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Postpartum Hemorrhage: Causes and Types

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Questions and Answers

What is the most common cause of postpartum hemorrhage?

Uterine rupture

Uterine atony (correct)

Lower genital tract lacerations

Retained products of conception

What is the definition of puerperal pyrexia?

A temperature >38oC on any day up to 10 days after delivery

A temperature >39oC during the first 24 hours after delivery

A temperature >37oC during the first 48 hours after delivery

A temperature >38.7oC during the first 24 hours after delivery (correct)

What is the most common cause of breast engorgement?

Milk production < infant consumption

Infant consumption = milk production

Infant consumption > milk production

Milk production > infant consumption (correct)

What is the typical duration of fever in benign fever?

Resolution within 24 hours Signup and view all the answers

What is the most dangerous cause of puerperal pyrexia?

Puerperal sepsis Signup and view all the answers

How many days after delivery is breast engorgement common?

3-5 days 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

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.