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Postpartum Hemorrhage: Causes and Types

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Questions and Answers

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?

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?

>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?

Uterine atony Signup and view all the answers

What is the definition of Puerperal Pyrexia?

Temperature >38.7oC during the first 24 hours after delivery Signup and view all the answers

What is the cause of Breast engorgement?

Milk production > infant consumption Signup and view all the answers

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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Description

This quiz covers the definition, types, and causes of postpartum hemorrhage, including uterine atony, lower genital tract lacerations, and retained products of conception.