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Oxytocin is the most effective treatment for postpartum hemorrhage, even if already used for labor induction or augmentation or as part of AMTSL. 8, 23, 24 The choice of a second-line uterotonic...
Postpartum hemorrhage (PPH) is severe vaginal bleeding after childbirth. It’s a serious condition that can lead to death. Other signs of postpartum hemorrhage are dizziness, feeling faint and blurred vision. PPH can occur after delivery or up to 12 weeks postpartum. Early detection and prompt treatment can lead to a full recovery.
The definitive treatment for postpartum hemorrhage is a hysterectomy. A peripartum hysterectomy is associated not only with permanent sterility but also an increased surgical risk with a higher risk of bladder and ureteral injury.
This topic will present an overview of major issues relating to PPH. Clinical use of specific medical and minimally invasive interventions, and surgical interventions at laparotomy, for management of PPH are discussed separately.
• Oxytocin given between delivery of the infant and the placenta is the most effective intervention to prevent postpartum hemorrhage. • Tranexamic acid given within three hours of vaginal...
The purpose of this document is to update key concepts in the management of postpartum hemorrhage (PPH) and give clear and precise tools to health personnel in low- and middle-income countries (LMICs) to perform evidence-based treatments, with the aim of reducing related maternal morbidity and mortality.
Mayo Clinic practitioners treat atony with IV fluids and uterotonics such as misoprostol, carboprost and oxytocin, which has proved effective as a solo first line treatment, according to a 2020 Cochrane Database of Systematic Reviews publication.
Additional important secondary sequelae from hemorrhage exist and include adult respiratory distress syndrome, shock, disseminated intravascular coagulation, acute renal failure, loss of fertility, and pituitary necrosis (Sheehan syndrome).
Postpartum hemorrhage is blood loss of > 1000 mL or blood loss accompanied by symptoms or signs of hypovolemia within 24 hours after childbirth. Diagnosis is clinical. Treatment depends on etiology of the hemorrhage.
Options include: temporary compressive measures; uterine tamponade; uterine artery embolization; surgical interventions, with hysterectomy sometimes necessary as a life-saving intervention.