POSTPARTUM HEMORRHAGE

Question 1

WHAT IS POSTPARTUM HEMORRHAGE

Answer 1

Postpartum hemorrhage (PPH) is excessive bleeding following childbirth, typically defined as blood loss of 500 ml or more after vaginal delivery or 1000 ml or more after a cesarean section

Question 2

MANAGEMENT OF PPH

Answer 2

LIE FLAT AND GIVE HIGH FLOR O2

MASSAGE UTERUS

BIMANUAL COMPRESSION

IV ACCESS - 2 LARGE BORE CANNULA

RAPID FLUID REPLACEMENT

CLINICAL OBS

ASSESS CAUSE

UTEROTONICS / TXA/ CARBOPROST/ MISOPROSTOL.

KEEP ALL SWABS , BEDDING ETC

BLOOD PRODUCTS

MECHANICAL AND SURGICAL MEASURES

TRANSFER TO CONSULTANT LED UNIT WITH A COURTESY CALL.

Question 3

CAN PARAMEDICS DO UTERINE MASSAGE IF PLACENTA IS STILL IN PLACE?

Answer 3

NO

Question 4

WHAT IS BIMANUAL UTERINE COMPRESSION ?

Answer 4

Bimanual uterine compression is a technique used to control postpartum hemorrhage, which involves applying pressure to the uterus using both hands.

Question 5

HOW IS BIMANUAL UTERINE COMPRESSION DONE?

Answer 5

The healthcare provider places one hand inside the vagina to support the uterus from below, while the other hand is placed on the abdomen to compress the uterus from above.

Question 6

WHAT DOES BIMANUAL UTERINE COMPRESSION DO?

Answer 6

This technique helps to stimulate uterine contraction and reduce bleeding by effectively compressing the blood vessels within the uterus.

Question 7

CAN PARAMEDICS DO BIMANUAL UTERINE COMPRESSIONS ?

Answer 7

IN SIMPLE NO