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29 Cards in this Set
- Front
- Back
Major PP complications: |
3. Postpartum infections
All don’tbecome evident until PP |
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Maternal mortality |
=50% thought to be avoidable =60% of maternal deaths happened PP Causes:
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top 4 reasons for pregnancy related death |
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risk factors for maternal mortality |
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PPH cause/risk factors |
•Uterine Atony:Causes 70 - 80% Risk factors: •Over-distended uterus (LrgeGestationalAge, multiples, polyhydramnios) •History of over-stretching (multiparity) •Muscle fatigue (pitocin; prolonged labor; MgSO4)-- utilized induction medication pit or on prolonged MgSO4) |
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PPH ranges-how to determine |
Intrpartum
Postpartum
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4 T's |
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Uterine Atony |
Obstacles to involution
2/3 of women who hemorrhage don't not have risk fx |
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PPH assess |
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interventions for extreme blood loss |
If extreme (about or > 1000 cc):
-Maintain while other interventionsare being initiated -Careful not to overdo: oncefirm, STOP
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PPH treatment drugs (In proper order) |
1.Oxytocin(Pitocin) -Increase IV rate, increase concentration inIV, or IM 2. Methylergonovine (Ergometrine/Methergine) - x 1 IM ordirectly into myometrium -neverIV -Contraindication: HTN 3.Carboprost (Hemabate) -up to x 2 IM, 15” apart -Some providers prefer to skip methergine&go directly to carboprost -Contraindication: Asthma 4.Misoprostol(Cytotec) -oral, sublingual,rectal -Typically drug of last resort in U.S. -Contraindication: Asthma
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PPH treatments assessments/ interventions |
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"bundle" |
-a small set of evidence-based interventions for a definedpatient population and care setting -promote team work |
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Uniject device |
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non-inflatable anti-shock garment |
Contraindications:
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PPH (causes besides atony) |
Birth trauma: -tears/lacerations & hematomas -Useof instruments/procedures (forceps/suction; episiotomy) -Tears,hematoma (vagina,labia,cervix) |
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venous thrombosis(Thromboembolic diseases) risk fx, symptoms, treatment? |
Riskfactors:
Symptoms:
Treatment
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Pulmonary Embolism (Thromboembolic diseases) symptoms, patho, treatments? |
=most often a blood clot
Patho: hypoxia, hypotension,coagulopathy Treatment:
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Amniotic fluid embolism (Thromboembolic diseases:) occurrence & diagnosis? |
occurrence:
Dx ofexclusion (could be lots of other problems): *
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Amniotic fluid embolism( Thromboembolic diseases) Diagnostic tests/ treatment? |
Diagnostic: scans (CT), D-dimer, coagulation studies,CBC Treatment:
**can happen up to 2 days PP **not due to mechanical obstruction--> instead type of anaphylaxis **most women exposed to amniotic fluids and are fine |
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Coagulopathies: DIC (Disseminated Intravascular Coagulation) definition & risk fx? |
-Monitornewborn status if DIC began prenatal or intrapartum(CBC) |
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Coagulopathies tests |
-negative d-dimer test rules outthrombosis (no clot) -positivecan indicate thrombosis, but does not rule out other causes
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DIC cause, symptoms, tests, treatment |
=rare Symptoms:
Tests
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ITP (Idiopathic Thrombocytopenia) define, S/S, treatment? |
=Autoimmunedisorder in which antibodies decrease the lifespan of platelets. Capillariesare fragile & increase bleeding. S/S:
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Endometritis |
=infection S/S:
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wound infection location/type of wound , s/s, treatment? |
at Surgical incision site:
Treatment:
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UTI predisposing factors, symptoms? |
–COMMON MEDICAL COMPLICATION OFpregnancy PREDISPOSINGfactors:
Symptoms:
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UTI risk factors& prevention? |
Risks:
Prevention:
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Mastitis prevalence, cause, symptoms, treatment? |
(2-3 weeks pp):
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