OB | Postpartum Complications
From STAT Stitch Deep Dive Podcast Beyond The Bedside by Regular Guy
April 7, 2026 · 59 min · Season 5
About this episode
This episode discusses postpartum hemorrhage, its causes, and emergency interventions.
https://statstitch.etsy.com Postpartum Hemorrhage (PPH) is a leading cause of maternal death, defined as blood loss ≥1000 mL or hypovolemic symptoms within 24 hrs of birth. The primary cause is uterine atony, a failure of the myometrium to contract, resulting in a boggy uterus. The 4 Ts of PPH: Tone (Atony): Restore tone via immediate bimanual fundal massage and uterotonics. Trauma: Lacerations or hematomas. Suspect trauma if bright red bleeding persists despite a firm uterus. Genital tears range from 1st to 4th degree (involving rectal mucosa). Tissue: Retained placenta (not expelled within 30 mins). Placenta Accreta Spectrum increases hemorrhage risk. Thrombin: Coagulopathies like Idiopathic Thrombocytopenic Purpura (ITP) and Von Willebrand Disease prevent clotting. Priority PPH Actions: Massage the fundus, quantify blood loss exactly (1g weight = 1mL blood), empty the bladder via catheter (distention displaces the uterus, worsening atony), and administer uterotonics. High-Yield Medications: Oxytocin: First-line uterotonic. Monitor for water intoxication. Methylergonovine: Uterotonic. Contraindicated in hypertension . Carboprost: Uterotonic. Contraindicated in asthma and…
People in this episode
Host: Regular Guy
Topics covered
- Postpartum Hemorrhage
- Maternal Health
- Uterine Atony
- Complications of Childbirth
- Emergency Interventions
- Medications for PPH
Keywords
- Postpartum Hemorrhage
- Uterine Atony
- Maternal Death
- Emergency Medications
- Blood Loss
- Coagulopathies
- Fundal Massage
Mentioned in this episode
Organizations: STAT Stitch Deep Dive Podcast
Products: Oxytocin, Methylergonovine, Carboprost, Misoprostol, Magnesium Sulfate, Calcium Gluconate, Terbutaline
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