Medical brain Notes 3

  Post partum Hemorrhage   Definition:- Post partum hemorrhage is bleeding from thegenital tract during the 3 rd  stage of labour, or with in 24 hours after delivery of the placenta to the amount of 500ml or any amount that will change the patient’s condition   It is responsible for maternal deaths and is one of the emergencies in which if the Nurse/ mid wife does not know how or fails to play the part the doctor may be Unable to save the mother’s life as shock gets in quickly and can become irreversible.   The rate of flow that is more important than the amount Anaemia is a predisposing cause.   It is occurs within 24 hours at delivery it is caused primary while after 24 hrs of Delivery is secondary PPH.     Cause of Primary PPH   ·          Retained Placenta   ·          Retained Cotyledon   ·          Genital tr...

  Prolonged Labour   Traditionally labour is prolonged if it exceeds 24 hours. When labour is activity managed, It is termed prolonged if delivery is not imminent after 12 hrs of established labour.   NB.  The sun should not set twice in woman in labour     The first Stage   The latent phase considered prolonged over 20hrs in primigravidae or over 14 hrs in multigravidae.   Primary dysfunctional-labour progress in active phase of labour is slow and the cervix dilate less than 1 cm on hour.   Secondary arrest:- After normal progress in early labour, cervical dilation is arrested in active phase.   Cause in 1  st  stage   ·          In-efficient uterine contraction (Power) is the most common cause of prolonged labour. The cervix dilates slowly or not at all. ·          Pelvic abnormalities (Passage). A contracted pelvis and pelvic tumors prevent ...