PPH
Most common cause of PPH
Uterine atony
First maneuver
McRoberts
Most common breech
Frank breech
Classic sign
Fetal bradycardia
Seizure prevention medication
Magnesium sulphate
First action in PPH management
Fundal massage
Pressure applied where
Suprapubic
Hands-off until
Umbilicus delivers
Immediate action
Lift presenting part
Antidote
Calcium gluconate
Contraindicated medication in HTN
Methergine
Rotation maneuver
Woods screw
Head delivery maneuver
Mauriceau-Smellie-Veit
Best position
Knee-chest
Toxicity sign
Loss of reflexes
Accurate blood loss method
Quantitative blood loss
Why no fundal pressure
Worsens impaction
Risk of early traction
Head entrapment
Why not push cord back
Vasospasm risk
Respiratory rate concern
RR <12
Next step if bleeding continues
Activate massive hemorrhage protocol
Last resort maneuver
Zavanelli
Emergency for trapped head
Dührssen (surgical cuts made in the cervix) or C-section
Definitive management
Emergency delivery
Severe BP
≥160/110