Postpartum hemorrhage: Difference between revisions
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==Causes== | ==Causes== | ||
# Uterine atony | #Uterine atony | ||
# Retained | ##Retained placental fragments | ||
# | #Lower genital tract lacerations | ||
#Uterine rupture | |||
#Uterine inversion | |||
#Hereditary coagulopathy | |||
== | ==Management== | ||
# | #Fluid resuscitation | ||
# | #Treat underlying cause: | ||
# | ##Uterine atony: | ||
# | ###Oxytocin 10mg IM or slow IV push (rapid administration may cause hypotension) | ||
# | ###Misoprostol 600mcg SL | ||
##Uterine inversion: | |||
###Manually replace placenta: | |||
####Place hand inside the vagina and push the fundus cephalad along long axis of vagina | |||
==Source== | ==Source== | ||
Tintinalli | |||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
Revision as of 02:05, 25 August 2011
Causes
- Uterine atony
- Retained placental fragments
- Lower genital tract lacerations
- Uterine rupture
- Uterine inversion
- Hereditary coagulopathy
Management
- Fluid resuscitation
- Treat underlying cause:
- Uterine atony:
- Oxytocin 10mg IM or slow IV push (rapid administration may cause hypotension)
- Misoprostol 600mcg SL
- Uterine inversion:
- Manually replace placenta:
- Place hand inside the vagina and push the fundus cephalad along long axis of vagina
- Manually replace placenta:
- Uterine atony:
Source
Tintinalli