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POST PARTUM HAEMORHAGE

POST PARTUM HAEMORHAGE. BY Francis Mitungwi Joseph Kasola Samuel Simfukwe. YOU HAVE TWO CHOICES IN LIFE STAY SINGLE AND BE MISERABLE OR GET MARRIED AND WISH YOU WERE DEAD. TODAY’S WORDS OF WISDOM. OBJECTIVES. By the end of the presentation, participants will be able to:

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POST PARTUM HAEMORHAGE

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  1. POST PARTUM HAEMORHAGE • BYFrancis MitungwiJoseph KasolaSamuel Simfukwe

  2. YOU HAVE TWO CHOICES IN LIFE STAY SINGLE AND BE MISERABLE OR GET MARRIED AND WISH YOU WERE DEAD TODAY’S WORDS OF WISDOM

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

  4. 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!

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

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

  7. 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

  8. TEAM WORK NEEDED IN PPH

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