Five women die every hour in India from complications due to postpartum hemorrhage (PPH). In India, PPH contributes to 38% of all maternal deaths with an estimated mortality of 140 000 per year. Timely emergency management is crucial to reduce maternal mortality in India. This article discusses FIGO and WHO guidelines for emergency management of PPH in excessive blood loss. Primary Postpartum hemorrhage (PPH) has been defined as blood loss ≥ 500 mL in a vaginal birth and ≥ 1L in a cesarean delivery within 24 hours of delivery.
Even with major advances in prevention of PPH, some women will still require treatment for excessive bleeding. Following is a summary of first line emergency recommendations for management of primary PPH. Management Protocol For PPH Call for help and set up an IV infusion using a large-bore cannula, and consider opening a second IV infusion. Give A Uterine Massage…
