waiting for? Fast forward to the circle of friends! Don't let the little friends miss it! The little doctor
still remember the TV series, pregnant women give birth, bleeding at every turn, it is thrilling to see... Director of
Actually, in real life, postpartum hemorrhage is more terrible!
Picture source Williams Obstetrics Handbook Premium Course
The incidence of postpartum hemorrhage is about 5%~10%. If it is not handled in time, it may cause maternal death.
Therefore, it is very important to assess the risk of postpartum hemorrhage and take correct measures to intervene!
The causes of postpartum hemorrhage
Director
examines you, what are the causes of postpartum hemorrhage? The causes of postpartum hemorrhage include: weak uterine contractions, placental factors, soft birth canal lacerations, and coagulopathy. Z1z
Uterine weakness is the most common cause of postpartum hemorrhage, accounting for about 70% to 90%. Director
Then tell me, what are the high-risk factors that can cause these reasons for the mother?
little doctor
...this...
director
hurry back to read! If you can’t evaluate the patient’s high-risk factors well, take precautions, and if you meet or miss it clinically, it is likely to lead to a bad outcome for the patient!
Little doctor
Okay, Director, I see!
Postpartum hemorrhage is affected by many aspects such as uterus, placenta and blood coagulation. A comprehensive and systematic assessment of the high-risk factors of the parturient should be carried out during the checkup, delivery and postpartum.
As the director said, if the doctor does not have a systematic clinical thinking, it is easy to miss some "danger signs".
In the online boutique course "Williams Obstetrics Handbook", Director Huang Yiying of Shanghai First Maternity and Child Health Hospital sorted out the causes of postpartum hemorrhage.
When clinically assessing a parturient, the following questions should be fully considered. Image source
Director of Williams Obstetrics Handbook Premium Course
Little Doctor
, I understand. The director of
is very good. You have a good grasp of the causes and high-risk factors of postpartum hemorrhage. We also talked about the estimated bleeding volume in the last class (Reference reading: After giving birth, maternal bleeding was 2000ml, and I almost didn't wake up!). Now, if there is a patient with postpartum hemorrhage, how do you rescue it? The young doctor
should pay attention to her vital signs, timely rehydration, blood transfusion, anti-shock... Director of
this is not enough. When rescuing patients, the process must be clear. The little doctor
... Then first establish an intravenous channel and refill fluid. Director
first call the superior doctor, establish intravenous access, and go to monitoring... Oh, go and see the online course of "Williams Handbook of Obstetrics"! The points to be paid attention to in each step are organized for you by the big guys, and then come to the exam after learning!
little doctor
OK! Thank you Director!
Obstetric first aid procedures are as follows: