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Postpartum Hemorrhage Study Notes

Postpartum Hemorrhage Study Notes

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Postpartum Hemorrhage study notes(PPH) Definition of PPH • be defined as a blood loss exceeding 500ml after delivery of the infant • PPH: occurs in 24 hour of delivery • the late PPH: occurs after 24 hour of delivery to 6 weeks Major causes • Uterine atony (90%) • lacerations of the genital tract(6%) • retained placenta(3%-4%) • coagulation defects (blood dyscrasia) • (4T: tone, tissue,trauma,thrombin) 1. Uterine atony Local factors • overdistention of the uterine (hydramnios, multiple pregnancy, macrosomia ) • condition that interfere with contraction(leiomyomas) • complications(PIH,anaemia, placenta praevia Systemic factors: • nervous • drugs(magnesium sulfate,sedative) • abnormal labor(prolonged,precipitous) • History of previous PPH • Preeclampsia, abnormal placentation, patholo...

NMA – election 2019

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हामी एक्काईसाै सताप्दी मा जियिरहेको मान्छे। जात(natural recognition) भात(systemic influence)को कुरा त झन नदेखिनु पर्ने झन यो हाम्रो DSON मा। हेरौ यो NMA को चुनाब मा blind support हुन्छ कि हुदैन?🤔🤔🤔 why pannel system is used in election? हजुरहरु समक्ष्य comparative Study yo दुइता picture बात। १. मैले दुबै पक्ष्य का आदरणीय डाक्टर हरुलाइ ब्यक्तिगत रुप्मा चिन्दिन। चिनेन, तेसैले vote हाल्दा राम्रो नराम्रो अध्ययन गर्न पाइयो। २. let's compare puspa vs lochan, Shiva v/s Rakshya ,madhur v/s Badri, prakash v/s Sanji* kumar, and rest of members with rest .(age,sex,height, weight,family members,socioeconomy( caste religion and finance), past history, social treatment and reward history, obstretic(creativity) history and History of present existence followed by needed investigations) 3.eutaamaa समाबे...