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osmosis.org
THE 4 T’s OF POSTPARTUM HEMORRHAGE PPH is one of the highest-yield OB emergencies for NCLEX, and the 4 T’s make it easy to remember the major causes. Tone - uterine atony (MOST COMMON) The uterus won’t contract, and a boggy uterus means bleeding. First move? Fundal massage. Oxytocin if needed. Tissue - retained placenta or clots Pieces left inside prevent the uterus from clamping down. You’ll see a firm but not fully contracted uterus and continued bleeding. Trauma - lacerations, hematomas, uter
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