SAQ 828 – O+G – shoulder dystocia and postpartum haemorrhage

A 38-year-old woman presents to your regional ED. You establish that she has been in labour for 10 hours. She is clearly in pain and says she feels the need to push. The nearest obstetric service is 90 minutes away by road.

List four (4) important details to obtain from her obstetric history.

(Marked out of 4.0)

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After delivery of the head, she has two further contractions without progression. The baby's head appears to move forward slightly before retracting. Name this condition.

(Marked out of 1.0)

/ 1

Outline the next four (4) important steps in treatment.

(Marked out of 4.0)

/ 4

After a healthy baby is delivered, heavy bleeding starts shortly after placental delivery. For each phase of delivery, state two (2) risk factors for postpartum haemorrhage. Answers cannot be repeated.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Phase</th> <th>Risk factors</th> </tr> </thead> <tbody> <tr> <td>Antepartum 1</td> <td></td> </tr> <tr> <td>Antepartum 2</td> <td></td> </tr> <tr> <td>Intrapartum 1</td> <td></td> </tr> <tr> <td>Intrapartum 2</td> <td></td> </tr> <tr> <td>Postpartum 1</td> <td></td> </tr> <tr> <td>Postpartum 2</td> <td></td> </tr> </tbody> </table> <p>

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Poor uterine tone is most likely causing ongoing bleeding despite 10 units IM oxytocin at delivery and an oxytocin infusion. List one (1) non-pharmacological treatment option.

(Marked out of 1.0)

/ 1

List two (2) pharmacological treatment options.

(Marked out of 2.0)

/ 2

Total Score: 0 / 18

Percentage: 0%