What is Postpartum Hemorrhage?
Postpartum hemorrhage (PPH) is defined as excessive bleeding after childbirth. It is a significant cause of maternal morbidity and mortality worldwide. PPH is typically classified as bleeding in excess of 500 ml after vaginal delivery or more than 1000 ml following a cesarean section.
Tone: Uterine atony, where the uterus fails to contract effectively.
Trauma: Injury to the birth canal, including lacerations or uterine rupture.
Tissue: Retained placental fragments that prevent the uterus from contracting.
Thrombin: Coagulopathies or blood clotting disorders.
Uncontrolled bleeding
Decreased blood pressure
Increased heart rate
Swelling and pain in the vaginal or perineal area
Signs of shock, such as pale skin, dizziness, and confusion
Monitoring vital signs and blood loss
Administering medications as prescribed
Performing uterine massage and assisting with other interventions
Providing emotional support to the patient and family
Communicating effectively with the healthcare team
Active management of the third stage of labor (AMTSL)
Early identification and management of risk factors
Ensuring availability of
trained healthcare professionals and resources
Educating patients about the signs and symptoms of PPH