Prenatal assessment and planning | ||
| ||
Low | Medium | High |
≤4 previous SVD | Hgb <8 g/dL | Placenta previa |
Singleton | Platelets <100,000/microL | Suspected placenta accreta |
<2 prior CD | ≥3 prior CD or previous myomectomy | Abruption |
No previous PPH | >4 vaginal births | Coagulopathy |
No known bleeding disorder | Chorioamnionitis | |
Magnesium sulfate use | ||
Multiple gestation | ||
Large uterine fibroids | ||
EFW >4250 g | ||
Black race | ||
History of PPH | ||
Severe obesity (BMI >40 kg/m2) |
Oxytocin preparation: 30 international units in 500 cc solution. 167 cc = 10 international units.
Low:Medium:
Medium "plus" (>1 medium risk factor):
High:
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