Post Partum Haemorrhage, Management (597)
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Primary Postpartum Haemorrhage (PPH) is the most common form of major obstetric haemorrhage. The most recent Confidential enquiry reported 6% of all maternal deaths were as a result of bleeding. Obstetric haemorrhage is common but with prompt recognition and management maternal morbidity and mortality can be avoided. Recognition of risk factors, multi-disciplinary team working and good communication are all recognised factors which improve outcomes in cases of major obstetric haemorrhage. The following recommendations reduce morbidity and mortality;
- Identification of high risk groups and instituting measures to prevent/minimise post partum haemorrhage.
- Appropriate counselling about place of delivery of there are any risk factors identified for PPH
- Clear and timely communication between surgical, anaesthetic and haematology/blood transfusion services.
- Prompt resuscitation and supportive measures including replacing the blood loss.
- Investigating the cause for and arresting the haemorrhage.
- Instituting appropriate monitoring.