7 Questions
Postpartum hemorrhage is defined as excessive blood loss during or after the 2nd stage of labor (>500 ml)
False
Uterine atony is one of the causes of postpartum hemorrhage
True
Breast engorgement can cause a fever higher than 39oC
False
Puerperal pyrexia is defined as a temperature higher than 39oC during the first 24 hours after delivery
False
Late postpartum hemorrhage occurs within the first 24 hours after delivery
False
Retained products of conception can cause postpartum hemorrhage
True
Breast engorgement usually occurs 10 days postpartum
False
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)
Learn about Postpartum Hemorrhage, a serious complication during or after the 3rd stage of labor. Identify its types, causes, and symptoms.
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