Perineal tears

Institution University
Course BACHELOR OF SCIENCE...
Year 1st Year
Semester Unknown
Posted By stephen oyake rabilo
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Description

Perineal tears are injuries that occur in the perineal area (the region between the vaginal opening and the anus). • They are classified based on their severity and the structures involved. Risk factors • Large baby (macrosomia) • Instrumental delivery (forceps or vacuum) • Primigravida • Prolonged second stage of labour • Shoulder dystocia • Previous perineal tears
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Postpartum Hemorrhage (PPH)
PPH Refers to excessive bleeding from the genital tract after birth of the baby, up to 6(six) weeks or 42 days postpartum. Description • Excessive bleeding from the birth canal after 2ndstage of labour and within the puerperium period. • It amounts to 500 ml or more, or any volume that causes deterioration of maternal condition.
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Rupture of the Uterus
• Rupture of the uterus is a serious complication, which should not occur in today’s obstetric care where there is good prenatal and intra partum care. • Its is one of the most serious complications in midwifery & obstetrics. • It is often fatal for the foetus & may also be responsible for the death of the mother • It remains a significant problem worldwide. However, with effective antenatal and intrapartum care, some cases may be avoided.
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Primary Post Partum Hemorrhage
Primary (Immediate) PPH Definition • It’s excessive bleeding occurring during 3 rd stage or any time within the first 24 hours of delivery. Major causes • Uterine atony or atonic uterus (Tone /tissue = 70% ) • Trauma along the genital tract. ( Trauma = 20% ) • Blood coagulation disorder. ( Thrombin = 1% ) (4 Ts – Tone, Tissue, Trauma, Thrombin)
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AMNIOTIC FLUID EMBOLISM
It is a rare condition, but highly fatal. (5th most common cause of maternal mortality.). It is a severe obstetrical emergency which occurs either as the first stage ends, though rare, or shortly after separation of the placenta. In either situation, the uterus is injured (torn) or uterine sinuses do not close instantly. So some amniotic fluid is forced into the maternal circulation by the strong uterine contractions hence embolism.
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