Pre-Eclampsia
Pre-Eclampsia
Pre-Eclampsia
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Postpartum hemorrhage<br />
Normal blood loss:<br />
vaginal: 500 ml / 24 hrs<br />
abdominal:1000 ml / 24 hrs<br />
4 T’s<br />
Tone<br />
Trauma<br />
Tissue<br />
Thrombi<br />
n<br />
Specific Cause<br />
Atonic uterus<br />
Cervical,vaginal,<br />
Perineal, uterine<br />
inversion, ruptured uterus<br />
Retained placenta<br />
Invasive placenta<br />
coagulopathies<br />
Relative<br />
frequenc<br />
70 % y<br />
20 %<br />
10 %<br />
1 %<br />
Dr. Marc Coppens<br />
Postpartum hemorrhage:<br />
uterine atony<br />
• Most common cause of serious blood loss !!<br />
• 15 % of cardiac output to gravid uterus<br />
• Management<br />
– Fluid resuscitation<br />
–Oxygen<br />
– Uterine massage<br />
– Uterotonics<br />
Dr. Marc Coppens<br />
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