Show:
PPH-Not always obvious
Severe Preeclampsia/ Eclampsia
Labour Emergencies-Prioritization
Newborn Resuscitation
Postpartum deterioration-subtle signs
100

Postpartum patient:

  • Fundus boggy
  • Moderate bleeding
  • Vitals stable

What is your immediate management sequence?

What is:

  • Fundal massage
  • Oxytocin
  • Assess for retained tissue/trauma



100

Patient reports headache + visual changes.

What are you anticipating?

What is impending eclampsia?



100

Cord prolapse identified.

What is your first physical action?

What is lift presenting part off cord manually?



100

Newborn floppy but breathing.

What determines next step?

What is heart rate?

100

Tachycardia postpartum.

Why does this matter?

What is early deterioration/shock indicator?



200

Postpartum patient:

  • Heavy bleeding
  • Fundus firm
  • Increasing perineal pain

What is happening and what do you do?

What is hematoma (concealed hemorrhage) and

  • urgent assessment
  • notify provider immediately
  • prepare for intervention
200

BP 168/112, patient stable.

What is your priority and timeframe?

What is treat severe hypertension within 30–60 minutes to prevent stroke?



200

Shoulder dystocia—McRoberts ineffective.

What is your next step?

What is suprapubic pressure?



200

HR <100 after stimulation.

What now?

What is positive pressure ventilation?



200

SOB postpartum.

Top 2 concerns?

What are PE and cardiomyopathy?



300

Patient:

  • HR 120
  • BP 105/65
  • Minimal visible bleeding

Why is this dangerous?

What is compensated shock / concealed bleeding?

300

Patient on MgSO₄:

  • RR 10
  • Decreased urine output

What is happening?

What is magnesium toxicity?



300

Late decelerations + oxytocin running.

What is your first action and why?

What is stop oxytocin to improve placental perfusion?

300

PPV ineffective.

What must you troubleshoot?

What is airway position, seal, ventilation technique?



300

Fever + uterine tenderness.

What is your priority?

What is initiate antibiotics + escalate care?



400

PPH continues despite oxytocin + massage.

What are your next TWO escalations AND rationale?

What is

  • additional uterotonics (Hemabate/Methergine)
  • TXA or escalation to procedural management



400

Patient seizes.

What are your FIRST 3 actions?

What is

  • protect airway
  • call for help
  • administer magnesium bolus



400

Fetal bradycardia persists despite interventions.

What is your escalation?

What is prepare for emergency delivery?

400

Team not communicating clearly.

What is your intervention?

What is closed-loop communication?



400

Patient “looks unwell” but vitals borderline.

What does ALARM say?

What is escalate early based on concern?



500

Patient deteriorating rapidly:

  • HR 140
  • BP dropping
  • Bleeding ongoing

What is your team-based ALARM response?

What is

  • call for help immediately
  • activate PPH protocol/MTP
  • assign roles (leader, meds, IV, documentation)
  • initiate ABC resuscitation
500

Post-seizure, patient stable.

What is the definitive management plan?

What is expedited delivery once stabilized?

500

Multiple competing priorities:

  • Fetal distress
  • Maternal hypotension

What is your prioritization?

What is stabilize mother first while preparing for delivery?



500

Resuscitation ongoing, minimal response.

What is your escalation?

What is call advanced neonatal team + escalate interventions?



500

Rapid deterioration postpartum.

What is your structured response?

What is ABCDE + call for help + emergency response?