<p>Perform immediate cesarean section</p> Signup and view all the answers

What is the purpose of controlled cord traction in the management of postpartum hemorrhage?

<p>To accelerate placental separation</p> Signup and view all the answers

In refractory uterine atony, which additional intervention may be considered after administering uterotonics?

<p>Hysterectomy</p> Signup and view all the answers

Which of the following is NOT a potential risk associated with controlled cord traction during postpartum hemorrhage management?

<p>Decreased risk of bleeding</p> Signup and view all the answers

In the management of refractory atony, which of the following interventions is typically considered after pharmacological measures have failed?

<p>Uterine packing</p> Signup and view all the answers

What is a common complication that can arise from the administration of uterotonics for placental separation?

<p>Uterine rupture</p> Signup and view all the answers

Which of the following stabilization measures is crucial in the initial management of postpartum hemorrhage?

<p>Vital signs monitoring</p> Signup and view all the answers

What is a potential complication of using excessive fundal pressure during the management of postpartum hemorrhage?

<p>Uterine rupture</p> Signup and view all the answers

Which of the following is a characteristic feature of refractory atony in postpartum hemorrhage that distinguishes it from other causes?

<p>Persistent bleeding despite interventions</p> Signup and view all the answers

Why is it important to carefully evaluate the blood loss in postpartum hemorrhage management, especially during pregnancy?

<p>Estimation of blood loss is difficult in pregnancy</p> Signup and view all the answers

What is the most common cause of postpartum hemorrhage?

<p>Tone caused by atonic uterus</p> Signup and view all the answers

Which intervention is included in the management of postpartum hemorrhage after the administration of uterotonic medications?

<p>Controlled cord traction</p> Signup and view all the answers

What sign indicates placental separation during the third stage of pregnancy?

<p>Umbilical cord lengthening</p> Signup and view all the answers

In refractory atony during postpartum hemorrhage, what may be considered after pharmacological measures have failed?

<p>Additional uterotonic administration</p> Signup and view all the answers

Which step is crucial in the initial management of postpartum hemorrhage?

<p>Evaluating vital signs every 5 minutes</p> Signup and view all the answers

What is a risk associated with controlled cord traction during postpartum hemorrhage management?

<p>Uterine inversion and cord avulsion</p> Signup and view all the answers

What distinguishes refractory atony from other causes of postpartum hemorrhage?

<p>'Globular' appearance of the uterus</p> Signup and view all the answers

What is a distinguishing feature of refractory atony in postpartum hemorrhage that sets it apart from other causes?

<p>Not responsive to uterotonics</p> Signup and view all the answers

During the third stage of pregnancy, which condition would require active management to prevent postpartum hemorrhage?

<p>Uterine atony</p> Signup and view all the answers

Which sign typically indicates placental separation during the third stage of pregnancy?

<p>Sudden relief of tension in the umbilical cord</p> Signup and view all the answers

Why is it crucial to carefully evaluate blood loss in postpartum hemorrhage management, especially during pregnancy?

<p>Estimation of blood loss is challenging</p> Signup and view all the answers

Which condition is an example of indirect maternal death according to the text?

<p>Substance use</p> Signup and view all the answers

What is a potential risk associated with using controlled cord traction during postpartum hemorrhage management?

<p>Excessive fundal pressure</p> Signup and view all the answers

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