Post-partum women having bleeding within 24 hrs after delivery is called:

Appeared in: AIIMS Delhi NO- 2019

Explanation

Primary Postpartum Hemorrhage (PPH) is defined as excessive bleeding from the genital tract occurring within the first 24 hours after childbirth.
This term is the correct general classification for any significant bleeding in this immediate postpartum period, regardless of the cause or the status of the placenta.
The question specifies a timeframe of 'within 24 hrs after delivery,' which directly corresponds to the definition of Primary PPH.

Option B: Secondary PPH, also known as late or delayed PPH, is incorrect because it is defined as excessive bleeding that occurs after 24 hours and up to 12 weeks postpartum.
Option C: Third stage hemorrhage is a specific subtype of Primary PPH. It refers to bleeding that happens during the third stage of labor, which is before the placenta has been delivered.
Option D: True post-partum hemorrhage is another specific subtype of Primary PPH. It refers to bleeding that occurs after the placenta has been delivered.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of Postpartum Hemorrhage (PPH) as background academic context rather than a clinical decision trigger.
Recognizing the type of PPH is critical for nurses as it guides immediate management. For Primary PPH, the priority is to assess for uterine atony (the most common cause) and initiate fundal massage.
A nurse's rapid assessment of vital signs (tachycardia, hypotension), uterine tone, and amount of bleeding is crucial for early intervention and preventing hypovolemic shock.
What if? If the bleeding started 48 hours after delivery, it would be classified as Secondary PPH. The management would then focus on investigating for retained products of conception or infection, rather than primarily uterine atony.

How to Approach the Question

First, identify the key terms in the question: 'post-partum', 'bleeding', and 'within 24 hrs'.
This is a definition-based recall question. Access your knowledge about the classifications of postpartum hemorrhage.
Recall that PPH is classified based on timing. Bleeding within 24 hours is 'Primary PPH', and bleeding after 24 hours is 'Secondary PPH'.
Evaluate the options. 'Primary PPH' directly matches the 24-hour timeframe given in the question.
Recognize that 'Third stage hemorrhage' and 'True post-partum hemorrhage' are more specific subtypes of Primary PPH, making 'Primary PPH' the best and most general correct answer.

Concept Tested & Keywords

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 65-79

Practise the full AIIMS Delhi NO- 2019

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