Postpartum hemorrhage (PPH) after 20 wk gestation
Primary: Hemorrhage occurring ≤24 hr after delivery
Also known as early PPH
Secondary: Hemorrhage occurring >24 hr after delivery (b...
Ongoing blood loss, usually painless
Significant hypovolemia, resulting in:
Narrow pulse pressure
Decreased urine output
Cool, clammy skin
Poor capillary ref...
Patients with PPH may be hemodynamically unstable
IV access, and active resuscitation is important, considering both crystalloid and blood product resuscitation and closely following BP and m...
All patients with immediate PPH require admission to a closely monitored setting
Early obstetrics consultation is recommended
Early surgical intervention is depend...
Active over expectant management
Most deaths are due to delayed diagnosis and/or inadequate resuscitation with blood products
Uterotonics are the first line of treatment
Cabero Roura L, Keith LG. Post-partum haemorrhage: Diagnosis, prevention and management. J Matern Fetal Neonatal Med. 2009;22(suppl 2):38–45.
Hofmeyr GJ, Gülmezoglu AM. Mis...
666.00 Third-stage postpartum hemorrhage, unspecified as to episode of care or not applicable
666.10 Other immediate postpartum hemorrhage, unspecified as to episode of care
666.20 Delayed and...
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