Physiology
This technique is used to bilaterally ligate the uterine arteries, thus occluding 90% of the blood flow to the uterus.
What is O'Leary technique?
Caused by uterine atony, retained placenta (especially accreta), coagulation defects, and uterine inversion.
What is primary hemorrhage (within 24 hours)?
It can cause fever (transient) as a side effect.
What is Cytotec (misoprostol)?
This causes 70-80% of PPH.
What is uterine atony?
This blood component increases 25% in pregnancy.
What is red cell mass?
Typically employed after other conservative measures have failed, this PPH intervention works by applying temporary, uniform pressure to the lower uterine segment while allowing for continuous monitoring of blood loss.
What is a Bakri balloon?
A consequence of PPH, with lactation failure as the first symptom.
What is Sheehan Syndrome?
Given as 10u IM
What is oxytocin (pitocin)?
What is retained placental tissue?
Blood component that increases 40% in pregnancy
What is plasma volume?
The radiologically-guided technique performed in hemodynamically stable patients with persistent slow bleeding who have failed less invasive therapy.
What is arterial embolization?
Excessive bleeding that occurs more than 24 hours after delivery and up to 12 weeks postpartum occurs in approximately 1% of pregnancies.
What is secondary or delayed postpartum hemorrhage?
What is the dosage of PPH medication with HTN as a contraindication?
What is 0.2 mg IM for methergine (methylergonovine)? May be given Q2-4 hours.
On bimanual examination, you find a firm mass below or near the cervix, coupled with the absence of identification of the uterine corpus on abdominal examination.
What is a uterine inversion?
During a laparotomy for PPH, this technique is used to apply uniform uterine compression using absorbable sutures that encircle the body of the uterus.
What is B-Lynch technique?
A synthetic analog of the amino acid lysine and inhibits the formation of plasmin by attaching to glycine on the plasminogen.
What is TXA?
This medication is a prostaglandin F2-alpha.
What is Hemabate?
Consider in cases of HELLP, abruption, prolonged IUFD, sepsis, or amniotic fluid embolism.
What is DIC or coagulopathy?
A technique that can be performed either unilaterally or bilaterally at the time of ex-lap for PPH is used to decrease pulse pressure to the uterus further after other conservative measures have failed.
What is hypogastric artery ligation?
Blood transfusion reaction secondary to donor anti-leukocytes antibodies against recipient endothelial cells.
What is the dose of TXA? How soon can a 2nd dose be given?
What is 1g? and what is 30 minutes?
Deterioration of maternal vital signs without obvious bleeding should alert the obstetric team about this possible condition.
What is intraperitoneal or retroperitoneal bleeding?