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Post Partum hemorrhage
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When? This feed was archived on March 22, 2023 20:11 (). Last successful fetch was on February 16, 2023 22:11 ()
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Manage episode 340800622 series 2811669
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Post Partum hemorrhage
Dr Swapnil Pawar
Post-Partum Haemorrhage
Blog written by – Dr Andrew Lam
Criteria for PPH:
- Cumulative blood loss >1L OR bleeding with signs/symptoms of hypovolemia within 24 hours of delivery
- Criteria remain the same, regardless of route of birth
Causes of PPH:
- Uterine atony
- Placental disorders (i.e. placenta praevia, placenta accreta, retained placenta,
- Trauma (i.e. vaginal tears, episiotomies, myometrial/uterine rupture)
- Existing coagulopathy/bleeding diathesis
Management of PPH:
Supportive
- Reversal of coagulopathy with blood products (i.e. Prothrombinex, FFP, cryoprecipitate, tranexamic acid)
- Red blood cell transfusion with consideration of MTP
Definitive
- Reversal of existing tears/rupture
- Reversal of uterine atony (uterotonic agents, bimanual compression/massage)
- Intra-uterine balloon (Bakri balloon)
- Arterial embolisation
- Surgical laparotomy (Uterine compression sutures, ligation of uterine arteries, hysterectomy)
32 επεισόδια
Αρχειοθετημένη σειρά ("Ανενεργό feed" status)
When? This feed was archived on March 22, 2023 20:11 (). Last successful fetch was on February 16, 2023 22:11 ()
Why? Ανενεργό feed status. Οι διακομιστές μας δεν ήταν σε θέση να ανακτήσουν ένα έγκυρο podcast feed για μια παρατεταμένη περίοδο.
What now? You might be able to find a more up-to-date version using the search function. This series will no longer be checked for updates. If you believe this to be in error, please check if the publisher's feed link below is valid and contact support to request the feed be restored or if you have any other concerns about this.
Manage episode 340800622 series 2811669
- play_arrow
Post Partum hemorrhage
Dr Swapnil Pawar
Post-Partum Haemorrhage
Blog written by – Dr Andrew Lam
Criteria for PPH:
- Cumulative blood loss >1L OR bleeding with signs/symptoms of hypovolemia within 24 hours of delivery
- Criteria remain the same, regardless of route of birth
Causes of PPH:
- Uterine atony
- Placental disorders (i.e. placenta praevia, placenta accreta, retained placenta,
- Trauma (i.e. vaginal tears, episiotomies, myometrial/uterine rupture)
- Existing coagulopathy/bleeding diathesis
Management of PPH:
Supportive
- Reversal of coagulopathy with blood products (i.e. Prothrombinex, FFP, cryoprecipitate, tranexamic acid)
- Red blood cell transfusion with consideration of MTP
Definitive
- Reversal of existing tears/rupture
- Reversal of uterine atony (uterotonic agents, bimanual compression/massage)
- Intra-uterine balloon (Bakri balloon)
- Arterial embolisation
- Surgical laparotomy (Uterine compression sutures, ligation of uterine arteries, hysterectomy)
32 επεισόδια
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