Following bleeding scenarios amount to PPH under the latest WHO document
- Blood loss >500 mL in c/o Vaginal delivery
- Blood loss > 1 L in c/o C Section + in c/o twins
- Blood loss > 1.5 L in c/o Hysterectomy
- Blood loss on any case more than what is expected over a period of 24 hours
Following bleeding scenarios amount to PPH as per the latest ACOG recommendations
- Blood loss equal to or more than 1 L irrespective of mode of delivery
- Bleeding with signs and symptoms of hypovolemia
Updates in Management of PPH
- Uterine massage is added along with uterotonics
- PGE1 if given Per Rectally (not recommended), 1000 micrograms is advised
- Inj Tranexamic Acid is recommended in all bleeding diasthesis - 1 gram slow IV (over 20 minutes)
- Mechanical Devices allowed
- Sengstaken Blakemore Catheter
- Bakri Balloon Catheter
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