Postpartum haemorrhage (PPH) is defined as a blood loss of 500 ml or more within 24 hours after birth. It is classified into two types: primary (occurs within 24 hours of delivery) and secondary (or delayed, occurs from 24 hours to 12 weeks postpartum).
PPH is a leading cause of maternal mortality worldwide, especially in low- and middle-income countries.
The incidence varies but is estimated to affect 1% to 5% of deliveries.
Previous history of PPH
Prolonged labour or rapid labour
Uterine atony (failure of the uterus to contract after delivery)
Active Management of the Third Stage of Labour (AMTSL): Involves the administration of a prophylactic uterotonic, controlled cord traction, and uterine massage after delivery of the placenta to prevent PPH.
Risk Factor Identification: Early identification and management of risk factors during antenatal care and labour.
Postpartum haemorrhage (PPH) is a significant cause of maternal morbidity and mortality, demanding prompt recognition and management. Understanding the risk factors, pathophysiology, and effective management strategies for PPH is crucial for medical students and healthcare professionals. The primary goal in managing PPH is to quickly identify the cause and implement appropriate interventions to control bleeding and stabilise the patient.