SAQ 433 – O+G – severe postpartum haemorrhage

Review Completed

Marked out of 16.00

A 35-year-old woman arrives by ambulance two hours after delivering a healthy term baby at home. She has had significant vaginal bleeding since delivery, is conscious, and has a blood pressure of 70/40 mmHg.

Name the four (4) categories of postpartum haemorrhage causes and give two (2) examples of each.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Category</th> <th>Examples</th> </tr> </thead> <tbody> <tr> <td>Tone</td> <td></td> </tr> <tr> <td>Trauma</td> <td></td> </tr> <tr> <td>Tissue</td> <td></td> </tr> <tr> <td>Thrombin</td> <td></td> </tr> </tbody> </table> <p>

/ 8

Describe six (6) steps you would take in the emergency department to stop the bleeding.

(Marked out of 6.0)

/ 6

Bleeding continues and the O+G registrar says they are unavailable in theatre for two hours. Describe your response.

(Marked out of 2.0)

/ 2

Total Score: 0 / 16

Percentage: 0%

Category	Examples
Tone	Uterine atony; overdistended uterus; prolonged labour; infection.
Trauma	Perineal, vaginal, cervical, or uterine laceration; uterine rupture; haematoma.
Tissue	Retained placenta, retained products, placenta accreta spectrum.
Thrombin	Coagulopathy, DIC, anticoagulant use, inherited bleeding disorder.

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