Introduction: As per the WHO estimate, 287 000 maternal deaths occurred globally in the year 2010. Low resource countries like India (19%) and Nigeria (14%) accounted for third (96,000) of global burden. In India, postpartum hemorrhage was the leading cause, and in majority of women atonic PPH was the cause. Even though some risk factors like obstructed prolonged labor, accidental hemorrhage, and big babies are known to cause atonic PPH, it is not very clear why some women develop atonic PPH and why some women do not.
For the same reason this problem cannot be predictable . The only management strategy even today is ‘watchful expectancy’ and act immediately when the problem develops. Simpler techniques like uterine massage, uterotonics drugs, and uterine packing and balloon tamponade can be practiced in low resource settings. Techniques like B-Lynch suturing, stepwise…
