13 results
Uterotonic Medications 
 - Should be given concomitantly with uterine massage
 - Multiple medication options which
concomitantly with uterine ... which increase uterine ... #Management #Postpartum ... #Hemorrhage #Medications ... #Table #Uterotonic
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
Causes of Post-Partum ... Hemorrhage - Differential ... Atony (70%): ... Hemophilia A) #PostPartum ... #Hemorrhage #PPH
Postpartum Hemorrhage - Differential Diagnosis, Examination and Management

Uterotonic Medications (after delivery of the placenta):
 • Oxytocin
Postpartum Hemorrhage ... • Oxytocin (causes ... Methylergonovine (causes ... Marshall, MD #Postpartum ... #Hemorrhage #Differential
4 T’s Mnemonic for Causes of Post-Partum Hemorrhage (PPH)

Tone (70%):
 - Uterine Atony
 - Tx: Massage,
s Mnemonic for Causes ... of Post-Partum Hemorrhage ... Tone (70%): - Uterine ... Atony - Tx: Massage ... #Hemorrhage #Gynecology
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Postpartum Hemorrhage ... Atony (80%) - Most ... to first line atony ... / Cesarean #Postpartum ... #Hemorrhage #Differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
depletion) - Hemorrhagic ... Trauma • GI hemorrhage ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Subinvolution of the uterus refers to the delayed return of the uterus to its pre-pregnancy size
about 6 weeks postpartum ... Causes Retained ... endometritis) Uterine ... atony (lack of ... Prolonged lochia (postpartum
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 → Direct pressure, silver nitrate for small laceration
 → Repair with
Post-abortion Hemorrhage ... easily controlled Uterine ... atony or unsure ... of cause → Fundal ... #Postabortion #Hemorrhage
Uterine Massage
 - First line treatment for uterine atony
 - Begin with firm massage of the
Uterine Massage ... atony - Begin ... internal hand (can cause ... #Management #Postpartum ... #Hemorrhage #Bimanual
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
of Abnormal Uterine ... pregnancy related cause ... Hemorrhage control ... Hemodynamically stable ... AUB #Abnormal #Uterine