Blood, Sweat, and Tears… Mostly Blood
Defined by ACOG as postpartum hemorrhage regardless of delivery mode.
What is 1000 ml or VS < 15% from baseline?
This uterotonic is routinely administered to all patients after delivery to help prevent postpartum hemorrhage.
What is Oxytocin (Pitocin)?
Swelling of hands/face, headache, vision changes, stomach pain, and nausea/vomiting are all signs and symptoms of.
What is preeclampsia?
This medication is given orally for severe range systolic BP > or equal to 160 and/or a diastolic BP > or equal to 110.
What is Nifedipine (Procardia)?
In obstetrics, this is what qualifies as a severe‑range blood pressure.
What is >160 and/or >110?
This hands‑on intervention is your first move when uterine atony is causing postpartum bleeding.
What is fundal massage?
This medication must be pushed slowly (over 10 minutes) to avoid hypotension.
What is Tranexamic Acid (TXA)?
This type of hemorrhage occurs 24 hours to 6-12 weeks postpartum.
What is Secondary Hemorrhage?
This medication is given for severe range BP by IV starting at 20 mg and doubled each additional dose. Remembering a max IV dose in 24 hours of 300 mg.
What is Normodyne (Labetalol)?
After this patient arrives with a severe headache and a blood pressure of 173/112, this is the interval at which her blood pressure should be reassessed.
What is 15 minutes?
The most common cause of postpartum hemorrhage.
This uterotonic max dose is 1000 mcg once.
What is Misoprostol (Cytotec)?
New onset tonic-clonic, focal, or multifocal seizures in absence of other etiologies
What is eclampsia?
After giving Hydralazine (Apresoline), this is the interval at which the patient’s blood pressure should be reassessed.
What is 20 minutes?
A 22‑week pregnant patient with two blood pressures taken four hours apart that are both above 140/90 would receive this classification.
What is Gestational Hypertension?
Retained placental tissue falls under this ‘T’ in the four causes of postpartum hemorrhage.
What is tissue?
Hypertension is a contraindication to this medication.
What is Methylegonovine (Methergine)?
When uterine tone is the culprit, this device can be used alongside uterotonics to help control the bleeding.
What is the JADA or Bakri?
Your pregnant patient has a history of asthma and uses her rescue inhaler once a week, you want to avoid this medication in a HTN crisis.
What is Normodyne (Labetalol)?
What is Calcium Gluconate?
The 4 T's of postpartum hemorrhage.
What is tone, trauma, tissue, and thrombin?
Carboprost (Hemabate)'s most notorious side effect.
What is diarrhea?
Loading dose for a pregnant patient with severe preeclampsia features and no IV access.
What is 10 gms total for 5gm given IM in each buttock?
To prevent seizures with preeclampsia, you want to give this medication.
What is Magnesium Sulfate?
Chronic hypertensive patient with new onset of proteinuria or severe features.
What is Chronic HTN with Superimposed Pre-E?