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Common errors and remedies in managing postpartum haemorrhage

Hennie Lombaard1, Robert C Pattinson

  • 1Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynaecology, University of Pretoria, South Africa. hennie.lombaard@up.ac.za

Best Practice & Research. Clinical Obstetrics & Gynaecology
|February 24, 2009
PubMed

Postpartum haemorrhage (PPH) is a major contributor to maternal morbidity and mortality. By only examining mortality, the full extent of the problem is not revealed and also it is important to evaluate the avoidable factors. This will identify the areas that need attention. The common errors include not treating anaemia in pregnancy, not practicing active management of the third stage of labour, delay in recognition, substandard care and lack of skills. The remedies include the correct medical treatment of PPH and the use of uterine tamponade. Cell savers can help to reduce the need for transfusion and transfusion associated complications. There are new treatment modalities such as embolisation that can be of value in certain settings.

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