6 Questions
What is the most common cause of postpartum hemorrhage?
Uterine atony
What is the definition of puerperal pyrexia?
A temperature >38.7oC during the first 24 hours after delivery
What is the most common cause of breast engorgement?
Milk production > infant consumption
What is the typical duration of fever in benign fever?
Resolution within 24 hours
What is the most dangerous cause of puerperal pyrexia?
Puerperal sepsis
How many days after delivery is breast engorgement common?
3-5 days
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)
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.
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