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Chapter-08 Common Problems Immediately after Delivery

BOOK TITLE: Childbirth & Obstetric Techniques

Author
1. Webster Sophia NE
2. Al-Azzawi Farook
ISBN
9789386107022
DOI
10.5005/jp/books/14150_9
Edition
3/e
Publishing Year
2018
Pages
14
Author Affiliations
1. The Newcastle upon Tyne Hospitals NHS Foundation Trust, Tyne and Wear, United Kingdom
2. University Hospitals of Leicester NHS Trust Leicester, United Kingdom
Chapter keywords
Postpartum hemorrhage, amniotic fluid embolism, primary postpartum hemorrhage, secondary postpartum hemorrhage, uterine rupture, placental complications, pulmonary embolism, seizure

Abstract

This chapter describes the common problems immediately after delivery, which includes postpartum hemorrhage, and amniotic fluid embolism. Hemorrhage is the most common cause of pregnancy death worldwide. Such deaths are tragic because they are considered preventable. The causes of postpartum hemorrhage can be remembered as relating to one or more of the “4 Ts”. By far the most common cause is uterine atony, followed by lacerations of the lower genital tract, and retained products of conception. Primary postpartum hemorrhage and secondary postpartum hemorrhage are two types of postpartum hemorrhage, which are discussed in this chapter. Amniotic fluid embolism is an extremely dangerous, almost untreatable condition in obstetrics and only definitively diagnosed at postmortem; recorded incidences range from 1 in 4,000 to 1 in 80,000 pregnancies. Uterine rupture, placental complications, pulmonary embolism (PE), and seizures are also provided in this chapter.

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