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Questions and Answers
What is the most common cause of postpartum hemorrhage?
What is the definition of puerperal pyrexia?
What is the most common cause of breast engorgement?
What is the typical duration of fever in benign fever?
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What is the most dangerous cause of puerperal pyrexia?
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How many days after delivery is breast engorgement common?
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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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Description
Explore the definition, causes, and types of postpartum hemorrhage, a critical concern during the puerperal period. Learn about uterine atony, lower genital tract lacerations, and more.
