Postpartum Hemorrhage in Emergency Medicine Questions & Answers

Updated: Jan 02, 2018
  • Author: Maame Yaa A B Yiadom, MD, MPH; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE  more...
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Questions & Answers

Overview

What is postpartum hemorrhage (PPH)?

What is the focus of the clinical history for postpartum hemorrhage (PPH)?

What are the predisposing factors and potential etiologies of postpartum hemorrhage (PPH)?

What is included in the physical exam for evaluation of postpartum hemorrhage (PPH)?

Which lab tests are performed in the workup of postpartum hemorrhage (PPH)?

What is the role of imaging studies in the diagnosis of postpartum hemorrhage (PPH)?

What is the prehospital care for postpartum hemorrhage (PPH)?

What is included in emergency department (ED) care for postpartum hemorrhage (PPH)?

What is postpartum hemorrhage (PPH)?

What are the types of postpartum hemorrhage (PPH)?

How is postpartum hemorrhage (PPH) categorized?

What is the pathophysiology of postpartum hemorrhage (PPH)?

What is the incidence of postpartum hemorrhage (PPH)?

What is the prognosis of postpartum hemorrhage (PPH)?

What are the mortality rates for postpartum hemorrhage (PPH)?

What is the morbidity associated with postpartum hemorrhage (PPH)?

What are the risks from exposure to blood products used in the treatment of postpartum hemorrhage (PPH)?

What are the risks of surgery for postpartum hemorrhage (PPH)?

What are the possible complications of uncontrolled bleeding in postpartum hemorrhage (PPH)?

What is included in patient education about postpartum hemorrhage (PPH)?

Presentation

What is the focus of clinical history for postpartum hemorrhage (PPH)?

What is included in the physical exam to evaluate postpartum hemorrhage (PPH)?

Which physical findings are characteristic of postpartum hemorrhage (PPH)?

What is the role of uterine inversion in the etiology of postpartum hemorrhage (PPH)?

What causes postpartum hemorrhage (PPH)?

What is the role of atony in the etiology of postpartum hemorrhage (PPH)?

What is the role of trauma in the etiology of postpartum hemorrhage (PPH)?

What is the role of retained tissue in the etiology of postpartum hemorrhage (PPH)?

What causes coagulation disorders in patients with postpartum hemorrhage (PPH)?

DDX

How is endometritis differentiated from postpartum hemorrhage (PPH)?

What are the signs and symptoms of wound breakdown in postpartum hemorrhage (PPH)?

What can cause general tract lacerations in postpartum hemorrhage (PPH)?

Which nongenital sources of bleeding should be considered in the evaluation of postpartum hemorrhage (PPH)?

What should ED personnel consider when evaluating postpartum hemorrhage (PPH)?

What are the differential diagnoses for Postpartum Hemorrhage in Emergency Medicine?

Workup

What is the role of a complete blood count (CBC) in the diagnosis of postpartum hemorrhage (PPH)?

What is the role of coagulation studies in the diagnosis of postpartum hemorrhage (PPH)?

What is the role of electrolyte measurement in the diagnosis of postpartum hemorrhage (PPH)?

What is the role of blood urea nitrogen (BUN)/creatinine measurement in the diagnosis of postpartum hemorrhage (PPH)?

Why is blood type and crossmatch performed in the workup of postpartum hemorrhage (PPH)?

What is the role of fibrinogen measurement in the diagnosis of postpartum hemorrhage (PPH)?

What is the role of liver function tests (LFTs) in the diagnosis of postpartum hemorrhage (PPH)?

What is the role of lactate measurement in the diagnosis of postpartum hemorrhage (PPH)?

Which imaging studies are performed in the workup of postpartum hemorrhage (PPH)?

What is the role of ultrasonography in the diagnosis of postpartum hemorrhage (PPH)?

What is the role of CT scanning in the diagnosis of postpartum hemorrhage (PPH)?

What is the role of MRI in the diagnosis of postpartum hemorrhage (PPH)?

Treatment

How is postpartum hemorrhage (PPH) treated?

What is included in prehospital care for postpartum hemorrhage (PPH)?

According to the ACOG, how should emergency departments prepare for the treatment of postpartum hemorrhage (PPH)?

What is the initial emergency department (ED) evaluation of postpartum hemorrhage (PPH)?

Which lab studies are performed in the emergency department (ED) care for postpartum hemorrhage (PPH)?

What is included in the secondary ED evaluation for postpartum hemorrhage (PPH)?

How is postpartum hemorrhage (PPH) treated in the ED?

How is uterine atony treated in postpartum hemorrhage (PPH)?

How is uterine rupture treated in postpartum hemorrhage (PPH)?

How is trauma treated in postpartum hemorrhage (PPH)?

How is retained placental tissue treated in postpartum hemorrhage (PPH)?

How is uterine inversion treated in postpartum hemorrhage (PPH)?

How is thrombosis treated in postpartum hemorrhage (PPH)?

Which specialist consultations are needed for the treatment of postpartum hemorrhage (PPH)?

What steps should be taken during the transfer of a patient with postpartum hemorrhage (PPH) to an operating room?

How is postpartum hemorrhage (PPH) prevented?

Medications

What is the role of medications in the treatment of postpartum hemorrhage (PPH)?

Which medications in the drug class Uterotonics are used in the treatment of Postpartum Hemorrhage in Emergency Medicine?