Question

Andrea is a multiparous woman (6-5-1-0-7) who gave birth to full-term twins vaginally 1 hour ago. Oxytocin (Pitocin) was used to augment her labor when hypotonic uterine contractions protracted the active stage of her labor. Special forceps were used to assist the birth of the second twin. Currently her vital signs are stable; her fundus is at the umbilicus, midline and firm; and her lochial flow is moderate to heavy. What factors have increased this patient’s risk for postpartum hemorrhage and why?

Answer 1

Answer: The hypotonic uterine contractions could be the cause of increased risk for postpartum hemorrhage. This causes irregular and infrequent contractions which may cause problems. The patient' risk for postpartum hemorrhage occurs usually due to more various factors such as pregnancy induced hypertension. The another factor is that here the women is multiparous, that means she already have given birth multiple times.