Modified Early Warning Signs in Postpartum Modified Early

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Tissues Tone มดลกหดรดตวไมด Polyhydramnios Multiple gestation Fetal macrosomia Rapid labour Prolonged labour Trauma การฉกขาดของชองคลอด และฝเยบ Precipitate delivery รกและชนสวนของรกคาง Retained pieces of placenta High parity Fever Prolong PROM Uterine fibroid Uterine anomaly Previous uterine surgery Abnormal placenta on U/S )Placenta previa, Placenta accreta( 4 Ts ปากมดลก Operation delivery Malposition Deep engagement of presenting part Fundal placenta Thrombin การแขงตวของเลอดผดปกต History of hereditary coagulophaties History of liver disease Therapeutic anticoagulation Preexisting diseases )Hemophilia A, Von Willebrand’s disease( Acquired in pregnancy )ITP, Thrombocytopenia with preeclamsia(

Early management • Check placenta and membranes • IV fluid • Blood transfusion