Thrombophilia: coagulopathies, inherited or acquired or DIC
Postpartum hemorrhage is greater than ____ blood loss after delivery. Early postpartum hemorrhage is _____ hours after delivery, vs late is _____ hours after delivery
1000 cc
< 24
>24
What is shoulder dystocia?
Occurs when the infant’s shoulders are larger than its head making it hard for the mom to push
Babys face may turn blue during this prolonged delivery
What is turtle sign?
Indicates shoulder dystocia where the shoulder is larger than the head and baby cant come out because the shoulders are trapped between the pubis and sacrum
What is the maneuver called that can assist in delivering a shoulder dystocia baby?
McRobert’s maneuver
Flexion of moms knees and apply suprapubic pressure
What could be a result of shoulder dystocia after the baby is finally squeezed out?
Brachial plexus injuries
Erbs Palsy most common (C5-C6)
What is the risk factor that can lead to baby with shoulder dystocia?
mothers who are obese and diabetic
Trial of labor after cesarean section (TOLAC), fundal surgery could result _____
Uterine rupture
Which OB emergency could have refer pain to the shoulder?
uterine rupture
What is prolapsed cord?
occurs when the umbilical cord slips down into the vagina or out which can choke the baby (fetal asphyxiation)
Prolapsed cord is most commonly seen in baby that are in _____ position
Breech
What happens if you see umbilical cord out before the baby is out?
Hold the baby head high so it doesn’t keep dropping onto and choking itself around the cord, then go for emergency C-section
