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.

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Editorial Information

Last reviewed: 30/11/2022

Next review date: 30/08/2027

Author(s): Julie Murphy.

Version: 2

Approved By: Gynaecology, Obstetrics & Neonatology Effectiveness Committee (GONEC)

Document Id: 597