determine
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the most effective way to prevent post partum hemorrhage is
a-i.v oxytocine
b-utrine massage
c-i.v methargin
d-early breast feeding
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| babli
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C
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| achilles
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c- iv methergin
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| srf
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b
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| determine
Forum Guru
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Totally mixed up! The given answer is d. So is that another wrong answer? what about a?
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| yasmeen
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NO ITS NOT WRONG ITS D. THIS IS WHY EARLY BREASTFEEDING IS SO IMP
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| yasmeen
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BREAST FEEDING LEADS TO RELEASE OF MATERNAL OXYTOCIN I,M SURE U KNOW THIS
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| determine
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Thanks yasmeen
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| msyamp
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i think A is the answer.
http://www.hawaii.edu/hivandaids/Preventing Postpartum Hemorrhage in Low-Resource Settings.pdf
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| karusmle
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i remember reading somewere as d.........
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| AAAAA
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MCC likes beastfeeding.
Also most post-partum women got discharged in less than 24 hours, PPH can develop as late as 8 days post-partum.
The question is how do you prevent ? prevent, prevent prevent
The question did not ask you how to treat, treat, treat
So breastfeeding is correct when the patient went home
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| yasmeen
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AAAA ALL CHOICES R EMPLOYED TO PREVENT PPH
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| AAAAA
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Thanks Yasmeen.
I also appreciate MCC to recommend grandmom approach to tackle complicated medical problems.
Would I recommend breast feeding now to Mom? you bet
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| yasmeen
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LIKE I SAID BEFORE BREAST FEEDING IS MOST EFFECTIVE WAY TO PREVENT PPH
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| AAAAA
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Thank yasmeen, an excellent OBGYN good luck to you to find a slot for OBGYN program
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| jinxed131
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i dont believe what u guys are talking....come on....which book says breast feeding is a definitive way to prevent pph...it is right that question says the word prevent...but it also says most effective...breast feeding is never the most effective way....it is always iv oxytocin...iv oxytocin is routinely used to prevent pph
and one more thing...pph mostly occurs just after delivery ..due to uterine atony..it is an acute process ...it can cause death ....it is not something which will start a week after mother is sent home..( it can ...rarely ...but it is an exception...not a rule ).so preventing pph AFTER MOTHER is send HOme And .....with Breast Feeding ....it is really absurd....
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| juanma0
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By elimination A is wrong because oxytocin can be a cause of postpartum hemorrhage and it is the 2nd thing to do in the management. C. is probably 3rd in management and not useful for prevention. So we´re left with b and d. Remember that postpartum hemorrhage is not a diagnosis, it has many causes, the most common being placenta accreta (wiliams ob 22nd ed). The supposed mxm of breastfeed is increased oxyotcin stimulation leading to a more contracted uterus, not helpful in placenta accreta but is in uterine atony. If the bleeding occurs after 24 hours it is deemed Late post partum hemorrage, which has other etiolgies. I go for fundal massage, it is the 1st step in management and not only that it is the most effective, and is done after every delivery (remeber you´re OB/GYN rotations). This test evaluates most commons lets not get side tracked. I am open to more solid evidence on the breastfeeding.
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| jinxed131
Forum Junior
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u are right ...first step is massage second is iv oxytocin third is ergots fourth is prostaglandings...fifth is bilateral uterine artery ligation...sixth is bilateral internal iliac a ligation and seventh is hysterectomy
for prevention... first is message second is iv oxytocin...both are given for prevention...
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| elissa
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What's the correct answer please?
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