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14 Cards in this Set

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  • Back

__________ is a major cause of obstetric morbidity and mortality throughout theworld.

Haemorrhage

It is responsible for ____________ of all pregnancy-related deaths in both high- and low-income countries.

one third

Understandingthe ________________ of pregnancy and the physiologic responsesthat occur with hemorrhage assists in appropriate management.

hemodynamic changes

What are the four classes of hemorrhage?

I. <750mL


II. 750-1500mL


III. 2000mL


IV. >40% blood volume loss, coma

Placentalabruption is diagnosed primarily by ___________ findings and isconfirmed by radiographic, laboratory, and pathologic studies.

clinical

Management of placental abruption is dependent on the severity, _______________ age, and maternal-fetal status.

gestational

Placentaprevia is typically diagnosed with ______________

sonography.

Placenta previa remote from term can be ________________ managed.

expectantly

Placentaprevia in association with a prior cesarean delivery is a major riskfactor for _________________

placenta accreta

Placentaaccreta is best managed with a ___________________ thatincludes maternal-fetal medicine specialists, neonatologists,blood-conservation teams, anesthesiologists, advanced pelvicsurgeons, and urologists.

multidisciplinary approach

Placent accreta: Scheduled preterm delivery at _____________ weeks of gestation is recommended.

34 to 35

Antenataldetection of vasa previa is possible with _____________

sono­graphy

Postpartumhemorrhage complicates _______________ deliveries.

1 in 20 to 1 in 100

Managementof uterine atony should follow a rapidly initiated sequenced protocolthat may include:

1. bimanual massage,


2. uterotonic therapy,


3. uterine tamponade,


4. selective arterial embolization, or


5. surgical intervention.