Third stage complications 2023
The document is a lecture note by Professor Lanka Dasanayake from the Department of Obstetrics & Gynaecology at the Faculty of Medicine, University of Ruhuna in Galle, Sri Lanka. The lecture focuses on third-stage complications in obstetrics and gynecology. It outlines the following complications:
1. Postpartum hemorrhage (PPH)
2. Retained placenta
3. Acute uterine inversion
4. Obstetric anal sphincter injury (OASI)
5. Maternal collapse
The document also emphasizes the importance of teamwork in managing these complications, with different roles assigned to various healthcare professionals.
Specific management strategies are provided for each complication, such as the use of oxytocin, controlled cord traction, and manual removal of the placenta for retained placenta. It also discusses the risk factors, clinical features, diagnosis, and management goals for acute uterine inversion, including surgical options and the prevention of recurrent inversion.
Additionally, the document mentions potential causes of postpartum collapse, such as amniotic fluid embolism, pulmonary venous embolism, and cardiac issues, and provides references for further reading.
