Leading cause of perinatal admissions to the ICU - ANSWER Hemorrhagic disorders
Percentage of deaths related to pregnancy related hemorrhages - ANSWER 17-25%
Most maternal deaths from obstetric hemorrhage after first trimester of pregnancy are due
to - ANSWER Placental abruption
Race most likely to die from post partum hemorrhage - ANSWER African Americans
Mortality rate (2006) for white women, African American women and Hispanic women in
the US, stated as deaths per 100,000 live births - ANSWER White women 13.3/100,000
African American women 32.7/100,000
Hispanic women 10.2
68% of post partum hemorrhage deaths occur within _______hours of delivery -
ANSWER 48
Obstetric hemorrhage is defined as a TBL or more than - ANSWER 1000cc
The classic sign of placenta previa is - ANSWER painless vaginal bleeding in the second or
third trimester of pregnancy
If you see painless vaginal bleeding in the second or third trimester of pregnancy, suspect -
ANSWER Placenta previa
1
, Risk factors for placenta previa - ANSWER previous placenta previa, advanced maternal
age greater than 40, previous cesarean, short interval between pregnancies,
multiparity,previous abortions with curettage, smoking, race (Asian women at greatest risk),
large placenta
In patients with suspected placenta previa, which comes first, a speculum examination or a
confirmatory ultrasound. - ANSWER Do the ultrasound first
Fetal blood volume is - ANSWER 100ml/kg
Changes noted during significant blood loss - ANSWER Rising pulse rate
Increase in respiratory rate
Skin changes to pallor
Falling blood pressure (a late finding)
Decreased urinary output
Decreased LOC
Characteristic findings in FHR if mother has a significant blood loss - ANSWER Initially,
tachycardia
Then bradycardia
Sinusoidal-fetal anemia, hypoxia and acidemia
Persistent late decelerations
Percentage of accreta among women with previa - ANSWER 5-10%
If patient has had 2 or more cesarean sections, the likelihood of an accreta is - ANSWER
Greater than 50%
2
Percentage of deaths related to pregnancy related hemorrhages - ANSWER 17-25%
Most maternal deaths from obstetric hemorrhage after first trimester of pregnancy are due
to - ANSWER Placental abruption
Race most likely to die from post partum hemorrhage - ANSWER African Americans
Mortality rate (2006) for white women, African American women and Hispanic women in
the US, stated as deaths per 100,000 live births - ANSWER White women 13.3/100,000
African American women 32.7/100,000
Hispanic women 10.2
68% of post partum hemorrhage deaths occur within _______hours of delivery -
ANSWER 48
Obstetric hemorrhage is defined as a TBL or more than - ANSWER 1000cc
The classic sign of placenta previa is - ANSWER painless vaginal bleeding in the second or
third trimester of pregnancy
If you see painless vaginal bleeding in the second or third trimester of pregnancy, suspect -
ANSWER Placenta previa
1
, Risk factors for placenta previa - ANSWER previous placenta previa, advanced maternal
age greater than 40, previous cesarean, short interval between pregnancies,
multiparity,previous abortions with curettage, smoking, race (Asian women at greatest risk),
large placenta
In patients with suspected placenta previa, which comes first, a speculum examination or a
confirmatory ultrasound. - ANSWER Do the ultrasound first
Fetal blood volume is - ANSWER 100ml/kg
Changes noted during significant blood loss - ANSWER Rising pulse rate
Increase in respiratory rate
Skin changes to pallor
Falling blood pressure (a late finding)
Decreased urinary output
Decreased LOC
Characteristic findings in FHR if mother has a significant blood loss - ANSWER Initially,
tachycardia
Then bradycardia
Sinusoidal-fetal anemia, hypoxia and acidemia
Persistent late decelerations
Percentage of accreta among women with previa - ANSWER 5-10%
If patient has had 2 or more cesarean sections, the likelihood of an accreta is - ANSWER
Greater than 50%
2
