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Questions and Answers
What is the primary cause of Puerperal Pyrexia?
What is the primary cause of Puerperal Pyrexia?
- Breast engorgement (correct)
- Puerperal sepsis
- Deep Venous Thrombosis (DVT)
- Urinary tract infection
What is the definition of Postpartum Hemorrhage?
What is the definition of Postpartum Hemorrhage?
- Blood loss during or after the 3rd stage of labor (>500 ml) (correct)
- Blood loss during or after the 4th stage of labor (>500 ml)
- Blood loss during or after the 1st stage of labor (>500 ml)
- Blood loss during or after the 2nd stage of labor (>500 ml)
What is the characteristic of Late (secondary) Postpartum Hemorrhage?
What is the characteristic of Late (secondary) Postpartum Hemorrhage?
- >24 hours after delivery up to 6 weeks postpartum (correct)
- >6 weeks after delivery up to 12 weeks postpartum
- Within the first 24 hours after delivery
- >12 weeks after delivery up to 24 weeks postpartum
What is the most common cause of Postpartum Hemorrhage?
What is the most common cause of Postpartum Hemorrhage?
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What is the definition of Puerperal Pyrexia?
What is the definition of Puerperal Pyrexia?
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What is the cause of Breast engorgement?
What is the cause of Breast engorgement?
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Study Notes
Postpartum Hemorrhage
- Defined as excessive blood loss during or after the 3rd stage of labor (>500 ml)
- Types: Early (primary) - within the first 24 hours after delivery
- Late (secondary) - >24 hours after delivery up to 6 weeks postpartum
- Causes:
- Uterine atony (most common)
- Lower genital tract lacerations
- Retained products of conception (Placenta accreta)
- Uterine rupture
- Uterine inversion
- Hematoma
Puerperal Pyrexia
- Defined as:
- Temperature >38.7oC during the first 24 hours after delivery
- Temperature >38oC on any 2 days up to 10 days after delivery
- Causes:
- Benign fever (resolution within 1st 24 hours)
- Breast engorgement (most common cause)
- Puerperal sepsis (most dangerous cause)
- Urinary tract infection
- Deep Venous Thrombosis (DVT)
- Respiratory tract infection
Breast Engorgement
- Cause: Milk production > infant consumption
- Common 3-5 days postpartum
- Fever >38.5oC (usually lasts a few days)
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