medical notes

Apr 17th, 2015
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PPH & COAGULATIONDISORDERSSALWA NEYAZIASSISTANT PROF.& CONSULTANT OBSTETRICIANGYNECOLOGESTPEDIATRIC & ADOLESCENT GYNECOLOGESTPostpartum HemorrhageDefinitionLoss of 500 ml or more of blood followingvaginal delivery. (Hg. may occur before,during or after delivery of the placenta )Or 1000 ml of blood loss for cesarean sectionEarly PPH Blood lost during the first 24 hrsafter deliveryLate PPH Blood lost between 24hr6weeksafter deliveryPostpartum HemorrhageIncidence5-8%It is the most common cause of excessiveblood loss in pregnancyHemorrhage (including APH, PPH, abortion& ectopic) is the leading obstetric cause ofmaternal mortality in Saudi Arabia &underdeveloped countriesIt is the third leading cause of MM in USAMorbidity & MortalityWomen compromised by anemia orintercurrent illness are at increasedrisk of complicationsAnemiaMorbidity related to bloodtransfusion hepatitis, HIV,transfusion rectionMorbidity related to hypovolemicshockRenal failure (acute tubular necrosis)Morbidity & MortalityShehans syndrome postpartumhypotension partial or complete necrosisof the anterior pituitary panhypopituitrism-Characterized by failure to lactate,amenorrhea, hypothyroidism, adrenalinsufficiency & breast size & loss of pubic& axillary hair.-Incidence 1:10000 deliveriesSterility resulting from Hysterectomyperformed to control severe Hg1-Uterine atony

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