PPH Assessment and management History | Western Sydney University - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

50

Pages:

4
Author:

Mariam A. A.

PPH Assessment and management History How much blood? What colour is the blood? Are there any clots? Ask about her vitals: HR RR Fluid status Temperature Oxygenation Is there any foul smelling discharge For how long was she in labour for? How long did the third stage last for? What is the gestational age, was there a PROM? What pregnancy number is this? Ask about P and G What kind of delivery? Did it require assistance or interventions? What did she give birth to? How does the placenta appear? Was there any bleeding after the delivery of the placenta? How is the baby going? What are the baby’s AGAR scores? Where there any complications during delivery? Identify cause (4Ts framework) Tone: uterine atony -> palpate uterus, assess fitness, boggy on abdominal examination Uterus fails to contract sufficiently to clamp shut the bleeding blood vessels -> need t feel Risk factors for PPH Past Hx of PPH Prolonged labour Precipitate labour Prolonged use of IV syncocinon Grand multiparty Uterine fibroids Uterine trauma disorders of haemostasis e.g. vWF Chorioamnionitis Placenta previa First time birth Previous LSCS Obesity Large foetus In the next labour the patient is at an increased risk of PPH. How should they be managed? IV access in next labour Send off FBE and group -> but hold off at the start of labour Experienced clinical team Ergometrine and misoprostol to be readily available Ensure prostaglandin F2alpha in stock Active management of third stage of labour PPH tray and protocol ready Complications Anaemia Haemorrhagic shock Sheehan syndrome Hypotension coma Death

Related Documents

PPH Assessment and management History

PPH Assessment and management History - Page 1

PPH Assessment and management History - Page 2

PPH Assessment and management History - Page 3

PPH Assessment and management History - Page 4

of 4

Recommended Documents

Renal Week 1 Mcq Questions Study Guide

Renal Week 1 Mcq Questions Study Guide

Western Sydney University MEDI 2003 | Clinical Sciences 2

Study Guide

Renal Week 2 Mcq Questions Study Guide

Renal Week 2 Mcq Questions Study Guide

Western Sydney University MEDI 2003 | Clinical Sciences 2

Study Guide

Endocrine Week One SAQ Study Guide Questions

Endocrine Week One SAQ Study Guide Questions

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Asthma Action Plan Station

Asthma Action Plan Station

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Vaccination Schedule

Vaccination Schedule

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Newborn Lecture

Newborn Lecture

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Child With a Limp

Child With a Limp

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Spotting a Focus in Child Examination

Spotting a Focus in Child Examination

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Fever - Facts and Figures

Fever - Facts and Figures

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Red Flags in Children

Red Flags in Children

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Key Points in Respiratory Examination

Key Points in Respiratory Examination

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

Key Points in Respiratory History

Key Points in Respiratory History

Western Sydney University MEDI 2003 | Clinical Sciences 2

Cheat Sheet

New Documents from this Course

Homeostasis, Thermoregulation and Blood Pressure

Homeostasis, Thermoregulation and Blood Pressure

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Detailed Notes about Autonomic Nervous System

Detailed Notes about Autonomic Nervous System

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Important Renal Notes

Important Renal Notes

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pharmacokinetics Study Reference

Pharmacokinetics Study Reference

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pharmacokinetic Calculations

Pharmacokinetic Calculations

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pharmacodynamics Part 1 and 2

Pharmacodynamics Part 1 and 2

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Intro to Pathology

Intro to Pathology

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Type 2 Diabets and Metabolic Syndrome

Type 2 Diabets and Metabolic Syndrome

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Pathophysiology of Type 1 Diabetes

Pathophysiology of Type 1 Diabetes

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Intro to Nutrition and Metabolism

Intro to Nutrition and Metabolism

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Hormones and Metabolism

Hormones and Metabolism

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note

Stem Cells Study Resources

Stem Cells Study Resources

Western Sydney University MEDI 2003 | Clinical Sciences 2

Lecture Note