Introduction
Obstetrical hemorrhage is a leading cause of maternal morbidity and mortality. This blog discusses the types and management of conditions like placenta previa and placental abruption.
Body
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Placenta Previa
- Low-lying placenta causing painless vaginal bleeding after 24 weeks.
- Managed with close monitoring and delivery planning.
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Placental Abruption
- Premature separation of the placenta leading to painful bleeding and fetal distress.
- Emergency delivery may be required.
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Postpartum Hemorrhage (PPH)
- Primary PPH: >500mL blood loss within 24 hours of delivery.
- Secondary PPH: Bleeding within 6 weeks postpartum.
Management
- Initial resuscitation with IV fluids and blood products.
- Medications like oxytocin or surgical interventions (e.g., uterine artery ligation).
Conclusion
Recognizing and managing obstetrical hemorrhage promptly is crucial for saving lives. These notes are invaluable for students preparing for exams.