What Pph Protocol Or Screening Is Used In Ethiopia?

How do you monitor PPH?

The first diagnosis of PPH is performed by observing the amount of blood loss and the patient’s clinical status. The amount of blood loss, the patient’s level of consciousness and vital signs are continually assessed. Photospectometry is the gold standard blood loss measurement technique due to its accuracy.

How is postpartum hemorrhage measured?

Tests used to diagnose postpartum hemorrhage may include:

  1. Estimation of blood loss (this may be done by counting the number of saturated pads, or by weighing of packs and sponges used to absorb blood; 1 milliliter of blood weighs approximately one gram)
  2. Pulse rate and blood pressure measurement.

What are the types of postpartum hemorrhage?

Postpartum hemorrhage can be divided into 2 types: early postpartum hemorrhage, which occurs within 24 hours of delivery, and late postpartum hemorrhage, which occurs 24 hours to 6 weeks after delivery. Most cases of postpartum hemorrhage, greater than 99%, are early postpartum hemorrhage.

What is primary PPH?

Primary postpartum haemorrhage ( PPH ) is loss of blood estimated to be >500 ml, from the genital tract, within 24 hours of delivery (the most common obstetric haemorrhage): Minor PPH is estimated blood loss of up to 1000 mls. Major PPH is any estimated blood loss over 1000 mls.

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What causes PPH?

Uterine atony. This is the most common cause of PPH. It happens when the muscles in your uterus don’t contract (tighten) well after birth. Uterine contractions after birth help stop bleeding from the place in the uterus where the placenta breaks away.

What are the 4 T’s of PPH?

As a way of remembering the causes of PPH, several sources have suggested using the ā€œ 4 T ‘ sā€ as a mnemonic: tone, tissue, trauma, and thrombosis.

Who is at risk for postpartum hemorrhage?

Risk factors for postpartum hemorrhage among the deliveries were: fetal macrosomia (over 4000 g); pregnancy-induced hypertension; pregnancy generated by assisted reproductive technology; severe vaginal or perineal lacerations; and weight gain over 15 kg during pregnancy.

What does hemorrhaging feel like?

Signs of very severe hemorrhaging include: very low blood pressure. rapid heart rate. sweaty, wet skin that often feels cool to the touch.

What is the most common cause of postpartum hemorrhage?

Uterine atony is the most common cause of postpartum hemorrhage.

What are 3 types of hemorrhage?

Blood loss

  • Class I Hemorrhage involves up to 15% of blood volume.
  • Class II Hemorrhage involves 15-30% of total blood volume.
  • Class III Hemorrhage involves loss of 30-40% of circulating blood volume.
  • Class IV Hemorrhage involves loss of >40% of circulating blood volume.

What are the 4 types of bleeding?

In general, there are 3 types of bleeding: arterial, venous, and capillary. As you might expect, they are named after the three different types of blood vessels: the arteries, veins, and capillaries. The 3 types of bleeding injuries have different characteristics. Arterial bleeding is usually the most severe.

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How do you manage primary PPH?

Procedures used in PPH management include manual removal of the placenta, manual removal of clots, uterine balloon tamponade, and uterine artery embolization. Laceration repair is indicated when PPH is a result of genital tract trauma.

What is the difference between primary and secondary PPH?

If the blood loss occurs in the first 24 hours following delivery, this is termed primary postpartum haemorrhage. Secondary postpartum haemorrhage refers to excessive vaginal bleeding between 24 hours and six weeks following childbirth.

What PPH means?

Postpartum bleeding or postpartum hemorrhage ( PPH ) is often defined as the loss of more than 500 ml or 1,000 ml of blood within the first 24 hours following childbirth. The most common cause is poor contraction of the uterus following childbirth.

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