What are the etiology and risk factors for developing postpartum hemorrhage quizlet?

large head (3 cm larger than chest) term infants chest if 1-2 cm smaller than the head,
become = at age 2

skin: ruddy, little subcutaneous fat, prominent veins high degree of acrocyanosis, little or no vernix at birth because this is formed at 24 weeks, abundant lanugo, few to no creases on soles.

eyes: small, pupillary reaction present but difficult to elicit.

ear: large in relation to the head, inspect level to assess chromosomal abnormalities.

reflexes: deep tendon diminished, sucking, rooting, grasping,
Moro and swallowing may be weak or absent

cry: rarely cries, cry is weak and high pitched.

posture: limited flexion of arms and legs, hangs limp during ventral suspension, frog leg type position

head lag: head will lag when pulled from supine to sitting.

genitalia: testes undescended, few rugae on scrotum, labia majora separated, clitoris prominent, hymen may protrude

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6T's or PAALID

Tone - uterine atony
Turned - uterine inversion
Trauma - vaginal laceration
Tissue - placental retention (accreta, increta, percreta)
Thrombus - DIC (amniotic fluid pulmonary embolus, von willebrand disease)
Tear - placental abruption
--OR--
Post partum hemorrhage makes mom PAALID = placental retention, *a*tony, aat partum hemorrhage makes mom *PAALID* = *p*lacental retention, *a*tony, *a*bruption, laceration, inversion, DIC

C. Uterine atony is the most common cause of postpartum hemorrhage. Risk factors for uterine atony include precipitous labor, multiparity, general anesthesia, oxytocin use in labor, prolonged labor, macrosomia, hydramnios, twins and chorioamnionitis. Patients at risk for genital tract lacerations are those who have a precipitous labor, macrosomia or who have an instrument-assisted delivery or manipulative delivery (i.e. breech extraction). Factors that lead to an over-distended uterus are risk factors for uterine inversion. Grand multiparity, multiple gestation, polyhydramnios and macrosomia are all risk factors. The most common etiology of uterine inversion, however, is excessive (iatrogenic) traction on the umbilical cord during the third stage of delivery. Although the patient is at risk for uterine dehiscence/uterine rupture because of her history of a prior Cesarean delivery, these are infrequent occurrences so the most likely cause of postpartum hemorrhage in this patient is uterine atony.

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What are the etiology and risk factors for developing postpartum hemorrhage?

Excessive enlargement of the uterus due to too much amniotic fluid or a large baby, especially with birthweight over 4,000 grams (8.8 pounds). Multiple pregnancy. More than one placenta and overdistention of the uterus. Gestational hypertension or preeclampsia.

What is the etiology of postpartum hemorrhage?

Uterine atony. This is the most common cause of PPH. It happens when the muscles in your uterus don't contract (tighten) well after birth. Uterine contractions after birth help stop bleeding from the place in the uterus where the placenta breaks away.

What are some risk factors for postpartum hemorrhage?

The risk factors more strongly associated and the incidence of moderate postpartum hemorrhage in women with each of these factors were: retained placenta (33.3%) (adjusted odds ratio – aOR: 6.02; 95% confidence interval [CI]: 3.50–10.36); multiple pregnancy (20.9%) (aOR:4.67; CI 2.41–9.05); macrosomia (18.6%) (aOR:2.36 ...

Which of the following are risk factors for postpartum hemorrhage quizlet?

Risk factors include manual removal of the placenta, attempts to deliver a placenta that has not fully detached from the uterine wall, placenta accreta, previous cesarean delivery, uterine myelomas, early postpartum hemorrhage, and advanced maternal age.