Curriculum of Obstetrics
TOPIC 41
OTHER COMPLICATIONS OF THE THIRD STAGE OF LABOR
RATIONALE
In addition to hemorrhage, complications of the third stage of labor include retained placenta, shock in obstetrics, and acute inversion of the uterus. Physicians attend about 30 percent of deliveries in Egypt. Appropriate management of third stage of labor can achieve a measurable reduction in maternal mortality and morbidity. Accordingly, the knowledge and skills of graduates should be updated so that they know how to diagnose and manage complications of the third stage of labor.
GOAL
Recognize the types, diagnosis, and management of retained placenta, shock in obstetrics, and acute inversion of the uterus
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l Define retained placenta:
· List the causes
· Describe the clinical picture
· Outline the protocol of management
l Recognize shock in obstetrics:
· Define shock
· List the different types of shock in obstetrics
· Describe the management of each type of shock
l Recognize acute inversion of the uterus:
· Enumerate the causes
· Describe the clinical picture
· Outline the management
CONTENT
l Retained placenta:
· Definition of retained placenta
· Causes of retained placenta
· Clinical picture of retained placenta
· Management of retained placenta
l Shock in obstetrics:
· Definition of shock
· The different types of shock in obstetrics
· The management of each type of shock
l Acute inversion of the uterus:
· The causes
· The clinical picture
· The management
