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Questions and Answers
What is the primary cause of postpartum hemorrhage?
What is the definition of puerperal pyrexia?
What is the most common cause of breast engorgement?
What is the definition of early postpartum hemorrhage?
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What is the most dangerous cause of puerperal pyrexia?
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What is the typical duration of fever in breast engorgement?
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When is breast engorgement most 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
This quiz covers the definition, types, and causes of postpartum hemorrhage, including uterine atony, lower genital tract lacerations, and retained products of conception.
