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Postpartum hemorrhage Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Postpartum hemorrhage. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long after the delivery of the baby did the heavy vaginal bleeding start?

    Why: Primary postpartum hemorrhage occurs within 24 hours after the delivery. Secondary postpartum hemorrhage occurs between 24 hours and six weeks after the delivery of the baby.

  2. How heavy is the vaginal bleeding?

    Why: e.g. postpartum hemorrhage indicates that the vaginal blood loss is greater than 500ml.

  3. Details of the pregnancy, labour and delivery?

    Why: e.g. there is an increased risk of postpartum hemorrhage with prolonged labour, obstructed labour, forceps delivery, attempted vaginal birth after a caesarian section (VBAC), inverted uterus, having given birth to more than 5 babies in the past, the presence of excessive amounts of amniotic fluid during pregnancy, multiple pregnancies such as twins or triplets, large baby, vaginal hemorrhage during the pregnancy due to either placental abruption or placenta praevia; placental abruption, amniotic fluid embolus, intrauterine fetal death increases the risk of subsequent coagulation/clotting defects.

  4. Was oxytocic medication given to the mother after the birth of the shoulder of the baby?

    Why: e.g. syntometrine intramuscular injection stimulates the contraction of the uterus and helps reduce the rate of postpartum hemorrhage.

  5. Was the placenta complete on delivery?

    Why: Retained products of conception and retained placenta is a common cause of postpartum hemorrhage.

  6. Was the uterus "rubbed up" after the placenta was expelled?

    Why: "Rubbing up" the uterus stimulates contraction of the uterus and reduces the risk of postpartum hemorrhage.

  7. Was the birth canal and perineum inspected after the birth for lacerations and tears?

    Why: lacerations or tears may be the cause of primary postpartum hemorrhage.

  8. Past obstetric history?

    Why: e.g. there is an increased risk of postpartum hemorrhage if there is a history of previous postpartum hemorrhage or previous manual removal of placenta in an earlier pregnancy.

  9. Past medical history?

    Why: e.g. fibroids (benign tumors in the uterus) increase the risk of postpartum hemorrhage.

  10. Medications?

    Why: e.g. anesthesia with ether or halothane during delivery may increase the risk of postpartum hemorrhage; uterine relaxing agents such as ritodrine and terbutaline increase the risk of postpartum hemorrhage.

  11. Family history of bleeding symptoms/ bleeding disorders?
  12. Easy bruising?

    Why: purpura ( multiple small hemorrhages into the skin or mucous membranes); petechiae (small pinhead size purpura); ecchymoses ( large purpura) - May indicate a bleeding disorder.

  13. Offensive smelling vaginal discharge?

    Why: may indicate endometritis (infection of the lining of the uterus) which may cause secondary postpartum hemorrhage.

  14. Fever?

    Why: may indicate endometritis (infection of the lining of the uterus) which may cause secondary postpartum hemorrhage.

Conditions listing medical symptoms: Postpartum hemorrhage:

The following list of conditions have 'Postpartum hemorrhage' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Postpartum hemorrhage or choose View All.

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Conditions listing medical complications: Postpartum hemorrhage:

The following list of medical conditions have 'Postpartum hemorrhage' or similar listed as a medical complication in our database.

 

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