The management and prevention of post-partum haemorrhage in a clinic.
نویسنده
چکیده
Classification of Post-Partum Haemorrhage According to Cause In considering the management of post-partum haemorrhage, it is much more valuable to classify ex cessive blood loss according to its cause. Hypotonic post-partum haemorrhage occurs because the uterus fails to undergo adequate contraction and retraction following the delivery of the baby. This type of post-partum haemorrhage can be torrential and terri fying and usually occurs within half an hour of delivery. Traumatic post-partum haemorrhage occurs as a result of traum a to the genital tract at any level from the uterus to the vulva. The am ount and duration of bleeding will depend upon such factors as what struc ture has been damaged, and whether there is any supervening sepsis. Haemorrhage caused by retained products of concep tion can occur immediately as in the case o f post-abortal bleeding, or may be delayed as long as 10 days as in the case of a retained placental cotyledon. Bleeding associated with coagulation defects almost always occurs within the first half hour of delivery. Because a fully developed post-partum haemorrhage can be such a serious and terrifying condition, its prevention under each o f these headings is discussed before the management o f the bleeding patient in a clinic.
منابع مشابه
Post partum haemorrhage secondary to uterine atony, complicated by platelet storage pool disease and partial placenta diffusa: a case report
INTRODUCTION Uterine atony is the most common cause of primary post partum haemorrhage. We report a case where this was complicated by two rare conditions, platelet storage pool disease and placenta diffusa. Platelet storage pool disease is a platelet aggregation disorder associated with mild to moderate bleeding diathesis. There are limited cases reported in pregnancy. Placenta diffusa is a ra...
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متن کاملControl of postpartum and post abortal haemorrhage with uterine packing.
OBJECTIVE To determine safety and effectiveness of uterine packing to stop hemorrhage in postpartum and post abortal cases. METHODS Patients who delivered either vaginally or via Caesarian section who developed primary post partum haemorrhage and post abortal patients developing primary post partum haemorrhage refractory to conventional medical treatment, were included in the study. Packing w...
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ورودعنوان ژورنال:
- Curationis
دوره 2 3 شماره
صفحات -
تاریخ انتشار 1979