Question 197 · LEK · Puerperium

Directly after the third stage of the delivery massive hemorrhage occurred leading to hypovolemic shock. The condition of the patient improved significantly over several days, but she is suspected of Sheehan’s syndrome. Which of the following justifies this suspicion?

  1. A. her child receiving 7 in the Apgar score.
  2. B. change in respiratory rate.
  3. C. worsening of the general condition and depressive thoughts.
  4. D. no lactation.
  5. E. occurrence of diarrhea.
Hint

Which anterior pituitary hormone is needed right after delivery, and what fails first when it is missing?

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