Postpartum Hemorrhage
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Questions and Answers

What is the primary cause of postpartum hemorrhage?

  • Uterine rupture
  • Lower genital tract lacerations
  • Uterine atony (correct)
  • Retained products of conception
  • What is the definition of puerperal pyrexia?

  • Temperature >37.5°C on any 2 days up to 10 days after delivery
  • Temperature >38°C on any 3 days up to 14 days after delivery
  • Temperature >38.7°C during the first 24 hours after delivery (correct)
  • Temperature >39.5°C at any time after delivery
  • What is the most common cause of breast engorgement?

  • Milk production > infant consumption (correct)
  • Urinary tract infection
  • Puerperal sepsis
  • Respiratory tract infection
  • What is the definition of early postpartum hemorrhage?

    <p>Blood loss during the first 24 hours after delivery</p> Signup and view all the answers

    What is the most dangerous cause of puerperal pyrexia?

    <p>Puerperal sepsis</p> Signup and view all the answers

    What is the typical duration of fever in breast engorgement?

    <p>Usually lasts for 3-5 days</p> Signup and view all the answers

    When is breast engorgement most common?

    <p>3-5 days postpartum</p> 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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    Related Documents

    Abnormal Puerperium PDF

    Description

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

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