Obstetric Haemorrhage
Obstetric Haemorrhage: Overview
Vignette: Obstetric Haemorrhage
Question 1: History
Focussed History: Antepartum Haemorrhage
Examination
Question 2: Antepartum Haemorrhage (APH)
Question 3: Mrs G
Placental Abruption
Differential Diagnosis for APH
Images of some of the causes of APH
Placental Abruption vs. Placenta Praevia vs. Uterine Rupture
Question 4: Immediate Management
Group and Save vs. Cross-Match
Question 5: Taking BTS samples
Further Management
Delivery
Question 6: Postpartum Haemorrhage (PPH)
Anaemia: Reducing the Risk Antenatally
Question 7: Blood Loss 1
Question 8: Blood Loss 2
Postpartum Haemorrhage (PPH)
Estimating Blood Loss
Question 9: Estimating Blood Loss
Blood Options 1
Blood Options 2
Question 10: PPH
Question 11: Causes of PPH: The 4 T's
Postpartum Haemorrhage (PPH) contd.
Question 12: Drug Options
Tone: Mechanical and Pharmacological measures
Next Steps: Resort to Surgical Measures if Phamacological Measures Fail to Control Bleeding
Trauma
Tissue
Thrombin
Disseminated Intravascular Coagulation (DIC)
Management of Major PPH and Ongoing Bleeding: Replace, Stabilise and Stop the Source of Bleeding
Pin Girl - PPH Management Overview
Question 13: Blood Tubes
Why Check Bloods?
Mrs G
Post Bleed Care
Debrief
Risk Management
Question 14: End of Case Quiz
References and Resources
Feedback
Obstetric Haemorrhage
Question 1: History
Please write below the focused history questions that you may wish to ask her:
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Once you have entered you answer, please go onto the next slide for an explanation of taking the focused history for this case
