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Notes in
01_Postpartum Haemorrhage (PPH)
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Published
02/10/2024
{{c1::Primary Postpartum Haemorrhage (PPH)}} is {{c2::blood loss of >500ml within 24 hrs of delivery}}
Published
02/10/2024
{{c1::Severe PPH}} is {{c2::blood loss of >2000ml within 24 hrs of delivery}}
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02/10/2024
{{c1::Secondary PPH}} is {{c2::blood loss >500ml from 24hrs postpartum to 6 weeks}}
Published
02/10/2024
The 4 T’s of PPH are {{c1::Tone (e.g. uterine atony)}} {{c1::Trauma (e.g. tears, episiotomy)}} {{c1::Tissue (e.g. retained placenta, RPOC)}} {{c1::Thr…
Published
02/10/2024
Causes of Secondary PPH {{c1::Retained tissue (Retained products of conception — RPOC)}} {{c1::Infection (e.g. Endometritis)}} {{c1::Tears and Trauma}…
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02/10/2024
{{c1::Lochia}} is {{c2::vaginal bleeding postpartum, a mix of blood, endometrial tissue and mucus}}
Published
02/10/2024
Investigations of Secondary PPH {{c1::Ultrasound for RPOC}} {{c1::Endocervical and High Vaginal swabs for Endometritis}}
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02/10/2024
General Management of PPH {{c1::ABCDE approach (Fluid Resuscitation +/- Bloods)}} {{c1::Manage based on clinical signs not just the estimated blood lo…
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02/10/2024
Mechanical Management of PPH {{c1::Catheterisation to Empty Bladder (a full bladder reduces uterine contraction)}} {{c1::Rubbing the uterus (stimulate…
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02/10/2024
Medical Management of PPH {{c1::Oxytocin 5IU slow IV injection followed by continuous infusion}} {{c1::Ergometrine 0.5 mg slow IV injection}} {{c1::Tr…
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02/10/2024
Surgical Management of PPH {{c1::Intrauterine Balloon Tamponade}} {{c1::Uterine Artery Ligation (Interventional Radiology)}} {{c1::B-Lynch Suture}} {{…
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02/10/2024
{{c2::Ergometrine}} is a medication used to manage postpartum haemorrhage that is contraindicated in the cases of {{c1::Pregnancy-Induced Hy…
Published
02/10/2024
{{c1::Carboprost}} is a medication used to to manage postpartum haemorrhage that is contradindicated if the patient has {{c2::Asth…
Published
02/10/2024
In Secondary PPH, If Endometritis is suspected, then the patient should be started on {{c1::broad-spectrum antibiotics e.g. co-amoxiclav or amoxicilli…
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