Question 142 (part 2) · LEK · Postpartum hemorrhage

Which of the following are true about post-partum haemorrhage:

1) the most common causes include: uterine atony, remains of the afterbirth in the uterus and birth canal trauma;
2) the antenatal risk factors include: multiparity, age above 35 and obesity;
3) the intrapartum risk factors include: intrauterine infection, induced or stimulated delivery, prolonged delivery and delivery type;
4) post-partum haemorrhages are divided into early PPHs (within 24h after delivery) and secondary PPHs (25h to 6 weeks after delivery)
5) the clinical symptoms in the form of lowered blood pressure or tachycardia in the mother may occur late when the blood loss is 1,000-1,500 ml.
The correct answer is:
  1. A. all the above.
  2. B. 2,3,4,5.
  3. C. 3,4,5.
  4. D. 1,4,5.
  5. E. 1,2,3.
Hint

Think of the '4 Ts' of PPH, its classification by timing and why pregnant women compensate for blood loss for a long time.

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