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Which of the following patients are at high risk for PPH (Postpartum Hemorrhage)?

a. Angela, a 29-year-old G7P5207, who delivered a term 6 lb 15 oz baby boy 4 hours ago and has been resting comfortably.

b. Monique, a 22-year-old G1P1, who was induced at 39 weeks and 5 days for polyhydramnios and delivered an 8 lb 13 oz baby girl 2 hours ago, sitting up in bed breastfeeding while eating lunch.

c. Sade, a 31-year-old G3P1203, who delivered vaginally 6 hours ago, then breastfed for an hour after delivery and is now ambulating the halls with her 7 lb 8 oz baby girl.

d. Sarah, a 32-year-old G1P1, admitted from OB triage 34 hours ago at 6/80/0, who delivered a 7 lb 14 oz baby boy after pushing for 3 hours, taking a nap while the baby sleeps.

e. Megan, a 25-year-old G3P2012, who delivered in OB triage 45 minutes after arriving to the floor, now resting comfortably 2 hours later.

Answer :

Final answer:

Patients like Sade, a G3P1203 mother, who ambulate and breastfeed soon after delivery, are at high risk of postpartum hemorrhage due to increased uterine activity. Risk factors include prolonged labor and delivering large babies.

Explanation:

Postpartum hemorrhage (PPH) is a significant concern after childbirth, characterized by excessive bleeding. Patients at high risk for PPH include those like Sade, a 31-year-old G3P1203, who delivered vaginally, then breastfed and ambulated soon after delivery, as these activities can contribute to increased risk of bleeding due to uterine atony.

Other factors contributing to PPH risk can include prolonged labor, giving birth to large babies, and multiple pregnancies, all seen in the scenarios provided for Angela, Monique, Sarah, and Megan, but Sade's immediate activities post-delivery put her at particularly high risk.

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