Hemorrhage
What is the blood loss for a postpartum hemorrhage?
1000mL
(500mL in a vaginal delivery is considered abnormal.)
Yes
FHR should be between?
110-160
In gestational hypertension what is the defining blood pressure?
140/90
What is a risk factor of a breech delivery?
At what blood loss should a massive transfusion be considered?
1500mL
What is it called when a rupture in the amniotic sac enter the maternal uterine veins?
Amniotic Fluid Embolism
What are risk factors for prolapse umbilical cord?
Small for gestation age (SGA), Unengaged presenting parts, multifetal pregnancy and polyhydraminos
When is the defining factor in preeclampsia with gestational hypertension?
Proteinuria
What are the steps of shoulder dystocia?
Superpubic pressure, McRoberts, Woodscrew maneuver, delivery of the posterior arm, zavanelli maneuver to c-section.
What medications are used to help stop hemorrhage?
Pitocin, hemobate, methrogen, cytoec, TXA
What is a major risk factor of a woman who has previously had uterine surgery going into labor?
Uterine Rupture
Placenta abruption can happen when?
extra: It is one of the leading causes of fetal mortality and maternal death.
What does HELLP stand for?
H: Hemolysis
EL: Elevated liver enzymes
LP: Low plateletes
When caring for an infant that is just born what are some important steps?
Warm, dry and stimulate newborn.
What are important labs to obtain when hemorrhage is suspected?
CBC, Type and Screen, fibrinogen, Pt, ptt INR
When a patient who is pregnant, with a viable fetus, goes into cardiac arrest what are the major steps to take?
Start CPR and if no ROSC within 4min perform perimortem c-section to deliver baby within 5min.
Extras: displace uterus to the left, and do not use the Lucas.
What are common risk factors of placental abruption?
Maternal hypertension, Blunt trauma such as a motor vehicle accident (MVA), premature rupture of membranes, multifetal pregnancy, and cocaine use.
Should Methrogen be used in hypertensive patients?
No
What can happen with a rapid breech delivery?
A nuchal arm.