POST PARTUM HAEMORHAGE BY Francis Mitungwi Joseph Kasola Samuel Simfukwe.

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Presentation transcript:

POST PARTUM HAEMORHAGE BY Francis Mitungwi Joseph Kasola Samuel Simfukwe

TODAY’S WORDS OF WISDOM

OBJECTIVES By the end of the presentation, participants will be able to: 1. Define PPH. 2. List risk factors of PPH. 3. List causes of PPH. 4. Prevent PPH.

DEFINITION  Bleeding more than 500mls following vaginal delivery and 1000mls following c/s.  Constant trickling of blood after delivery  Blood loss sufficient to cause hemodynamic instability.  It is unpredictable – be prepared!

PPH RISK FACTORS  Preeclampsia.  Nulliparity.  Multiple gestation.  Previous Cesarian section  Prolonged third stage (>30min)  Assisted delivery.  Grand multiparity.  Placenta prevea.  Polyhydramnious.  Episiotomy.

CAUSES OF PPH Commonly known as 4Ts Arranged according to frequency  Tone (70%)  Trauma (20%)  Tissue (9%)  Thrombin (1%)

PPH PREVENTION  Treat anaemia during prenatal care.  Avoid routine episiotomy  Actively manage third stage of labour  Re-examine after completing delivery paperwork.  Give Misoprostol 600 mcg po to every woman with risk factor of PPH after the active management of third stage of labour

TEAM WORK NEEDED IN PPH