- T - trauma - e.g laceration of cervix, uterus
- T - tissue - e.g retained placental tissue, placenta accreta
- T - tone - e.g atonia / hypotonia of uterus
- T - thrombosis - e.g coagulopathy
Any mistakes, jz correct me.
Sunday, 22 June 2008
4 Ts - for postpartum hemorrhage (PPH)
To remember causes of PPH, just gotta remember 4 Ts
Any mistakes, jz correct me.
Any mistakes, jz correct me.
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7 comments:
I love mnemonics!
Err just some input: thrombosis and coagulopathy is opposite to each other rite?=p should correct that.
And 4T's idea is good, but it's even better if u arrange it in a way from the commonest cause to the least: e.g.
1. Tone (75% of cases)
2. Tissue (15%)
3. Trauma (5-10%)
4. Takes too long to clot
(That is if u wanna stick to 4T lol. Otherwise the last one i'll just remember as coagulopathy tat's it.)
Hope it helps!=)
Thanks Darren :-)..Initially put 'thrombosis' as to keep it short n simple.lol Thanks for the suggestion. Will post the modified version now:-D.
actually, i would put tone 1st because uterine atony is responsible for 70% of postpartum hemorrhages
The 4 Ts does work, the last one is...
thrombophilia!
So it's:
1. Tone
2. Tissue
3. Trauma
4. Thrombophilia
You do know that 'thrombophilia' is a HYPER coagulable state, don't you?! Anyway, I like yours Darren, "Takes too long to bleed"...
Hey :-)
I'm a midwifery student and we get taught the last 'T' as thrombin as it is required to clot
trombocytopenia - decrease platelets
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