Q:

Maternal blood loss in the first 24 hours after delivery

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 Maternal blood loss in the first 24 hours after delivery.


  1. Is considered abnormal if it exceeds 600 ml.
  2. Is greater after a short than after a long labour.
  3. Is increased if part of the placenta is retained.
  4. May justify transfusion of unmatched AB Rh-positive blood.
  5. May, if excessive, impair anterior pituitary function.

All Answers

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A. True This is the threshold for post-partum haemorrhage.

B. False After a long labour, the uterine contractions which normally close off the mater-nal sinusoids may be less efficient.

C. True This also hinders sinusoidal compression.

D. False Blood group O Rh-negative (universal donor) may be used.

E. True This is a recognized complication (Sheehan’s disease).

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