Bleeding Out
This is the most common cause of postpartum hemorrhage.
What is uterine atony?
This is the definition of shoulder dystocia: the fetal head delivers, but this happens next.
What is the shoulder fail to deliver with gentle downward traction?
This is the recommended timeframe for the initial newborn assessment immediately after birth.
What is within the first minute (initial assessment at birth)?
This condition occurs when the placenta separates prematurely from the uterine wall before birth.
What is placental abruption?
This emergency occurs when the umbilical cord slips below or alongside the presenting part.
What is a cord prolapse?
These are the four Ts of postpartum hemorrhage.
What are Tone, Trauma, Tissue and Thrombin?
This is the most commonly impacted shoulder during shoulder dystocia.
What is the anterior shoulder, usually behind the maternal pubic symphysis.
This scoring system assesses newborn appearance, pulse, grimace, activity and respiration.
What is the APGAR score?
This condition occurs when the placenta implants over or near the internal cervical ox.
What is placenta previa?
A patient suddenly develops severe abdominal pain, vaginal bleeding and a non-reassuring fetal heart rate during labour. What life-threatening complication should you suspect?
What is uterine rupture?
What is the amount of cumulative blood loss following vaginal birth commonly used to define postpartum hemorrhage.
What is 500mL?
This maneuver involves delivering the posterior arm to reduce the shoulder-to-shoulder diameter.
What is the posterior arm delivery maneuver.
This is the recommended temperature range for a newborn.
What is 36.5-37.5C?
This is the classic presentation of placental abruption: vaginal bleeding accompanied by abdominal pain and this finding.
What is uterine tenderness or increased uterine tone?
A patient experiences a seizure during labour in the setting of severe pre-eclampsia. This medication is first-line for preventing further seizures.
What is magnesium sulfate?
This medication is generally considered first-line for prevention and treatment of uterine atony-related PPH.
What is oxytocin?
This is the first-line maneuver commonly performed to help release the impacted shoulder.
What is the McRoberts meneuver?
This is the recommended position for routine newborn sleep.
What is supine?
This diagnostic imaging modality is used to identify placental location and diagnose placenta previa.
What is ultrasound?
Following delivery, the uterus is found to be inverted and protruding through the cervix. What is this emergency called?
What is uterine inversion?
This medication should be administered as early as possible, within 3 hours of birth, when PPH is diagnosed.
What is TXA?
This maneuver involves applying suprapubic pressure to dislodge the anterior shoulder.
What is the Rubin maneuver / suprapubic pressure?
This newborn reflex causes the baby to turn their head toward a touch on the cheek.
What is the rooting reflex?
This is why a digital vaginal examination should NOT be performed when placenta previa is suspected.
What is the risk of provoking severe hemorrhage.
During a shoulder dystocia, this is one thing you should NEVER apply to the uterine fundus.
What is fundal pressure?