OB Week 1: Postpartum Complications
1. retained placenta: if not delivered within 30 minutes
2. how to get rid of retained placenta: manually remove it
pitocin
ultrasound
3. hemmorhage: loss of 500ml+ after vag. birth
loss of 1000 ml + after c-sec.
10% change in hematocrit from admission to postpartum
4. early postpartum hemorrhage: w/in 24 hours of birth
5. late postpartum hemorrhage: 24hrs to 6 weeks after birth
6. hemorrhage risk factors: uterine atony (biggest)
polyhydronous
fetal macrosomia
obesity
multiples
1/6
, uterus overstretched
traumatic birth
magnesium sulfate
rapid/prolonged oxytocin
previous atony
biggest risk 1 hour after birth
flacid uterus = venous bleeding
7. placenta acreta: slight penetration of myometrium
8. placenta increta: deep penetration of myometrium
9. placenta percreta: penetration of myometrium, uterine cerosa, and possible organs
10. subinvolution: late hemorrhage
delayed return of uterus to size and function
11. subinvolution causes: retained placental fragments
pelvic infection
2/6
1. retained placenta: if not delivered within 30 minutes
2. how to get rid of retained placenta: manually remove it
pitocin
ultrasound
3. hemmorhage: loss of 500ml+ after vag. birth
loss of 1000 ml + after c-sec.
10% change in hematocrit from admission to postpartum
4. early postpartum hemorrhage: w/in 24 hours of birth
5. late postpartum hemorrhage: 24hrs to 6 weeks after birth
6. hemorrhage risk factors: uterine atony (biggest)
polyhydronous
fetal macrosomia
obesity
multiples
1/6
, uterus overstretched
traumatic birth
magnesium sulfate
rapid/prolonged oxytocin
previous atony
biggest risk 1 hour after birth
flacid uterus = venous bleeding
7. placenta acreta: slight penetration of myometrium
8. placenta increta: deep penetration of myometrium
9. placenta percreta: penetration of myometrium, uterine cerosa, and possible organs
10. subinvolution: late hemorrhage
delayed return of uterus to size and function
11. subinvolution causes: retained placental fragments
pelvic infection
2/6
