OBSTETRICS -by Dr.V.VIBINRAJAN
1. OBSTETRIC- HAEMORRHAGE Any kind of Heavy bleeding ( pregnancy) in a parturient during pregnancy, child birth, or in the postpartum period from vagina TWO TYPES ANTEPARTUM HAEMORRHAGE - Any cause of bleeding from genital tract after 28 week of pregnancy POSTPARTUM HAEMMORHAGE - Any cause of bleeding from genital tract after delivery MCC of MMR in INDIA POSTPARTUM HAEMMORHAGE (PPH): more than 500ml blood loss in normal delivery more than 1000ml blood loss in Cesaerian delivery Mild PPH - b/w 500ml to 1000ml blood loss MODERATE PPH - b/w 1000 ml to 2000ml blood loss SEVERE PPH - more than 2000ml blood loss MASSIVE OBSTETRIC HAEMMORHAGE - more than 1500ml blood loss or loss of haemoglobin > 4gm % is PPH Any cause of bleeding from genital tract that reduce haemoglobin by 1gm % is PPH PPH types: PRIMARY PPH: h