Postpartum hemorrhage (PPH)
- Uterine massage + oxytocin are first-line for atony
- Add uterotonic based on contraindications
- Tranexamic acid early reduces bleeding death
- Evaluate retained placenta, laceration + coagulopathy
- Balloon tamponade/procedure if medications fail
- Massive hemorrhage needs balanced transfusion/resuscitation
Use at a glance
- Uterine massage + oxytocin are first-line for atony
Safety / pitfalls
- Add uterotonic based on contraindications
Practical pearls
- Tranexamic acid early reduces bleeding death
- Evaluate retained placenta, laceration + coagulopathy
Choosing treatment
- Balloon tamponade/procedure if medications fail
- Massive hemorrhage needs balanced transfusion/resuscitation
Self-check
- What is first-line treatment for uterine atony in postpartum hemorrhage?
Uterine massage + oxytocin.
- What does massive postpartum hemorrhage require?
Balanced transfusion/resuscitation.
Drugs used for this (5)
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