Postpartum Hemorrhage

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Causes (Four T’s):

  1. Tone: Atony
    1. Pitocin
    2. Misoprostol: CI-allergy, SI-transient hyperthermia
    3. Methergine: CI-HTN, SE-HTN
    4. Hemabate: CI-asthma. SE-diarrhea
    5. Tamponade: bakri/utah balloons
  2. Trauma: Lacerations
  3. Tissue: Retained POC (placenta or membranes)
  4. Thrombin: Coagulopathy  
  5. Other: Involution
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