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Describe the APGAR score
Performed at 1 and 5 min. Score <7 = need help
A - Activity 0 = none, 1 = arms and legs flexed, 2 = active limb Demovement
P - Pulse 0 = absent, 1 = <100bpm, 2 = >100bpm
G - Grimace 0 = none, 1 = grimace or facial movement, 2 = pulling away or coughing/sneezing
A - Appearance 0 = cyanosed, 1 = pink centrally, 2 = pink
R - Respiration 0 = apnoea, 1 slow/irregular = , 2 = good/crying
Definition of Primary postpartum haemorrhage
>500mL NVD or >1000mL LCS Or Clinically excessive - Pt symptomatic (dizzy/lightheaded/syncope) Or Results in maternal hypovolaemia (hypotension, tachycardia, oligouria)
Severe PPH = >1000mL
Critical PPH = >2500mL
Common causes of PPH
4 Ts
Tone (70%) - atonic uterus
Trauma (20%) -
Tissue (10%)
Thrombin (<1%) - coagulation abnormality
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