Ensure bloods are collected for blood group, cross match and hold.Also consider clinical signs and symptoms of hypovolemia, speed of blood flow, the woman’s prior haemoglobin.Note that weight alone is also subject to error as weighed amount may include liquor. Weighing all blood loss is recommended as a good practice point when a PPH occurs (1ml of blood equals 1 gram).Visual estimates of blood loss have been found to be inaccurate.Ongoing assessment of blood loss is vital (accumulative total).Escalate and involve senior clinical assistance in a timely manner.Effective management of PPH requires the prompt recognition of the situation, escalation, effective communication, resuscitation, monitoring, investigation and direct treatment of the underlying cause.Thrombin (1 per cent), blood clotting disorders, inherited or acquired including Disseminated intravascular coagulation (DIC).Tissue (10 per cent), retained products of conception, invasive placenta.Trauma (19 per cent), cervical, vaginal or perineum, pelvic haematoma, uterus.Tone (70 per cent), atonic uterus, distended uterus, uterine muscle exhaustion.PPH is an obstetric emergency - SUMMON HELP IMMEDIATELY. can be given before or after delivery of the placenta.must be given after delivery of the baby. ![]()
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