POSTPARTUM HEMORRHAGE

postpartum hemorrhage is the?

severe bleeding after childbirth

What is the leading cause of maternal mortality?

Postpartum hemorrhage is the leading cause; Each year, about 14 million women experience PPH resulting in about 70,000 maternal deaths globally. (WHO, 2023).

how many blood is loss for Vaginal Postpartum hemorrhage?

500mL blood loss

how many blood is loss for Cesarean Postpartum hemorrhage?

1000mL blood loss

2 types of postpartum hemorrhage?

1. Primary (Early) PPH:

2. Secondary (Late) PPH:

What is Primary PPH?

Occurs within 24 hours after birth.

Causes: Uterine atony, lacerations, retained placenta, uterine rupture.

What is Secondary PPH?

Occurs after 24 hours up to 6 weeks postpartum.

Causes: Retained placenta, poor uterine involution, infection.

4 T's of PPH?

1. Tone

2. Tissue

3. Trauma

4. Thrombin

What is Tone?

Uterine atony (most common cause)

What is Tissue?

Retained placenta or clots

What is Trauma?

Lacerations, uterine rupture, hematoma, uterine inversion

What is Thrombin?

Coagulation disorder; development of disseminated intravascular coagulation (DIC)

Hallmark symptom of PPH?

Excessive vaginal bleeding

Because of Hypovolemia PT will experience Hypotachytachy which is?

- Hypotension

- Tachypnea

- Tachycardia

LABORATORY AND DIA TEST for PPH?

CBC (COMPLETE BLOOD COUNT)

What is Bimanual compression?

is a technique where one hand compresses the uterus from inside the vagina while the other presses from the abdomen to control postpartum bleeding.

What is Manual Removal of retained placenta?

is the procedure of using a gloved hand to detach and remove the placenta from the uterine wall when it fails to deliver naturally.

What is Uterine Tamponade?

is the insertion of a balloon or packing inside the uterus to apply pressure and stop severe postpartum bleeding.