Obstetric Hemorrhage | OBG | MBBS 4th Year | Farre Series | Dr. Prassan Sir | PW MedEd
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Obstetric Hemorrhage | OBG | MBBS 4th Year | Farre Series | Dr. Prassan Sir | PW MedEd
8 087 просмотров · Трансляция закончилась 9 месяцев назад
PW MedEd
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8 087 просмотров · Трансляция закончилась 9 месяцев назад
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Obstetric Hemorrhage | OBG | MBBS 4th Year | Farre Series | Dr. Prassan Sir | PW MedEd
In this lecture, Dr. Prassan discusses obstetric hemorrhage, highlighting it as the most common cause of maternal mortality in India. The video provides a detailed breakdown of Postpartum Hemorrhage (PPH), including definitions of significant blood loss and massive obstetric hemorrhage. The session explains the physiological mechanism of uterine contraction, often referred to as living ligatures, and the four Ts of PPH etiology: Tone, Trauma, Thrombin, and Tissue.
The doctor outlines the Active Management of the Third Stage of Labor (AMTSL) to prevent PPH, including the administration of oxytocin, delayed cord clamping, and uterine massage. Treatment protocols for PPH are covered, ranging from medical management with oxytocin, methylergometrine, and carboprost to surgical interventions like balloon tamponade and B-Lynch sutures. The lecture also covers Antepartum Hemorrhage, specifically distinguishing between Placenta Previa and Abruptio Placentae, providing management algorithms for various gestational ages.
Topics Covered:
Definition and statistics of maternal mortality and obstetric hemorrhage
Classification of PPH into primary and secondary types
Physiology of uterine contraction and hemostasis
Etiology of PPH using the 4 Ts mnemonic
Steps for Active Management of Third Stage of Labor (AMTSL)
Medical and surgical management of Postpartum Hemorrhage
Internal iliac artery ligation anatomy and principles
Clinical features and management of Placenta Previa
Diagnosis and treatment of Abruptio Placentae and Couvelaire uterus
00:00 - Intro
14:25 - Definition of postpartum hemorrhage
16:28 - Classification of hemorrhage severity
17:21 - Primary and secondary PPH
22:25 - Physiology of uterine contraction
24:16 - The 4 Ts of PPH
27:48 - Active management of third stage
34:00 - Resuscitation in PPH shock
40:23 - Drugs for PPH management
44:26 - Surgical interventions for PPH
46:19 - Internal iliac artery ligation
53:35 - Placenta previa clinical features
1:02:01 - Management of placenta previa
1:08:49 - Abruptio placentae clinical features
1:15:10 - Management of abruptio placentae
#ObstetricHemorrhage #PPH #APH #PlacentaPrevia #MBBS4thYear #FarreSeries #DrPrassanVij #PWMedEd #NEETPG2026 #Obstetrics #MaternalHealth #MBBSFinalYear #MedicalStudent
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