Trauma and thrombin considerations

Jessica covers genital/cervical trauma and clotting disorders, noting TXA's role for thrombin issues.

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Episode notes

In this episode of the PFC Podcast, Dennis interviews Jessica, known as the Combat Midwife, who shares her extensive experience in both paramedicine and midwifery. The conversation delves into the critical issues surrounding postpartum hemorrhage, the mismanagement of obstetrics, and the importance of proper labor management. Jessica emphasizes the need for understanding the physiological process of birth and the risks associated with unnecessary interventions. She also discusses the significance of positioning during labor, the delivery of the placenta, and the risks of infection postpartum. Additionally, Jessica introduces the resources available for further education in maternal care.

Takeaways

Jessica is both a paramedic and a midwife.

Postpartum hemorrhage is a leading cause of maternal death.

Mismanagement in obstetrics often leads to complications.

Birth is a natural physiological process that should not be micromanaged.

Less than 10% of births require medical intervention.

Proper positioning during labor is crucial for a successful delivery.

The delivery of the placenta should be handled with care to avoid complications.

Postpartum care is essential to prevent infections and other issues.

The Combat Midwives Emergency OB Kit is designed for use in austere environments.

Education and resources are available for those interested in maternal care.

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