Secondary Postpartum Hemorrhage — Flashcards

Flashcard 1: WHO guidelines for AMTSL include postpartum abdominal _____ assessment for early identification of uterine atony

Answer: uterine tonus

Flashcard 2: In a patient of cardiac disease, Heparin (unfractionated or LMWH) is restarted _____ hours after vaginal delivery and 24 hours after cesarean section.

Answer: 6

Flashcard 3: Subinvolution of the uterus is treated with _____

Answer: Methylergonovine (or Ergonovine)

Extra: Methylergonovine (Methergine) provides sustained uterine contraction, which is preferred for subinvolution. Oxytocin is typically used for acute uterine atony in the immediate postpartum period. When treating subinvolution, it is also essential to address underlying causes such as retained products of conception (RPOC) or endometritis.

Flashcard 4: Max dose of PGF2 alpha in postpartum hemorrhage is _____ mg.

Answer: 2

Flashcard 5: WHO 2017 Global Recommendation, the latest addition to the treatment of PPH: _____

Answer: Tranexamic acid

Extra: The WHO updated its recommendations in 2017 to include the early use of intravenous **Tranexamic Acid (TXA)** for the treatment of postpartum hemorrhage (PPH) following the results of the **WOMAN trial**. It should be administered as soon as possible after onset of PPH and within 3 hours of birth.

Flashcard 6: colostrum is breast milk during _____

Answer: first 3 days 

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Flashcard 7: Rooming-in is the practice of keeping the mother and her newborn together _____ after delivery.

Answer: 24 hours a day

Flashcard 8: breastfeeding should be started within _____ hours of a C-section delivery

Answer: 4

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Flashcard 9: mature breast milk starts after _____ days of delivery

Answer: 12-14

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Flashcard 10: Breastfeeding should be started within _____ of normal vaginal delivery

Answer: 1 hour