Medication
This is the first-line medication and dose administered during a hemorrhage
What is oxytocin 10-40 units?
What is anemia?
Active management of third stage
What is the recommended prevention standard against postpartum hemorrhage?
Completed on admission and every shift
What is a risk assessment for postpartum hemorrhage?
Leading cause of postpartum hemorhage
What is uterine atony?
The medication that should be used during every postpartum hemorrhage regardless of cause.
What is tranexamic acid?
A history of 5 or more births
What is grand multiparity?
a blood >500mL.
At what volume of blood loss should interventions be started?
Complete OB ultrasounds
Screen & treat for anemia
Detailed planning for those who decline blood products
What are antenatal prevention measures?
Accounts for approximately 20% of postpartum hemorrhages.
The medication that causes diarrhea.
What is carboprost?
Preeclampsia
Intrauterine infection
Prolonged labor
What are intrapartum complications associated with increased hemorrhage risk?
Fundal massage
Rule out lacerations
Call for assistance
What are 1st line responses?
Ordering a Type and Cross
Placing a second IV line
Minimizing Pitocin exposure
What an intrapartum prevention measures for high risk individuals?
A uterine sweep
What is the intervention to correct retained products?
The ergot derivative that causes sustained uterine contraction
What is methergine?
Suspected macrosomia
Multiple gestations
Polyhydramnios
What are causes of uterine distension?
Administer 2nd uterotonic
Manual sweep of uterus
Place a foley
Consider bimanual compression
What are second line interventions?
A cart with all necessary hemorrhage response supplies stocked on labor and delivery and postpartum units.
What is a universal prevention measure?
When bleeding does not resolve with uterotonics, the genital tract is intact, and there are no retained products.
When should thrombin be considered as the cause?
The medication given to people with a history of gestational hypertension, asthma, and DVT during pregnancy.
What is misoprostol?
Personal history of postpartum hemorrhahge
What is the strongest risk factor for postpartum hemorrhage?
placing a vacuum compression device
What is the intervention for atony unresponsive to medications?
to allow for oxytocin receptor expression to equilibrate
Why do we use Pitocin holidays?