Hemorrhage
References
Advanced Life Support in Obstetrics
Please refer to your course text for:
- Vaginal Bleeding in Late Pregnancy
- Postpartum Hemorrhage
Also review these two articles from American Family Physician
Please refer to your course text for:
- Vaginal Bleeding in Late Pregnancy
- Postpartum Hemorrhage
Also review these two articles from American Family Physician
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This article, Common Peripartum Emergencies, is dated but the flow diagrams are still useful for review.
Study Questions
1. Why is knowledge of antepartum and postpartum hemorrhage important?
2. What are the most common causes of antepartum hemorrhage? How will you diagnose and treat?
3. What are the four T's of postpartum hemorrhage? What will you diagnose and treat?
4. The medication below can be used for postpartum hemorrhage. What is the dosage and how is it administered?
2. What are the most common causes of antepartum hemorrhage? How will you diagnose and treat?
3. What are the four T's of postpartum hemorrhage? What will you diagnose and treat?
4. The medication below can be used for postpartum hemorrhage. What is the dosage and how is it administered?
5. Define:
Cesarean hysterectomy
Postpartum hysterectomy
Subtotal hysterectomy
Case 1
A 24 yo G3P2 woman at 36 wks pregnancy comes in to triage c/o vaginal bleeding. The bleeding began about 1/2 hour ago and is heavier than her usual menstrual period. Her vital signs are normal for pregnancy. The fetal monitor shows the presence of fetal heart activity and cx occurring every 10 minutes. What will you ask? What will you do?
Case 2
You deliver an 8lb baby from a 35 yo G1P0 woman after a protracted labor. After delivery of the placenta you hear the splashing of blood on the floor. What will you do?
Case 3
Your G1 now P1 patient comes in for follow-up after her cesarean section. She tells you that she had a lot of bleeding and needed a cesarean hysterectomy. She asks you for a prescription for birth control. What will you say?
Cesarean hysterectomy
Postpartum hysterectomy
Subtotal hysterectomy
Case 1
A 24 yo G3P2 woman at 36 wks pregnancy comes in to triage c/o vaginal bleeding. The bleeding began about 1/2 hour ago and is heavier than her usual menstrual period. Her vital signs are normal for pregnancy. The fetal monitor shows the presence of fetal heart activity and cx occurring every 10 minutes. What will you ask? What will you do?
Case 2
You deliver an 8lb baby from a 35 yo G1P0 woman after a protracted labor. After delivery of the placenta you hear the splashing of blood on the floor. What will you do?
Case 3
Your G1 now P1 patient comes in for follow-up after her cesarean section. She tells you that she had a lot of bleeding and needed a cesarean hysterectomy. She asks you for a prescription for birth control. What will you say?