POSTPARTUM HEMORRHAGE Flashcards
WHAT IS POSTPARTUM HEMORRHAGE
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
MANAGEMENT OF PPH
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.
CAN PARAMEDICS DO UTERINE MASSAGE IF PLACENTA IS STILL IN PLACE?
NO
WHAT IS BIMANUAL UTERINE COMPRESSION ?
Bimanual uterine compression is a technique used to control postpartum hemorrhage, which involves applying pressure to the uterus using both hands.
HOW IS BIMANUAL UTERINE COMPRESSION DONE?
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.
WHAT DOES BIMANUAL UTERINE COMPRESSION DO?
This technique helps to stimulate uterine contraction and reduce bleeding by effectively compressing the blood vessels within the uterus.
CAN PARAMEDICS DO BIMANUAL UTERINE COMPRESSIONS ?
IN SIMPLE NO